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Titolo:
Survival of patients transferred to tertiary intensive care from rural community hospitals
Autore:
Surgenor, SD; Corwin, HL; Clerico, T;
Indirizzi:
Dartmouth Med Sch, Dartmouth Hitchcock Med Ctr, Dept Anesthesiol, Sect Crit Care Med, Lebanon, NH 03756 USA Dartmouth Med Sch Lebanon NH USA 03756 it Care Med, Lebanon, NH 03756 USA
Titolo Testata:
CRITICAL CARE
fascicolo: 2, volume: 5, anno: 2001,
pagine: 100 - 104
SICI:
1466-609X(2001)5:2<100:SOPTTT>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
SYSTEM; REGIONALIZATION; LEVEL;
Keywords:
decision-making; interhospital transport; rural health services; survival analysis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Surgenor, SD Dartmouth Med Sch, Dartmouth Hitchcock Med Ctr, Dept Anesthesiol, Sect Crit Care Med, 1 Med Ctr Dr, Lebanon, NH 03756 USA Dartmouth Med Sch 1 Med Ctr Dr Lebanon NH USA 03756 03756 USA
Citazione:
S.D. Surgenor et al., "Survival of patients transferred to tertiary intensive care from rural community hospitals", CRIT CARE, 5(2), 2001, pp. 100-104

Abstract

Background: Accessibility to tertiary intensive care resources differs among hospitals within a rural region. Determining whether accessibility is associated with outcome is important for understanding the role of regionalization when providing critical care to a rural population. Methods: In a prospective design, we identified and recorded the mortalityratio, percentage of unanticipated deaths, length of stay in the intensivecare unit (ICU), and survival time of 147 patients transferred directly from other hospitals and 178 transferred from the wards within a rural tertiary-care hospital. Results: The two groups did not differ significantly in the characteristics measured. Differences in access to tertiary critical care in this rural region did not affect survival or length of stay after admission to this tertiary ICU. The odds ratio (1.14; 95% confidence interval 0.72-1.83) for mortality associated with transfer from a rural community hospital was not statistically significant. Conclusions: Patients at community hospitals in this area who develop needfor tertiary critical care are just as likely to survive as patients who develop ICU needs on the wards of this rural tertiary-care hospital, despitedifferent accessibility to tertiary intensive-care services.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 19:29:12