Delay in transfer of severely injured pediatric trauma patients
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University of Cincinnati / OhioLINK
2011
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| Online Access: | http://rave.ohiolink.edu/etdc/view?acc_num=ucin1313695930 |
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ndltd-OhioLink-oai-etd.ohiolink.edu-ucin13136959302021-08-03T06:15:05Z Delay in transfer of severely injured pediatric trauma patients Huezo, Karen L. Surgery Pediatric trauma Transfer Trauma system <p>Background: Interfacility transfer of injured patients has been shown to improve outcomes. There is little available data on pediatric transfers and timing of transfers. The purpose of this study was to elucidate the characteristics of transferred injured children and the causes of delay in a system with a two-hour transfer goal.</p><p>Methods:A retrospective review from a Level I pediatric trauma center over a 5-year study period was performed (2001-2006). Transferred patients were divided into two groups based on timing of transfer: <2 hr (EARLY) and > 2 hours (LATE). Data collected included patient demographics, injury severity score (ISS), Glasgow Coma Scale score (GCS), mode of transportation, referring hospital information, and disposition from the emergency room (ER).</p><p>Results: 34.8% (n=1,021) of patients seen at our PTC were interfacility transfers. 748 patients met inclusion criteria. 82% (n=612) were in the LATE group and arrived on average six hours after those transferred EARLY (420 versus 69.9 minutes, p < 0.05). 79% (n=147) of transfers with severe injuries (ISS > 15) and 47% (n=15) of those with severe head injuries (GCS < 8) arrived LATE. Additionally, 24% (n=146) of patients in the LATE group required care in the intensive care unit, operating room or died in the ER. Distance of referring hospital was not significantly different between the EARLY and LATE groups (31.1 versus 29.6 miles, respectively, p = 0.6). In addition, a significant number of patients transferred by air ambulance arrived LATE (EARLY 34.8% versus LATE 65.2%, p < 0.001).</p><p>Conclusions: Despite the known advantages of early care in trauma centers, a significant number of severely injured children are transferred well beyond two hours following injury. This study has demonstrated that this pattern of delayed transfer is a systemic problem occurring among all transferring hospitals regardless of distance from the trauma center or mode of patient transfer.</p> 2011-09-23 English text University of Cincinnati / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=ucin1313695930 http://rave.ohiolink.edu/etdc/view?acc_num=ucin1313695930 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws. |
| collection |
NDLTD |
| language |
English |
| sources |
NDLTD |
| topic |
Surgery Pediatric trauma Transfer Trauma system |
| spellingShingle |
Surgery Pediatric trauma Transfer Trauma system Huezo, Karen L. Delay in transfer of severely injured pediatric trauma patients |
| author |
Huezo, Karen L. |
| author_facet |
Huezo, Karen L. |
| author_sort |
Huezo, Karen L. |
| title |
Delay in transfer of severely injured pediatric trauma patients |
| title_short |
Delay in transfer of severely injured pediatric trauma patients |
| title_full |
Delay in transfer of severely injured pediatric trauma patients |
| title_fullStr |
Delay in transfer of severely injured pediatric trauma patients |
| title_full_unstemmed |
Delay in transfer of severely injured pediatric trauma patients |
| title_sort |
delay in transfer of severely injured pediatric trauma patients |
| publisher |
University of Cincinnati / OhioLINK |
| publishDate |
2011 |
| url |
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1313695930 |
| work_keys_str_mv |
AT huezokarenl delayintransferofseverelyinjuredpediatrictraumapatients |
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1719433448310964224 |