Implications of transfer status on bowel loss in children undergoing emergency surgery for malrotation

This multicenter study of 3,373 pediatric malrotation cases reveals that transferred patients face significantly higher bowel resection rates (30.7% vs 16.4%) compared to direct admissions. Transfer delays disproportionately affect younger, premature, nonwhite, and publicly insured children, highlighting critical access disparities in time-sensitive surgical emergencies.