Racial and Geographic Disparities in Interhospital ICU Transfers
dc.contributor.author | Tyler, Patrick | |
dc.contributor.author | Stone, David J. | |
dc.contributor.author | Geisler, Benjamin | |
dc.contributor.author | McLennan, Stuart | |
dc.contributor.author | Celi, Leo Anthony | |
dc.contributor.author | Rush, Barret | |
dc.contributor.author | tyler, patrick | |
dc.date.accessioned | 2019-07-08T15:40:32Z | |
dc.date.issued | 2018-01 | |
dc.identifier | Quick submit: 2017-10-08T21:26:19-0400 | |
dc.identifier.citation | Patrick D Tyler, David J Stone, Benjamin P Geisler, Stuart McLennan, Leo A Celi, and Barret Rush. 2017. Racial and Geographic Disparities in Inter-Hospital Intensive Care Unit Transfers. Critical Care Medicine 46(1):e76–e80. | en_US |
dc.identifier.issn | 0090-3493 | en_US |
dc.identifier.uri | http://nrs.harvard.edu/urn-3:HUL.InstRepos:40838992 | * |
dc.description.abstract | Objective—Inter-hospital transfer (IHT), a common intervention, may be subject to healthcare disparities. In mechanically ventilated patients with sepsis, we hypothesize that disparities not disease-related would be found between patients who were and were not transferred. Design—Retrospective cohort study. Setting—Nationwide Inpatient Sample, 2006–2012. Patients—Patients over 18 years of age with a primary diagnosis of sepsis who underwent mechanical ventilation. Interventions—none Measurements and Main Results—We obtained age, gender, length of stay, race, insurance coverage, do not resuscitate status, and Elixhauser co-morbidities. The outcome used was interhospital transfer from a small- or medium-sized hospital to a larger acute care hospital. Of 55,208,382 hospitalizations, 46,406 patients met inclusion criteria. In the multivariate model, patients were less likely to be transferred if the following were present: older age (OR 0.98, 95% CI 0.978–0.982), black race (OR 0.79, 95% CI 0.70–0.89), Hispanic race (OR 0.79, 95% CI 0.69– 0.90), South region hospital (OR 0.79, 0.72–0.88), teaching hospital (OR 0.31, 95% CI 0.28– 0.33), and DNR status (OR 0.19, 95% CI 0.15–0.25). Conclusions—In mechanically ventilated patients with sepsis, we found significant disparities in race and geographic location not explained by medical diagnoses or illness severity. | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | Ovid Technologies (Wolters Kluwer Health) | en_US |
dc.relation.hasversion | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5743219/ | en_US |
dash.license | LAA | |
dc.title | Racial and Geographic Disparities in Interhospital ICU Transfers | en_US |
dc.type | Journal Article | en_US |
dc.date.updated | 2017-10-09T01:26:22Z | |
dc.description.version | Accepted Manuscript | en_US |
dc.relation.journal | Critical Care Medicine | en_US |
dash.depositing.author | Geisler, Benjamin | |
dc.date.available | 2017 | |
dc.date.available | 2019-07-08T15:40:32Z | |
dash.workflow.comments | noap (clc) | en_US |
dash.funder.name | National Institutes of Health | en_US |
dc.identifier.doi | 10.1097/ccm.0000000000002776 | |
dc.source.journal | Critical Care Medicine | |
dash.source.volume | 46;1 | |
dash.source.page | e76-e80 | |
dash.contributor.affiliated | Tyler, Patrick | |
dash.contributor.affiliated | Geisler, Benjamin |
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HMS Scholarly Articles [17937]