The “non-preventable” preventable transfer? An analysis of the care from support services that injured children transferred to a level 1 pediatric trauma center receive
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In brief
In brief
This retrospective study examined 3,212 pediatric trauma transfers and found that 29% were potentially preventable, yet 30% of these preventable transfers still required support service consultations during admission. The findings suggest that even low-acuity transfers may benefit from specialized pediatric trauma center resources, challenging simple definitions of preventable transfers.
Written by the GCMD Library team from the article.
Abstract
Purpose
Almost 30% of pediatric trauma transfers to our facility have previously been shown to be potentially preventable transfers (PT). However, we sought to evaluate what care from support services these PT received during admission.
Methods
Traumatically injured children transferred between January 2014 and June 2019 were retrospectively analyzed. A PT was defined as a child who was discharged within 36 h of arrival without surgical intervention or advanced imaging studies. PT that received support services were compared to those that did not to determine which patients may benefit from these services were their transfers prevented.
Results
There were 3212 transfers, and 927 (29%) were PT. When compared to non-PT, PT were younger, closer to our hospital, and had a lower ISS, extremity or C-spine injury, or assault/non-accidental trauma mechanism. PT were less likely to have a chest injury or a CT at the referring hospital. Of the PT, 30% had a support service consulted. PT with higher ISS or a head injury was more likely to receive a consultation with a support service.
Conclusions
A significant proportion of these "preventable" transfers still receive important care from support services during their admission.
Type of study
Retrospective study.
Level of evidence
III