Interhospital transfer for emergency general surgery: An independent predictor of mortality

American Journal of Surgery
Sam YelvertonCaroline E Reinke

Abstract

Emergency general surgery (EGS) admissions account for more than 3 million hospitalizations in the US annually. We aim to better understand characteristics and mortality risk for EGS interhospital transfer patients compared to EGS direct admissions. Using the 2002-2011 Nationwide Inpatient Sample we identified patients aged ≥18 years with an EGS admission. Patient demographics, hospitalization characteristics, rates of operation and mortality were compared between patients with interhospital transfer versus direct admissions. Interhospital transfers comprised 2% of EGS admissions. Interhospital transfers were more likely to be white, male, Medicare insured, and had higher rates of comorbidities. Interhospital transfers underwent more procedures/surgeries and had a higher mortality rate. Mortality remained elevated after controlling for patient characteristics. Interhospital transfers are at higher risk of mortality and undergo procedures/surgeries more frequently than direct admissions. Identification of contributing factors to this increased mortality may identify opportunities for decreasing mortality rate in EGS transfers.

Citations

Jun 28, 2019·Trauma Surgery & Acute Care Open·Heena SantryMarie Crandall
Dec 29, 2020·The American Journal of Emergency Medicine·Sara Fernandes-TaylorAngela Ingraham
Jan 29, 2021·World Journal of Emergency Medicine·William GilliamQuincy K Tran
May 28, 2020·Surgery·Jennifer L PhilipAngela M Ingraham
Nov 27, 2019·The Journal of Surgical Research·Manuel Castillo-AngelesJoaquim M Havens
May 22, 2021·The Journal of Trauma and Acute Care Surgery·Theresa WilliamsonMuhammad Abd-El-Barr
Jan 27, 2022·The Journal of Trauma and Acute Care Surgery·Raul CoimbraMatthew Firek
Mar 2, 2019·The Journal of Thoracic and Cardiovascular Surgery·Gregory D Rushing, Nahush A Mokadam

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