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Transfer Time After Acceptance to a Level I Trauma Center

Ena Nielsen1, David L Skaggs1, Liam R Harris1

  • 1Children's Orthopedic Center, Children's Hospital Los Angeles, Los Angeles, CA.

Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews
|September 14, 2018
PubMed

Insights

Pediatric orthopaedic transfer times to level I trauma centers average over 3 hours, with significant delays in patient departure from the transferring facility. These delays are not influenced by transfer urgency, distance, or rush hour traffic.

Area of Science:

  • Pediatric Orthopaedics
  • Trauma Surgery
  • Healthcare Logistics

Background:

  • Pediatric orthopaedic emergencies often require transfers between healthcare facilities.
  • Level I trauma centers rely on timely transfers for effective emergency care.
  • Inter-facility transfers present logistical challenges impacting patient treatment timelines.

Purpose of the Study:

  • To analyze transfer times for pediatric orthopaedic patients to a level I trauma center.
  • To identify factors influencing transfer delays.
  • To assess the efficiency of the inter-facility transfer process for pediatric orthopaedic emergencies.

Main Methods:

  • Retrospective review of patient records transferred to a level I trauma center in 2015.
  • Inclusion criteria focused on isolated orthopaedic issues requiring transfer.
  • Defined emergent conditions and peak traffic hours (rush hour).

Main Results:

  • Ninety-six patients met inclusion criteria; 19% were orthopaedic emergencies.
  • Average transfer time from acceptance to admission exceeded 3 hours (203 minutes).
  • Significant delays occurred in patient departure from the transferring facility (average 114 minutes).

Conclusions:

  • Pediatric orthopaedic transfer times are lengthy and exceed 3 hours on average.
  • Transfer delays are not correlated with patient condition urgency, transfer distance, or rush hour.
  • A substantial delay exists between transfer acceptance and patient departure from the initial facility.
Abstract

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