Evaluation of factors associated with interhospital transfers to pediatric and adult tertiary level of care: A study of acute neurological disease cases.
Stanca IacobYanzhi WangSusan C PetersonSven IvankovicSalil BholePatrick T TracyPatrick W ElwoodPublished in: PloS one (2022)
Neurological dysfunctions with overlapping clinical symptomatology in ageing patients have higher probability of unwarranted transfers. In pediatric patients, disease categories with complex symptomatology requiring sophisticated workup show greater likelihood of unwarranted transfers. Future transfer avoidance recommendations include implementation of measures that assist astute disorder assessment at the referring hospital such as specialized diagnostic modalities and teleconsultation. Additional moderators include after-hours specialty expertise provision and advanced directives education.
Keyphrases
- healthcare
- palliative care
- quality improvement
- end stage renal disease
- ejection fraction
- newly diagnosed
- primary care
- chronic kidney disease
- liver failure
- peritoneal dialysis
- emergency department
- clinical practice
- patient reported outcomes
- pain management
- brain injury
- intensive care unit
- extracorporeal membrane oxygenation
- adverse drug
- health insurance
- affordable care act
- chronic pain
- acute respiratory distress syndrome
- mechanical ventilation