PaperSecondary insults during the interhospital transfer of head-injured patients: an audit of transfers in the Mersey Region
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Outcomes after Motor Vehicle Trauma: Transfers to Level I Trauma Centers Compared with Direct Admissions
2017, Journal of Emergency MedicineCitation Excerpt :Using NIS-provided All-Patient Refined DRGs data points, we found that patients in the transfer group had greater severity of illness and risk of mortality, without actual mortality rate increase (6). Explanations for the difference in severity of illness has been discussed in the literature, and includes delay of care in transfer, worsening or exacerbation of injuries during transfer, and selection of the sickest patients who require more advanced care (20–24). Of note, even though patients who were transferred had significantly higher adjusted risk of mortality and severity of illness scores, their mortality was not increased in our study, suggesting that transfer to a Level I center may be of benefit in this group.
Transport of the trauma patient
2015, British Journal of AnaesthesiaCitation Excerpt :Several authors have documented the risk associated with transfer in various patient groups. An audit of transfers of patients with head injuries who were transferred from local hospitals to a specialist neurosurgical centre showed a 6% incidence of hypoxia and a 15% incidence of hypotension during the transfer.18 A study from Australia reported incidents during out-of-hospital patient transportation undertaken by a dedicated retrieval service.
Critical care transfer in an English critical care network: Analysis of 1124 transfers delivered by an ad-hoc system
2020, Journal of the Intensive Care Society