The Use and Impact of Professional Interpretation in a Pediatric Emergency Department

Academic Pediatrics
Emily A HartfordK Casey Lion

Abstract

Patients with limited English proficiency (LEP) experience worse health care outcomes compared to English proficient (EP) patients, and professional interpretation is underutilized in clinical settings. The objectives of this study were to describe patterns of interpreter use in a pediatric emergency department (ED), to determine factors associated with its use, and to examine differences in outcomes between EP families and those with LEP. ED encounters for LEP and EP patients were reviewed in a retrospective cohort study design over a 15 month period. Generalized estimating equations were used to compare patient encounters and factors associated with interpreter use. Interpreter use for families who preferred a non-English language was 45.4%. Use of interpretation was less likely during busier times of day (odds ratio [OR] 0.85, confidence interval [CI] 0.78-0.93), with a lower triage acuity (OR 0.66, CI 0.62-0.70), and with each increasing year of patient age (OR 0.97, CI 0.96-0.98). LEP patients who did not receive interpretation were less likely to be admitted than EP patients (OR 0.69, 0.62-0.78). Patients of LEP families, with or without interpretation, were more likely to be transferred to the ICU within 24 hours of admi...Continue Reading

Citations

Apr 11, 2021·Journal of Immigrant and Minority Health·Devlynne S OnduskoLadawna L Gievers
Jun 26, 2021·The Journal of Surgical Research·Sarah C StokesAlana L Beres
Aug 26, 2021·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Elyse N PortilloLois K Lee
Aug 10, 2021·The Lancet Child & Adolescent Health·Hannah K MitchellNadir Yehya
Aug 19, 2021·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Maichou LorMai Joua Yang

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