کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5731383 1611473 2017 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Impact of hospital transfer on surgical outcomes of intestinal atresia
ترجمه فارسی عنوان
تأثیر انتقال بیمارستان بر نتایج جراحی آتروسیان روده
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundExamine effects of hospital transfer into a quaternary care center on surgical outcomes of intestinal atresia.MethodsChildren <1 yo principally diagnosed with intestinal atresia were identified using the Kids' Inpatient Database (2012). Exposure variable was patient transfer status. Outcomes measured were inpatient mortality, hospital length of stay (LOS) and discharge status. Linearized standard errors, design-based F tests, and multivariable logistic regression were performed.Results1672 weighted discharges represented a national cohort. The highest income group and those with private insurance had significantly lower odds of transfer (OR:0.53 and 0.74, p < 0.05). Rural patients had significantly higher transfer rates (OR: 2.73, p < 0.05). Multivariate analysis revealed no difference in mortality (OR:0.71, p = 0.464) or non-home discharge (OR: 0.79, p = 0.166), but showed prolonged LOS (OR:1.79, p < 0.05) amongst transferred patients.ConclusionsSignificant differences in hospital LOS and treatment access reveal a potential healthcare gap. Post-acute care resources should be improved for transferred patients.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 213, Issue 3, March 2017, Pages 516-520
نویسندگان
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