ArticleBMJ (Clinical research ed.)1995
Morbidity and severity of illness during interhospital transfer: impact of a specialised paediatric retrieval team.
Article in BMJ (Clinical research ed.), 1995. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.
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Who cites it
43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 154 citations in OpenAlex.
- Explosive Weapons Trauma Care Collective (EXTRACCT) Clinical Practice Guideline: Transfer of Critically Injured Casualties.World journal of surgery · 2026Guideline
- Specialist teams for neonatal transport to neonatal intensive care units for prevention of morbidity and mortality.The Cochrane database of systematic reviews · 2015Pooled it
- Referral challenges and outcomes of neonates received at Muhimbili National Hospital, Dar es Salaam, Tanzania.PloS one · 2022Article
- Association between emergency department pediatric readiness and transfer of noninjured children in small rural hospitals.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022Article
- Observational study on the efficiency of Neonatal Emergency Transport in reducing mortality and morbidity indexes in Sicily.Scientific reports · 2021Observational
- Paediatric health care access in community health centres is associated with survival for critically ill children who undergo inter-facility transport: A province-wide observational study.Paediatrics & child health · 2020Article
- Assessment of interhospital transport care for pediatric patients.Clinical and experimental pediatrics · 2020Article
- Pediatric Transport Triage: Development and Assessment of an Objective Tool to Guide Transport Planning.Pediatric emergency care · 2020Article
- The Transport and Outcome of Sick Outborn Neonates Admitted to a Regional and District Hospital in the Upper West Region of Ghana: A Cross-Sectional Study.Children (Basel, Switzerland) · 2020Article
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- Defining Significant Events for Neonatal and Pediatric Transport: Results of a Combined Delphi and Consensus Meeting Process.Journal of pediatric intensive care · 2017Article
- Neonatal transport practices in Ibadan, Nigeria.The Pan African medical journal · 2016Article
- Transferring the critically ill patient: are we there yet?Critical care (London, England) · 2015Review
- Investigation of the status of interhospital transport of critically ill pediatric patients.World journal of pediatrics : WJP · 2015Article
- An evaluation of compliance and performance following the introduction of the Inter-Facility Transport Triage Guideline.World journal of emergency medicine · 2011Article
- Risk stratification in providing inter-facility transport: Experience from a specialized transport team.World journal of emergency medicine · 2010Article
- Specialist team retrieval of head injured patients: fact, fiction, or formula?Intensive care medicine · 2009Article
- Knowledge of inter-facility transport among emergency nurses in Hong Kong: a questionnaire survey.International emergency nursing · 2008Article
- Critical care in the emergency department: patient transfer.Emergency medicine journal : EMJ · 2007Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the morbidity and severity of illness during interhospital transfer of critically ill children by a specialised paediatric retrieval team.
designProspective, descriptive study.
settingHospitals without paediatric intensive care facilities in and around the London area, and a paediatric intensive care unit at a tertiary centre. SUBJECTS: 51 critically ill children transferred to the paediatric intensive care unit.
main outcome measuresAdverse events related to equipment and physiological deterioration during transfer. Paediatric risk of mortality score before and after retrieval. Therapeutic intervention score before and after arrival of retrieval team.
resultsTwo (4%) patients had preventable physiological deterioration during transport. There were no adverse events related to equipment. Severity of illness decreased during stabilisation and transport by the retrieval team, suggested by the difference between risk of mortality scores before and after retrieval (P < 0.001). The median (range) difference between the two scores was 3.0 (-6 to 17). Interventions during stabilisation by the retrieval team increased, demonstrated by the difference between intervention scores before and after retrieval, median (range) difference between the two scores being 6 (-8 to 38) (P < 0.001).
conclusionsOur study indicates that a specialised paediatric retrieval team can rapidly deliver intensive care to critically ill children awaiting transfer. Such children can be transferred to a paediatric intensive care unit with minimal morbidity and mortality related to transport. There was no deterioration in the clinical condition of most patients during transfer.
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