Abstract:
OBJECTIVES:We aimed to characterize the demographics, diagnoses, and management of transferred patients who were directly discharged from the emergency department (ED) or admitted less than 24 hours. METHODS:We conducted a retrospective, cross-sectional study of patients classified as interfacility ED transfers over a 12-month period in the Pediatric Health Information System database, an administrative database of 42 tertiary care pediatric US hospitals. The primary study outcomes were ED resource utilization at the receiving facility with a focus on children who were discharged directly from the ED or admitted less than 24 hours. RESULTS:Overall, 24,905 interfacility transfers were identified, accounting for 1.3% of the ED volume of these academic pediatric centers. Of these, 24.7% were discharged directly from the ED and 17.0% were admitted for less than 24 hours. Among those directly discharged from the ED, the 3 most common complaints were orthopedic problems, nonsurgical abdominal pain, and viral gastroenteritis; 20.7% received no medical or procedural intervention. Among those admitted for less than 24 hours, the 3 most common complaints were orthopedic problems, traumatic head injury, and gastrointestinal conditions. CONCLUSIONS:A significant proportion of interfacility transfers to academic pediatric EDs is discharged directly from the ED or is admitted for less than a day. These patients and their clinical outcomes provide insight into the educational needs and medical capabilities of referring hospitals and clinicians.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Li J,Monuteaux MC,Bachur RGdoi
10.1542/peds.2011-1819subject
Has Abstractpub_date
2012-07-01 00:00:00pages
83-92issue
1eissn
0031-4005issn
1098-4275pii
peds.2011-1819journal_volume
130pub_type
杂志文章相关文献
PEDIATRICS文献大全abstract:BACKGROUND:Approximately half of women with intellectual and developmental disabilities (IDDs) lose custody of their children at some point in their child's development, but their rates of and risk factors for newborn discharge to child protective services from the birth hospitalization are relatively unknown. METHODS...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2018-1416
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:Although vision screening for preschool children is recommended for detecting amblyopia, many pediatric and family medicine practices do not screen preschool-aged children. The aim of this study was to determine the effect of a training program for primary care clinical staff on vision screening behavior and ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.112.1.e17
更新日期:2003-07-01 00:00:00
abstract::Laparoscopy has been performed in 120 infants and children for a variety of indications including chronic abdominal pain, debatable appendicitis, liver biopsy, biliary atresia, and abdominal trauma. A specific diagnosis was made in 71% of patients and 59% were spared laparotomy. There were one complication and four er...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1980-08-01 00:00:00
abstract:BACKGROUND:The 2011 Pediatric Infectious Diseases Society/Infectious Diseases Society of America community-acquired pneumonia (CAP) guideline recommends narrow-spectrum antimicrobial therapy for most children hospitalized with CAP. However, few studies have assessed the effectiveness of this strategy. METHODS:Using da...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.2013-1614
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVE:The purpose of this controlled study was to provide a description of children's postoperative pain, including pain intensity and analgesic consumption. METHODS:Participants included 261 children, 2 to 12 years of age, undergoing routine tonsillectomy and adenoidectomy surgery. Baseline and demographic data w...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-3529
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVE:Our goal was to describe the neurologic and clinical features of affected males from families with X-linked patterns of severe mental retardation, hypotonia, recurrent respiratory infection, and microduplication of Xq28 that consistently includes the MECP2 (methyl-CpG binding protein 2) gene. STUDY DESIGN:To...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2006-0395
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVE:The goal was to describe variable costs to providers of delivering childhood immunizations. METHODS:We documented variable costs (costs that vary with the amount of services rendered), including time spent by pediatric staff members and physicians on immunization-related activities, as well as supply costs a...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2009-1542H
更新日期:2009-12-01 00:00:00
abstract::Fragile X syndrome (an FMR1-related disorder) is the most commonly inherited form of mental retardation. Early physical recognition is difficult, so boys with developmental delay should be strongly considered for molecular testing. The characteristic adult phenotype usually does not develop until the second decade of ...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2010-3500
更新日期:2011-05-01 00:00:00
abstract:OBJECTIVE:Our goal was to assess the impact of "Baby-Friendly" hospital practices and other maternity-care practices experienced by mothers on breastfeeding duration. METHODS:This analysis of the Infant Feeding Practices Study II focused on mothers who initiated breastfeeding and intended prenatally to breastfeed for ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-1315e
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant vascular dysplasia. Most cases are caused by mutations in the endoglin gene on chromosome 9 (HHT type 1) or the activin receptor-like kinase 1 gene on chromosome 12 (HHT type 2), which leads to telangiectases and arteriovenous malformations ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.109.1.e12
更新日期:2002-01-01 00:00:00
abstract::The school nurse has a crucial role in the provision of school health services. This statement describes the school nurse as a member of the school health services team and its relation to children with special health care needs. Recommendations for the professional preparation and education of school nurses also are ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.108.5.1231
更新日期:2001-11-01 00:00:00
abstract::Questionnaires were used to survey 1,435 parents and 446 physicians in order to determine and compare attitudes and beliefs about enuresis. Although both groups thought that bed-wetting is a maturational problem, the parent group thought emotional causes were important and were less likely to accept small bladder size...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1981-05-01 00:00:00
abstract::Umbilical artery catheters have been associated with thrombotic complications, such as partial or complete occlusion in the aorta, the renal arteries, and other blood vessels. There have been few reports of the long-term consequences of either symptomatic or asymptomatic thrombi. We report a patient, now 22 years of a...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.106.3.e36
更新日期:2000-09-01 00:00:00
abstract::Twenty-nine near miss for sudden infant death syndrome and thirty normal infants between the ages of 3 weeks and 6 months were monitored polygraphically for 24 hours. The distribution of sleep and abnormal respiratory events were analyzed for both groups. On the basis of mixed and obstructive apnea, 12-hour nocturnal ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1981-09-01 00:00:00
abstract::Temperament is the tendency to express particular emotions with a certain intensity that is unique to each individual child. Although temperament seems to be biologically based, learning to regulate emotional expressions depends on caregiver input and socialization. Part of this process involves forming a trusting rel...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:
更新日期:1998-11-01 00:00:00
abstract:BACKGROUND:Gestational age (GA) is frequently unknown or inaccurate in pregnancies in low-income countries. Early identification of preterm infants may help link them to potentially life-saving interventions. METHODS:We conducted a validation study in a community-based birth cohort in rural Bangladesh. GA was determin...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2015-3303
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVE:To examine the frequency with which pediatricians provide care coordination services to children, particularly those with special health care needs, in their practices and the barriers to providing these services. METHODS:An 8-page questionnaire was mailed to 1632 randomly selected US members of the American...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVE:Children with chronic abdominal pain of nonorganic origin, termed functional abdominal pain (FAP), experience school absences and social withdrawal and report impaired physical ability. The aim of this study was to assess patients' and parents' perceptions of health-related quality of life (QoL) for children ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2005-0114
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:A metabolic profile consistent with impaired cobalamin status is prevalent in breastfed infants. We investigated whether this profile reflects immature organ systems or impaired cobalamin status. METHODS:In a single-center, randomized, placebo-controlled trial, we studied 107 six-week-old infants. The infant...
journal_title:Pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1542/peds.2007-2716
更新日期:2008-07-01 00:00:00
abstract::Schools offer an opportunity to deliver new vaccines to adolescents who may not receive them in their medical home. However, school budgets and health priorities are set at the local level; consequently resources devoted to health-related activities vary widely. Partnering with schools requires soliciting buy-in from ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2007-1115F
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:The goal of this study was to evaluate the effectiveness of nebulized beclomethasone in preventing the recurrence of viral wheezing. METHODS:The study was designed as a randomized, double-blind, placebo-controlled trial. Outpatient children aged 1 to 5 years with at least 1 episode of viral wheezing in the l...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1542/peds.2013-2404
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVE:To assess differences in family functioning or child-rearing attitudes within families with previously colicky infants and to assess whether the children differed in their behavior, development, or frequency of allergies. STUDY DESIGN:A controlled, prospective study with infants (3 months to 3 years of age) ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1995-07-01 00:00:00
abstract::The recognition of fabricated illness (FI) in a child represents a diagnostic challenge. The suspicion of FI often arises from the discrepancy between laboratory tests and clinical history. For instance, (unnecessary) insulin injections by caregivers has been widely described as a common cause of factitious hypoglycem...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2014-4165
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVES:This article describes the methods used and the program performance results for the first 5 years of newborn screening for cystic fibrosis (CF) in California. METHODS:From July 16, 2007, to June 30, 2012, a total of 2,573,293 newborns were screened for CF by using a 3-step model: (1) measuring immunoreactiv...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2015-0811
更新日期:2015-12-01 00:00:00
abstract::Neurologic regression in a previously healthy child may be caused by metabolic or neurodegenerative disorders, many of which have no definitive treatment. We report a case of a previously healthy 8-year-old boy who presented with a month-long history of waxing and waning encephalopathy and acute regression, followed b...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2013-1427
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To examine risk factors for sudden infant death syndrome (SIDS) with the goal of reducing SIDS mortality among blacks, which continues to affect this group at twice the rate of whites. METHODS:We analyzed data from a population-based case-control study of 260 SIDS deaths that occurred in Chicago between 1993...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:2003-05-01 00:00:00
abstract::An infant with cutaneous amebiasis of the vulva and amebic liver abscess is described. Epidemiologic investigations and serologic studies were crucial in establishing the diagnosis. The vulvar amebic ulcers responded dramatically to metronidazole therapy. Cutaneous amebiasis is a rare complication of Entamoeba histoly...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1983-04-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:A 4-variable abusive head trauma (AHT) clinical prediction rule (CPR) for use in the PICU was derived and validated for children <3 years of age by the Pediatric Brain Injury Research Network (PediBIRN). We aimed to externally validate PediBIRN as designed (PICU only) as well as using broader ...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.2017-3674
更新日期:2018-05-01 00:00:00
abstract::Hypertension affects >40% of the US population and is a major contributor to cardiovascular-related morbidity and mortality. Although less common among children and adolescents, hypertension affects 1% to 5% of all youth. The 2017 Clinical Practice Guideline for the Diagnosis and Management of High Blood Pressure in C...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2018-3517
更新日期:2019-05-01 00:00:00
abstract:OBJECTIVES:To determine whether adjunctive therapy with recombinant human granulocyte colony-stimulating factor (rhG-CSF) could reverse sepsis-associated neonatal neutropenia and improve neonatal survival compared with conventional therapy in a phase I/II-type trial. STUDY DESIGN:An intravenous infusion of rhG-CSF (10...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章
doi:10.1542/peds.100.1.e6
更新日期:1997-07-01 00:00:00