The role of transport intervals in outcomes for critically ill patients who are transferred to referral centers

Journal of Critical Care
Dean BelwayHubert Wong

Abstract

The aim of this study was to determine the association between transport intervals (including time from call to arrival of transport team at the sending hospital, time spent by the transport team in the sending hospital, and transport time between the sending and receiving hospital) and intensive care unit (ICU) and hospital length of stay and hospital mortality at the receiving hospital. This was a retrospective, stratified cohort study involving all patients 15 years and older who were transferred from one hospital to another of equal or larger size in British Columbia, Canada, and who spent at least 1 day in an ICU or coronary care unit (CCU) at the receiving hospital during 1999 (n = 1930). Data were obtained from 6 administrative databases and linked using generalized software. After adjustment for age, sex, comorbidity, and diagnostic group, longer time from call to arrival of paramedics at the sending hospital was associated with a shorter length of ICU/CCU stay (rate ratio [RR], 0.91; 95% confidence interval [CI], 0.86-0.97) for survivors and a longer length of hospital (RR, 1.12; 95% CI, 1.05-1.21) and ICU/CCU (RR, 1.14; 95% CI, 1.04-1.25) stay for nonsurvivors in the higher-priority air transport group, and with a sli...Continue Reading

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Citations

Dec 3, 2010·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Isla M HainsJohanna I Westbrook
Sep 3, 2013·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Jing ChenPeter Dodek
Apr 19, 2015·Critical Care : the Official Journal of the Critical Care Forum·Joep M DrooghJan G Zijlstra
Jun 1, 2018·Journal of Paediatrics and Child Health·Janet B Sharpe, Mark W Davies
Jul 29, 2021·World Journal of Pediatrics : WJP·Rod M ShinozakiRobert B Kelly

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