Rajiv Saini, R C Das, Kaushik Chatterjee, Kalpana Srivastava, Anurag Khera, Sunil Agrawal
Augmenting mental health literacy of troops in a large military station: A novel approach
Industrial psychiatry journal
asthma common chronic medical condition among children common diagnosis associated interfacility transports pediatric patients many 40 pediatric transfers may unnecessary resulting potential delays care unnecessary costs objective identify patientrelated factors associated potentially unnecessary transfers pediatric patients asthma used patient care data california department health care access information patient discharge emergency department ed datasets capture ed visits pediatric patient age 217 years presented asthma transferred another ed acute care hospital outcome interest potentially unnecessary transfer defined visit length stay transfer 24 hours advanced services used respiratory therapy critical care patientrelated characteristics extracted including age gender raceethnicity primary language insurance status clinical characteristics first used descriptive statistics compare necessary vs unnecessary transfers second used generalized estimating equations accounting clustering ed estimate odds ratios identify factors associated potentially unnecessary transfers total 4233 pediatric ed patients transferred diagnosis asthma including 461 11 transfers met criteria potentially unnecessary median age 12 years interquartile range 715 46 female factors associated increased odds potentially unnecessary transfer controlling key factors included younger age eg 25 years 20 95 confidence interval ci 1429 male gender 14 95 ci 1117 hispanic ethnicity 16 95 ci 1221 multiple hospitalizations asthma per year associated decreased odds 02 95 ci 0104 several patientrelated factors associated increased decreased odds potentially unnecessary transfers among pediatric patients presenting ed asthma factors considered future work better understand predict reduce unnecessary transfers negative consequences