Interhospital transfer amongst injured children in New South Wales, Australia
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View abstract on PubMed
Summary
This summary is machine-generated.Interhospital transfer (IHT) for injured children in NSW occurred mostly for minor injuries. Guidelines for IHT of minor injuries and consistent transfer practices are needed to improve care.
Area Of Science
- Pediatric Trauma Care
- Health Services Research
- Injury Epidemiology
Background
- Pediatric injury is a significant cause of hospitalization in Australia.
- Interhospital transfer (IHT) is utilized to provide specialized trauma care for children.
- Factors influencing IHT for pediatric trauma require quantification.
Purpose Of The Study
- To quantify the utilization of IHT for injured children in New South Wales (NSW).
- To identify patient- and hospital-related factors associated with IHT in pediatric trauma.
- To assess the consistency of IHT practices across NSW hospitals.
Main Methods
- Retrospective cohort study using statewide administrative data (2001-2019).
- Analysis of 242,911 pediatric injury admissions in NSW.
- Logistic regression to determine factors associated with IHT; hospital-level analysis for transfer rates.
Main Results
- 1.3% (n=3296) of injured children underwent IHT; 77% had minor injuries.
- Severe injury (OR 13.56) and presentation to rural local hospitals (OR 15.48) strongly predicted IHT.
- Significant inter-hospital variation in IHT rates and destinations was observed.
Conclusions
- Over 3000 pediatric IHTs occurred, predominantly for minor injuries.
- Existing guidelines for severely injured children may need extension to minor injury cases.
- Inconsistent transfer rates and destinations highlight opportunities for health system efficiency and patient-centered care.
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