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Pediatric Conditions Requiring Interfacility Transport From Emergency Departments: A Statewide Study of

Ali Aledhaim1, Jennifer N Fishe2, Jon Mark Hirshon1

  • 1From the Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD.

Pediatric Emergency Care
|September 14, 2018
PubMed

Insights

Asthma, epilepsy, and diabetes mellitus are the most common reasons for pediatric interfacility transport (IFT). Young children (0-4 years) are most frequently transported between facilities.

Area of Science:

  • Pediatric Healthcare
  • Health Services Research
  • Emergency Medicine

Background:

  • Regionalization of pediatric care leads to increased interfacility transport (IFT).
  • Understanding the primary conditions necessitating IFT is crucial for resource allocation and care coordination.

Purpose of the Study:

  • To identify the most frequent pediatric conditions requiring interfacility transport (IFT).
  • To determine which pediatric conditions have the highest rates of IFT.

Main Methods:

  • Retrospective observational study of pediatric patients (<18 years) in Maryland (2010-2012).
  • Utilized the Health Care Utilization Project database with probabilistic linkage for patient identification.
  • Identified the top 20 most common pediatric IFT conditions and those with the highest IFT rates.

Main Results:

  • Asthma (13.5%), epilepsy (8.5%), and diabetes mellitus (6.6%) were the top 3 conditions for IFT.
  • Diabetes mellitus (24%), appendicitis (15.5%), and internal obstruction (14.4%) had the highest IFT rates.
  • The 0-4 year age group constituted the largest proportion (43%) of pediatric patients undergoing IFT.

Conclusions:

  • Specific pediatric conditions and younger age groups (0-4 years) are disproportionately affected by IFT.
  • Findings can inform emergency medical services' transport algorithms and guide public health strategies for concentrated pediatric care.
  • Highlights the need to address care coordination for common pediatric conditions in younger populations.
Abstract

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