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Preventable Transfers of Ingested Foreign Bodies in a Rural State.

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Over a quarter of pediatric foreign body ingestions involve unnecessary transfers, burdening families. Standardizing transfer guidelines or using telemedicine can reduce these preventable transfers and improve healthcare efficiency.

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Area of Science:

  • Pediatric Gastroenterology
  • Emergency Medicine
  • Healthcare Management

Background:

  • Pediatric foreign body ingestions frequently lead to interfacility transfers.
  • These transfers impose significant social and financial burdens on families.
  • Identifying factors associated with preventable transfers is crucial for optimizing care.

Purpose of the Study:

  • To assess patient factors linked to potentially avoidable interfacility transfers for pediatric foreign body ingestion.
  • To evaluate the characteristics of preventable transfers in a rural state setting.

Main Methods:

  • Multisite retrospective cohort study of pediatric patients (<18 years) transferred for foreign body ingestion.
  • Defined preventable transfer (PVT) as cases not requiring surgical intervention or admission post-transfer.
  • Utilized bivariate analysis and multivariable logistic regression to identify associated factors.

Main Results:

  • 26.3% of 171 transferred patients were classified as PVTs.
  • No demographic differences were observed between PVT and non-PVT groups.
  • Surgical consults were common even in PVTs, with most ultimately discharged from the ED.

Conclusions:

  • Over one-quarter of pediatric foreign body ingestion transfers are preventable.
  • Opportunities exist to standardize interfacility transfer guidelines.
  • Telemedicine consultation may decrease overtriage and enhance healthcare utilization for this condition.