Key result
Patient request was significantly associated with clinically unnecessary acute surgical transfers (OR 2.52; 95% CI 1.60-3.99), which comprised 19% of all transfers in the cohort.
Why the study?
What factors are associated with clinically unnecessary interhospital transfers for acute surgical care?
Cohort (n=2,177)
Yes
What factors are associated with clinically unnecessary interhospital transfers for acute surgical care?
Odds Ratio: 2.52 (95% CI 1.6–3.99)
Nearly one-fifth of interhospital transfers for acute surgical care were clinically unnecessary, often driven by patient request or continuity of care rather than clinical severity.
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May warrant caution with patient-requested transfers; hypothesis-generating for interventions to curb unnecessary acute surgical transfers.
Broman et al. (2016) conducted a cohort in Nontrauma acute surgical care (n=2,177). Patient request was evaluated on Clinically unnecessary transfer (no intervention and discharge to home within 72 hours) (OR 2.52, 95% CI 1.60-3.99). Patient request was significantly associated with clinically unnecessary acute surgical transfers (OR 2.52; 95% CI 1.60-3.99), which comprised 19% of all transfers in the cohort.
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