{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:28:22Z","timestamp":1787963302891,"version":"build-2784847793"},"reference-count":3,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2020,7]]},"abstract":"\n Study Objective<\/jats:title>\n The objective of this study was to analyze the characteristics of pediatric patients transferred from a hospital-based general emergency department (ED) to an acute care facility.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Study data were abstracted from the 2010 Healthcare Cost and Utilization Project Nationwide Emergency Department Sample database. A multivariate logistic regression was constructed for pediatric patients (<18 years old) who require a transfer to an acute care facility from a general ED. Independent variables included in the model were age (<1, 1\u20134, 5\u20139, 10\u201314, 15\u201317 age in years), sex, insurance\/payment method, and diseases\/body systems using International Classification of Diseases, Ninth Revision,<\/jats:italic> coding.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n In the Healthcare Cost and Utilization Project\/Nationwide Emergency Department Sample, 5.5 million ED visits were for children less than 18 years. About 1.5% of visits resulted in transfer. Children younger than 1 year had higher transfer rates as compared with 15 to 17 year old group (odds ratio [OR], 1.17; 95% confidence interval [CI], 1.089\u20131.146). Patients with Medicaid and self-pay compared with private insurance\/health maintenance organization had 4% (OR, 0.96; 95% CI, 0.944\u20130.976) and 9% (OR, 0.91; 95% CI, 0.886\u20130.945), respectively, lower likelihood of being transferred. Patients with circulatory (OR, 8.43; 95% CI, 7.8\u20139.1), endocrine (OR, 5.9; 95% CI, 5.6\u20136.2), mental (OR, 5.44; 95% CI, 5.3\u20135.6), nervous system (OR, 5.2; 95% CI, 4.9\u20135.5), congenital anomalies (OR, 5.14; 95% CI, 4.5\u20135.9), hematology-oncology (OR, 4.49; 95% CI, 4.2\u20134.8), digestive, (OR, 1.52; 95% CI, 1.5\u20131.6), and other disorders (OR, 1.33; 95% CI, 1.3\u20131.4) had a higher odds of being transferred as compared with trauma\/injury and poisoning, whereas patients with disorders related to genitourinary (OR, 0.96; 95% CI, 0.91\u20131.0), respiratory (OR, 0.79; 95% CI, 0.77\u20130.81), musculoskeletal (OR, 0.63; 95% CI, 0.58\u20130.68), skin (OR, 0.47; 95% CI, 0.45\u20130.50), infectious and parasitic (OR, 0.23; 95% CI, 0.22\u20130.25), and eyes\/ears\/nose\/throat (OR, 0.09; 95% CI, 0.079\u20130.094) had a lower odds of being transferred as compared with trauma\/injury and poisoning.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Children younger than 1 year had relatively higher transfer rates. Patients covered by Medicaid and self-pay had the lowest likelihood of transfer. Transfer rates varied significantly by condition and the high-transfer diagnostic categories were related to circulatory, endocrine, nervous, hematology-oncology, and mental disorders as well as congenital anomalies, which may be related to a lack of ED or inpatient resources to care for children with problems that require more complex care.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/pec.0000000000001386","type":"journal-article","created":{"date-parts":[[2018,2,6]],"date-time":"2018-02-06T17:43:21Z","timestamp":1517939001000},"page":"309-311","source":"Crossref","is-referenced-by-count":3,"title":["Characteristics of Pediatric Patient Transferred From Hospital-Based General Emergency Departments to Acute-Care Facilities"],"prefix":"10.1097","volume":"36","author":[{"given":"Isabel Araujo","family":"Barata","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, North Shore University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith","family":"Akerman","sequence":"additional","affiliation":[{"name":"The Feinstein Institute for Medical Research, Northwell Health System, Manhasset"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zayan","family":"Mahmooth","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, North Shore University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Bradburn","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, North Shore University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"D'Angelo","sequence":"additional","affiliation":[{"name":"Emergency Medicine Service Line, Northwell Health System, New Hyde Park, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,2,6]]},"reference":[{"key":"bib2-20231002","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1097\/PEC.0b013e3180302c22","article-title":"Emergency care for children in pediatric and general emergency departments","volume":"23","year":"2007","journal-title":"Pediatr Emerg Care"},{"key":"bib3-20231002","doi-asserted-by":"crossref","first-page":"111","DOI":"10.5055\/ajdm.2012.0087","article-title":"Pediatric patients in a disaster: part of the all-hazard, comprehensive approach to disaster management","volume":"7","year":"2012","journal-title":"Am J Disaster Med"},{"key":"bib5-20231002","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1001\/jamapediatrics.2015.138","article-title":"A national assessment of pediatric readiness of emergency departments","volume":"169","year":"2015","journal-title":"JAMA Pediatr"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000001386","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T21:01:33Z","timestamp":1696280493000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000001386"}},"subtitle":["An Analysis of the Healthcare Cost and Utilization Project Nationwide Emergency Department Sample"],"short-title":[],"issued":{"date-parts":[[2018,2,6]]},"references-count":3,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000001386","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2018,2,6]]}}}