Journal of Critical Care
Volume 24, Issue 3 , Pages 379-386 , September 2009

Effect of interhospital transfer on resource utilization and outcomes at a tertiary pediatric intensive care unit

  • Folafoluwa O. Odetola, MD, MPH

      Affiliations

    • Child Health Evaluation and Research Unit, Department of Pediatrics and Communicable Diseases, University of Michigan Health System, Ann Arbor, MI 48109, USA
    • Division of Pediatric Critical Care Medicine, University of Michigan Health System, Ann Arbor, MI 48109, USA
    • Corresponding Author InformationCorresponding author. Child Health Evaluation and Research Unit, Department of Pediatrics and Communicable Diseases, University of Michigan Health System, Ann Arbor, MI 48109, USA. Tel.: +1 734 615 8418; fax: +1 734 615 5153.
    • ,
  • Sarah J. Clark, MPH

      Affiliations

    • Child Health Evaluation and Research Unit, Department of Pediatrics and Communicable Diseases, University of Michigan Health System, Ann Arbor, MI 48109, USA
    • ,
  • James G. Gurney, PhD

      Affiliations

    • Child Health Evaluation and Research Unit, Department of Pediatrics and Communicable Diseases, University of Michigan Health System, Ann Arbor, MI 48109, USA
    • ,
  • Ronald E. Dechert, DrPH

      Affiliations

    • Critical Care Support Services, University of Michigan Health System, Ann Arbor, MI 48109, USA
    • ,
  • Thomas P. Shanley, MD, FCCM

      Affiliations

    • Division of Pediatric Critical Care Medicine, University of Michigan Health System, Ann Arbor, MI 48109, USA
    • ,
  • Gary L. Freed, MD, MPH

      Affiliations

    • Child Health Evaluation and Research Unit, Department of Pediatrics and Communicable Diseases, University of Michigan Health System, Ann Arbor, MI 48109, USA

References 

  1. Golestanian E, Scruggs JE, Gangnon RE, et al. Effect of interhospital transfer on resource utilization and outcomes at a tertiary care referral center. Crit Care Med. 2007;35:1470–1476
  2. Escarce JJ, Kelley MA. Admission source to the medical intensive care unit predicts hospital death independent of APACHE II score. JAMA. 1990;264:2389–2394
  3. Rosenberg AL, Hofer TP, Strachan C, et al. Accepting critically ill transfer patients: adverse effect on a referral center's outcome and benchmark measures. Ann Intern Med. 2003;138:882–890
  4. Borlase BC, Baxter JK, Kenney PR, et al. Elective intrahospital admissions versus acute interhospital transfers to a surgical intensive care unit: cost and outcome prediction. J Trauma. 1991;31:915–918
  5. Combes A, Luyt CE, Trouillet JL, et al. Adverse effect on a referral intensive care unit's performance of accepting patients transferred from another intensive care unit. Crit Care Med. 2005;33:705–710
  6. Durairaj L, Will JG, Torner JC, et al. Prognostic factors for mortality following interhospital transfers to the medical intensive care unit of a tertiary referral center. Crit Care Med. 2003;31:1981–1986
  7. Gerber DR, Bekes CE, Parrillo JE. The future of hospital economic health. Crit Care Med. 2006;34(3 Suppl):S88–S93
  8. Odetola FO, Shanley TP, Gurney JG, et al. Characteristics and outcomes of interhospital transfers from level II to level I pediatric intensive care units. Pediatr Crit Care Med. 2006;7:536–540
  9. Pollack MM, Patel KM, Ruttimann UE. PRISM III: an updated Pediatric Risk of Mortality score. Crit Care Med. 1996;24:743–752
  10. Pon S, Notterman DA, Martin K. Pediatric critical care and hospital costs under reimbursement by diagnosis-related group: effect of clinical and demographic characteristics. J Pediatr. 1993;123:355–364
  11. Proulx F, Fayon M, Farrell CA, et al. Epidemiology of sepsis and multiple organ dysfunction syndrome in children. Chest. 1996;109:1033–1037
  12. Leclerc F, Leteurtre S, Duhamel A, et al. Cumulative influence of organ dysfunctions and septic state on mortality of critically ill children. Am J Respir Crit Care Med. 2005;171:348–353
  13. Flori HR, Glidden DV, Rutherford GW, et al. Pediatric acute lung injury: prospective evaluation of risk factors associated with mortality. Am J Respir Crit Care Med. 2005;171:995–1001
  14. Wagner DP, Knaus WA, Draper EA. Physiologic abnormalities and outcome from acute disease. Evidence for a predictable relationship. Arch Intern Med. 1986;146:1389–1396
  15. Pollack MM, Yeh TS, Ruttiman UE, et al. Evaluation of pediatric intensive care. Crit Care Med. 1984;12:376–383
  16. Wagner DP, Knaus WA, Draper EA. The case for adjusting hospital death rates for severity of illness. Health Aff (Millwood). 1986;5:148–153
  17. Pollack MM, Ruttimann UE, Getson PR. Accurate prediction of the outcome of pediatric intensive care. A new quantitative method. N Engl J Med. 1987;316:134–139
  18. Gregory CJ, Nasrollahzadeh F, Dharmar M, et al. Comparison of critically ill and injured children transferred form referring hospitals versus in-house admissions. Pediatrics. 2008;121:e906–e911
  19. Kanter RK, Edge WE, Caldwell CR, Nocera MA, Orr RA. Pediatric mortality probability estimated from pre-ICU severity of illness. Pediatrics. 1997;99:59–63

☆ This study was funded by the Michigan Mentored Clinical Scholars' Program NIH 5 K12 RR017607-04.

PII: S0883-9441(08)00251-7

doi: 10.1016/j.jcrc.2008.11.007

Journal of Critical Care
Volume 24, Issue 3 , Pages 379-386 , September 2009

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