Excess morbidity associated with interhospital transport.

Abstract:

:A prospective study was performed to determine whether excess morbidity occurred in critically ill and injured pediatric patients during interhospital transport compared with morbidity in a control group. Control observations were made during the first 2 hours of pediatric intensive care unit (PICU) care of patients emergently admitted from within the same institution and not requiring interhospital transport. The first 2 PICU hours of control patients corresponded to the interval of transport in those who required interhospital transfer. Transport care was provided by nonspecialized teams from referring hospitals. Morbidity occurred in 20.9% of 177 transported patients, exceeding the morbidity rate of 11.3% in 195 control patients (P < .05). The difference in morbidity was due to intensive care-related adverse events (eg, plugged or dislodged endotracheal tubes, loss of intravenous access) in 15.3% and 3.6% of transported and control patients, respectively (P < .05). Physiologic deterioration occurred at similar rates of 7.9% and 8.7% in transported and control patients, respectively (P > .05). Slightly greater pre-ICU severity of illness in transported than control patients (median Pediatric Risk of Mortality Score = 10 and 7, respectively, P < .05) and greater pre-ICU therapy relative to severity (P < .05) in control patients are potential confounding sources of the morbidity differences. If patients are stratified into subgroups of similar pre-ICU severity, an excess of intensive care-related adverse events in transported patients remains evident in the severe subgroup (P < .05). Further investigation is warranted to determine whether specialized transport teams can reduce the excess morbidity associated with interhospital transport of critically ill and injured pediatric patients.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Kanter RK,Boeing NM,Hannan WP,Kanter DL

subject

Has Abstract

pub_date

1992-12-01 00:00:00

pages

893-8

issue

6

eissn

0031-4005

issn

1098-4275

journal_volume

90

pub_type

杂志文章
  • Relative impact of influenza and respiratory syncytial virus in young children.

    abstract:OBJECTIVE:We measured the relative impact of influenza and respiratory syncytial virus (RSV) infections in young children in terms of emergency department (ED) visits, clinical care requirements, and overall resource use. METHODS:Patients who were aged

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-3074

    authors: Bourgeois FT,Valim C,McAdam AJ,Mandl KD

    更新日期:2009-12-01 00:00:00

  • Considering complementary and alternative medicine alternatives in cases of life-threatening illness: applying the best-interests test.

    abstract::In this article we explore decision-making about treatment when a child faces a life-threatening illness but conventional treatment presents substantial risk and uncertain benefit. When is it acceptable for parents to decide to use complementary and alternative medicine as an alternative, rather than a complement, to ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2010-2720F

    authors: Gilmour J,Harrison C,Asadi L,Cohen MH,Aung S,Vohra S

    更新日期:2011-11-01 00:00:00

  • Childhood primary aldosteronism due to an adrenal adenoma: preoperative localization by adrenal vein catheterization.

    abstract::Primary aldosteronism resulting from an adrenal adenoma is rare in children. An 8 1/2-year-old girl was found to have hypertension and spontaneous hypokalemia, both detected as incidental findings. Subsequent investigations revealed inappropriately elevated levels of plasma and urinary aldosterone with suppressed plas...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Ganguly A,Bergstein J,Grim CE,Yum MN,Weinberger MH

    更新日期:1980-03-01 00:00:00

  • Defining successful performance among pediatric residents.

    abstract::The pediatric literature has documented a growing attention to defining the nature and quality of residency training. The critical incident technique, a method widely accepted in industrial settings, was used in this study to determine attitudes and behaviors deemed critical for successful performance of residents in ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Altmaier EM,McGuinness G,Wood P,Ross RR,Bartley J,Smith W

    更新日期:1990-02-01 00:00:00

  • Ethnic differences in the presence of secondary sex characteristics and menarche among US girls: the Third National Health and Nutrition Examination Survey, 1988-1994.

    abstract:OBJECTIVE:To assess measures of puberty-presence of pubic hair, breast development, and menarche-for 3 racial/ethnic groups of girls in the United States. METHODS:Using data from the Third National Health and Nutrition Examination Survey, this study sample was restricted to 1623 girls aged 8 to 16 years (466 non-Hispa...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.110.4.752

    authors: Wu T,Mendola P,Buck GM

    更新日期:2002-10-01 00:00:00

  • The psychological consequences of Turner syndrome and review of the National Cooperative Growth Study psychological substudy.

    abstract:OBJECTIVE:To present longitudinal data on the psychological profile of a cohort of girls with and without Turner syndrome (TS) treated for 3 years with growth hormone (GH). METHODS:Among a sample of 283 children with short stature, 37 girls with TS were recruited at 27 US medical centers. Of the original cohort, 22 gi...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Siegel PT,Clopper R,Stabler B

    更新日期:1998-08-01 00:00:00

  • Long-term follow-up study of serum immunoglobulin G and immunoglobulin A antibodies after Helicobacter pylori eradication.

    abstract:OBJECTIVE:There have been few studies concerning serum titers of anti-Helicobacter pylori immunoglobulin G (IgG) antibody >12 months after eradication of the original infection. Moreover, clinical usefulness of immunoglobulin A (IgA) antibody levels remains to be established. The purpose of this study was to investigat...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.104.2.e22

    authors: Kato S,Furuyama N,Ozawa K,Ohnuma K,Iinuma K

    更新日期:1999-08-01 00:00:00

  • Care coordination services in pediatric practices.

    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:

    authors: Gupta VB,O'Connor KG,Quezada-Gomez C

    更新日期:2004-05-01 00:00:00

  • Calcium, dairy products, and bone health in children and young adults: a reevaluation of the evidence.

    abstract:OBJECTIVE:Numerous nutrition policy statements recommend the consumption of 800 to 1500 mg of calcium largely from dairy products for osteoporosis prevention; however, the findings of epidemiologic and prospective studies have raised questions about the efficacy of the use of dairy products for the promotion of bone he...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2004-0548

    authors: Lanou AJ,Berkow SE,Barnard ND

    更新日期:2005-03-01 00:00:00

  • Self-management behaviors, racial disparities, and glycemic control among adolescents with type 2 diabetes.

    abstract:OBJECTIVE:Type 2 diabetes is a growing problem among adolescents, but little is known about self-management behaviors in this population. Our aim was to examine self-management behaviors and glycemic control among adolescents with type 2 diabetes. METHODS:From 2003 to 2005, a telephone survey of adolescents with type ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2007-1484

    authors: Rothman RL,Mulvaney S,Elasy TA,VanderWoude A,Gebretsadik T,Shintani A,Potter A,Russell WE,Schlundt D

    更新日期:2008-04-01 00:00:00

  • Neurodevelopment and in utero antiretroviral exposure of HIV-exposed uninfected infants.

    abstract:OBJECTIVE:Antiretroviral (ARV) drugs are routinely provided to HIV-infected pregnant women to prevent HIV mother-to-child transmission. Although ARV use has significantly reduced mother-to-child transmission to <2% in the United States, it remains crucial to monitor uninfected infants and children for adverse consequen...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-1112

    authors: Williams PL,Marino M,Malee K,Brogly S,Hughes MD,Mofenson LM,PACTG 219C Team.

    更新日期:2010-02-01 00:00:00

  • Media literacy education for elementary school substance use prevention: study of media detective.

    abstract:OBJECTIVES:Media Detective is a 10-lesson elementary school substance use prevention program developed on the basis of the message interpretation processing model designed to increase children's critical thinking skills about media messages and reduce intent to use tobacco and alcohol products. The purpose of this stud...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1542/peds.2010-0068

    authors: Kupersmidt JB,Scull TM,Austin EW

    更新日期:2010-09-01 00:00:00

  • Prepregnant overweight and obesity diminish the prolactin response to suckling in the first week postpartum.

    abstract:OBJECTIVE:The population subgroups with the highest proportion of overweight and obese women often are characterized by the lowest rates of initiation and shortest durations of breastfeeding. We previously documented that these 2 population-level trends may be related. In a population of white women who lived in a rura...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.113.5.e465

    authors: Rasmussen KM,Kjolhede CL

    更新日期:2004-05-01 00:00:00

  • Azithromycin is as effective as and better tolerated than erythromycin estolate for the treatment of pertussis.

    abstract:OBJECTIVE:Although universal immunization against Bordetella pertussis (whooping cough) infection has resulted in dramatic reductions in the incidence of pertussis, outbreaks continue to occur in countries with excellent vaccine coverage. Treatment of infection may ameliorate symptom severity during the catarrhal phase...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1542/peds.114.1.e96

    authors: Langley JM,Halperin SA,Boucher FD,Smith B,Pediatric Investigators Collaborative Network on Infections in Canada (PICNIC).

    更新日期:2004-07-01 00:00:00

  • Long-term follow-up of 2 newborns with a combined birth weight of 540 grams.

    abstract::Long-term growth and developmental data are presented for the smallest and third smallest surviving newborns in the world literature to 5 and 20 years of age, respectively. Both patients exhibited normal motor and language development. Although head circumference for both newborns demonstrated catchup growth, signific...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2010-0039

    authors: Muraskas JK,Rau BJ,Castillo PR,Gianopoulos J,Boyd LA

    更新日期:2012-01-01 00:00:00

  • Fatal and nonfatal farm injuries to children and adolescents in the United States.

    abstract::Agriculture is the second most dangerous occupation in the United States, and unlike other occupations, children make up a significant portion of the work force. This study presents national data on the morbidity and mortality due to farm injuries to children and adolescents less than or equal to 19 years of age. Data...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Rivara FP

    更新日期:1985-10-01 00:00:00

  • Lay Field-worker-Led School Health Program for Primary Schools in Low- and Middle-Income Countries.

    abstract:BACKGROUND AND OBJECTIVES:School health programs are frequently attempted in low- and/or middle-income countries; however, programmatic scope and reach is limited by human resource constraints. We sought to determine if trained community members could implement a school health program that improved outcomes in rural pr...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2018-0975

    authors: Matergia M,Ferrarone P,Khan Y,Matergia DW,Giri P,Thapa S,Simões EAF

    更新日期:2019-04-01 00:00:00

  • Erythromelalgia.

    abstract::Erythromelalgia is an extraordinary disease which remains elusive in its pathophysiology and management. Victims suffer intense burning and redness of the hands and feet. In what appears to be the antithesis of Raynaud's disease, the pain is relieved by emersion in cold. A child with erythromelalgia is described whose...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Mandell F,Folkman J,Matsumoto S

    更新日期:1977-01-01 00:00:00

  • Successful treatment of type 1 diabetes and seizures with combined ketogenic diet and insulin.

    abstract::Diabetic ketoacidosis (DKA) is a life-threatening condition and a major cause of morbidity and mortality in children with type 1 diabetes mellitus. The deficiency of insulin leads to metabolic decompensation, causing hyperglycemia and ketosis that resolves with the administration of insulin and fluids. However, an ind...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2011-0741

    authors: Aguirre Castaneda RL,Mack KJ,Lteif A

    更新日期:2012-02-01 00:00:00

  • Risk of renal scarring in children with a first urinary tract infection: a systematic review.

    abstract:BACKGROUND:To our knowledge, the risk of renal scarring in children with a urinary tract infection (UTI) has not been systematically studied. OBJECTIVE:To review the prevalence of acute and chronic renal imaging abnormalities in children after an initial UTI. METHODS:We searched Medline and Embase for English-, Frenc...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2010-0685

    authors: Shaikh N,Ewing AL,Bhatnagar S,Hoberman A

    更新日期:2010-12-01 00:00:00

  • Routine cerebrospinal fluid enterovirus polymerase chain reaction testing reduces hospitalization and antibiotic use for infants 90 days of age or younger.

    abstract:OBJECTIVE:The goal was to evaluate the impact of cerebrospinal fluid enterovirus polymerase chain reaction testing on the length of hospitalization and the duration of antibiotic use for infants < or = 90 days of age with suspected aseptic meningitis. METHODS:This retrospective cohort study was conducted at an urban, ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2007-0252

    authors: King RL,Lorch SA,Cohen DM,Hodinka RL,Cohn KA,Shah SS

    更新日期:2007-09-01 00:00:00

  • Management of Neonates Born to Mothers With Graves' Disease.

    abstract::Neonates born to mothers with Graves' disease are at risk for significant morbidity and mortality and need to be appropriately identified and managed. Because no consensus guidelines regarding the treatment of these newborns exist, we sought to generate a literature-based management algorithm. The suggestions include ...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2015-1878

    authors: van der Kaay DC,Wasserman JD,Palmert MR

    更新日期:2016-04-01 00:00:00

  • Neonatal hyperbilirubinemia and risk of autism spectrum disorders.

    abstract:OBJECTIVE:To investigate the association between neonatal hyperbilirubinemia and autism spectrum disorders (ASD). METHODS:We conducted a large case-control study nested within the cohort of singleton term infants born between 1995 and 1998 at a northern California Kaiser Permanente hospital. Case subjects (n = 338) we...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-1870

    authors: Croen LA,Yoshida CK,Odouli R,Newman TB

    更新日期:2005-02-01 00:00:00

  • Puberty and the onset of substance use and abuse.

    abstract:OBJECTIVE:Substance abuse remains one of the major threats to adolescent health in Western cultures. The study aim was to ascertain the extent of association between pubertal development and early adolescent substance use. METHODS:The design was a cross-sectional survey of 10- to 15-year-old subjects in the states of ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2003-0626-F

    authors: Patton GC,McMorris BJ,Toumbourou JW,Hemphill SA,Donath S,Catalano RF

    更新日期:2004-09-01 00:00:00

  • Intentional poisoning of children--an overlooked category of child abuse: report of seven cases and review of the literature.

    abstract::Seven instances of child abuse due to poisoning are reported; two of the children died. Forty-one cases of this form of poisoning are found in the literature. Of the total of 48 children, eight (17%) died as a result of the incident; and one was mentally retarded. The seven different agents described here are alcohol,...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Dine MS,McGovern ME

    更新日期:1982-07-01 00:00:00

  • Improving the quality of discharge communication with an educational intervention.

    abstract:BACKGROUND:Communication between hospital providers and primary care physicians at the time of hospital discharge is necessary for optimal patient care and safety. Content of the inpatient discharge summary (DS) is not uniformly addressed by residency programs. OBJECTIVE:To improve DSs quality through a brief educatio...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2010-0884

    authors: Key-Solle M,Paulk E,Bradford K,Skinner AC,Lewis MC,Shomaker K

    更新日期:2010-10-01 00:00:00

  • A population-based, multisite cohort study of the predictors of chronic idiopathic thrombocytopenic purpura in children.

    abstract:OBJECTIVE:The objective of this study was to identify risk factors for developing chronic idiopathic thrombocytopenic purpura in a cohort of pediatric patients with idiopathic thrombocytopenic purpura. METHODS:We conducted a retrospective cohort analysis of 259 children who were diagnosed with idiopathic thrombocytope...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2007-1129

    authors: Glanz J,France E,Xu S,Hayes T,Hambidge S

    更新日期:2008-03-01 00:00:00

  • Low expression of human epithelial sodium channel in airway epithelium of preterm infants with respiratory distress.

    abstract:OBJECTIVE:Active ion transport is critical to postnatal clearance of lung fluid. The importance of epithelial sodium channel (ENaC) in this clearance has been demonstrated in animal studies in which alpha-ENaC knockout mice died postnatally as a result of respiratory insufficiency. In animals, the expression of alpha-E...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.113.5.1267

    authors: Helve O,Pitkänen OM,Andersson S,O'Brodovich H,Kirjavainen T,Otulakowski G

    更新日期:2004-05-01 00:00:00

  • Patterns of work and retirement among pediatricians aged >or=50 years.

    abstract:OBJECTIVE:This study examined patterns of work and retirement among older pediatricians, including the determinants of part-time work and retirement, as well as extended participation in the pediatrician workforce. METHODS:A mail survey regarding recent and expected workforce participation was distributed to American ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-3090

    authors: Merline AC,Cull WL,Mulvey HJ,Katcher AL

    更新日期:2010-01-01 00:00:00

  • Laparoscopic diagnosis and cure of hyperinsulinism in two cases of focal adenomatous hyperplasia in infancy.

    abstract::Persistent hyperinsulinemic hypoglycemia of infancy or congenital hyperinsulinism of the neonate is a rare condition that may cause severe neurologic damage if the disease is unrecognized or inadequately treated. Current treatment aims to restore normal blood glucose levels by providing a carbohydrate-enriched diet an...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2003-1180-L

    authors: De Vroede M,Bax NM,Brusgaard K,Dunne MJ,Groenendaal F

    更新日期:2004-10-01 00:00:00