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October 14, 2011World Journal of SurgeryOpen Access

Interhospital Transfers of Acute Care Surgery Patients: Should Care for Nontraumatic Surgical Emergencies be Regionalized?

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Why the study?

Do patients transferred for major nontraumatic surgical emergencies have worse outcomes compared to those admitted directly to a tertiary center?

Population

319 patients admitted to the acute care surgery service of a tertiary center with one of eight diagnoses…

Comparison

Interhospital transfer from a referring hospital vs Direct admission to the tertiary center (DIRECT)

Design

Cohort

Follow-up

hospital stay

Authors

HSHeena P. SantryUniversity of Modena and Reggio EmiliaSJSumbal JanjuaPomona Valley Hospital Medical CenterYCYuchiao ChangBoston University

Discussion

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Member takes

Overview

May warrant caution in transfer decisions for surgical emergencies; leaves open whether regionalization improves outcomes, requiring prospective validation.

Structured PICO

Do patients transferred for major nontraumatic surgical emergencies have worse outcomes compared to those admitted directly to a tertiary center?

P
Population
319 patients admitted to the acute care surgery service of a tertiary center with one of eight diagnoses indicating a major nontraumatic surgical emergency (NTSE).
I
Intervention
Interhospital transfer from a referring hospital (TRANS)
C
Comparator
Direct admission to the tertiary center (DIRECT)
O
Outcome
Mortality and hospital length of stayhard clinical

Patients transferred for major nontraumatic surgical emergencies present with greater physiologic derangement and have higher mortality and longer hospital stays than directly admitted patients, suggesting a need for regionalization of care.

Cite This Study

Santry et al. (2011) studied this question.

synapsesocial.com/papers/6a742ccc798fc0afde391a32https://doi.org/10.1007/s00268-011-1292-3
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