Faculty Collaboration Database

Impact of hospital transfer on surgical outcomes of intestinal atresia. Am J Surg 2017 Mar;213(3):516-520

Date

11/29/2016

Pubmed ID

27890332

Pubmed Central ID

PMC5346051

DOI

10.1016/j.amjsurg.2016.11.009

Scopus ID

2-s2.0-85007086787 (requires institutional sign-in at Scopus site)   5 Citations

Abstract

BACKGROUND: Examine effects of hospital transfer into a quaternary care center on surgical outcomes of intestinal atresia.

METHODS: Children <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.

RESULTS: 1672 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.

CONCLUSIONS: Significant differences in hospital LOS and treatment access reveal a potential healthcare gap. Post-acute care resources should be improved for transferred patients.

Author List

Erickson T, Vana PG, Blanco BA, Brownlee SA, Paddock HN, Kuo PC, Kothari AN

Author

Anai N. Kothari MD Assistant Professor in the Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Female
Hospital Mortality
Humans
Income
Infant
Insurance, Health
Intestinal Atresia
Length of Stay
Male
Multivariate Analysis
Patient Transfer
Private Sector
Rural Population
United States