Rural ED transfers due to lack of radiology services

The American Journal of Emergency Medicine
Matthew LyonRobert Gibson

Abstract

Our objectives were to determine the frequency of patient transfers to a tertiary care emergency department (Tertiary ED) due to a lack of radiology services in rural hospital EDs (Rural EDs), and examine the community and patient attributes that are associated with these transfers. This was a retrospective chart review of patients transferred to a Tertiary ED from Rural EDs. Transfers excluded from the study included pediatric patients (age <18 years old) and patients transferred for trauma surgeon evaluation. Only those patients who were transferred for radiology services were included in the final analysis. Over a 12-month period, 1445 patients were transferred to the Tertiary ED with 73.8% (n = 1066) of this population being transferred from a Rural ED. Excluding 381 trauma and pediatric patients, 64.3% (n = 685) of patients were transferred from a Rural ED and were included in the study. Of these 685 transfers, 24.5% (n = 168) were determined to be due primarily to a lack of a radiology service. Lack of radiology services in Rural EDs leads to numerous patient transfers to the Tertiary ED each year. A disproportionate number of these transfer patients are African American. These transfers place additional financial and soc...Continue Reading

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Citations

Aug 28, 2016·The Journal of Surgical Research·Kevin T LynchJorge Con
Aug 25, 2016·Annals of Emergency Medicine·Yunru HuangJames P Marcin
Sep 2, 2016·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Rashid L BashshurNoura Bashshur
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Oct 28, 2017·The Journal of Emergency Medicine·Ji Hoon KimSung Il Cho

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