PEDIATRICS Vol. 84 No. 1 July 1989, pp. 43-48
This Article
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kanter, R. K.
Right arrow Articles by Tompkins, J. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kanter, R. K.
Right arrow Articles by Tompkins, J. M.

Adverse Events During Interhospital Transport: Physiologic Deterioration Associated With Pretransport Severity of Illness

Robert K. Kanter MD1 and Joy M. Tompkins RN, MS1

1 The Division of Pediatric Critical Care Medicine, Department of Pediatrics, State University of New York, Health Science Center, Syracuse

The relationship between severity of illness or injury before interhospital transport and the incidence of physiologic deterioration during transport was studied in 117 pediatric patients. Transports were done by referring hospital personnel. Pretransport severity was expressed as the Pediatric Risk of Mortality score for all patients and as the Modified Injury Severity Score for trauma patients. For 71 patients with Pediatric Risk of Mortality scores less than 10, deterioration during transport occurred in 3 (4%) and hospital mortality occurred in 2 (3%). For 10 victims of trauma with Modified Injury Severity Scores less than 10, none had deterioration during transport or hospital mortality. The rare occurrence of serious problems related to transport in low-risk patients indicates that referring hospital personnel are capable of safely transporting such patients. The incidence of physiologic deterioration during transport was significantly greater (P < .01) with greater pretransport severity of illness or injury. Failure to intubate the trachea was not a major preventable cause of deterioration. The most common preventable problem occurred for 6 of 79 patients with endotracheal tubes that became occluded with secretions, leading to cyanosis in 2 patients. Our data concerning high-risk patients with specified pretransport severity provide a basis for comparison for further evaluation of the benefit of specialized pediatric transport services.

Key Words: trauma • patient transport • pediatric care • regionalization • health care quality

Submitted on May 4, 1988
Accepted on August 15, 1988




This article has been cited by other articles:


Home page
 Arch Pediatr Adolesc MedHome page
S. B. Freedman and V. A. Thakkar
Easing the Strain on a Pediatric Tertiary Care Center: Use of a Redistribution System
Arch Pediatr Adolesc Med, September 1, 2007; 161(9): 870 - 876.
[Abstract] [Full Text] [PDF]

Home page
 Emerg. Med. J.Home page
M J G Dunn, C L Gwinnutt, and A J Gray
Critical care in the emergency department: patient transfer
Emerg. Med. J., January 1, 2007; 24(1): 40 - 44.
[Full Text] [PDF]

Home page
 PediatricsHome page
S. B. Yeager, J. D. Horbar, K. M. Greco, J. Duff, R. R. Thiagarajan, and P. C. Laussen
Pretransport and Posttransport Characteristics and Outcomes of Neonates Who Were Admitted to a Cardiac Intensive Care Unit
Pediatrics, September 1, 2006; 118(3): 1070 - 1077.
[Abstract] [Full Text] [PDF]

Home page
 Emerg. Med. J.Home page
C Markakis, M Dalezios, C Chatzicostas, A Chalkiadaki, K Politi, and P J Agouridakis
Evaluation of a risk score for interhospital transport of critically ill patients.
Emerg. Med. J., April 1, 2006; 23(4): 313 - 317.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
K. Oyri, I. Balasingham, E. Samset, J. O. Hogetveit, and E. Fosse
Wireless Continuous Arterial Blood Pressure Monitoring During Surgery: A Pilot Study
Anesth. Analg., February 1, 2006; 102(2): 478 - 483.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
N. S. Bardach, S. J. Olson, J. S. Elkins, W. S. Smith, M. T. Lawton, and S. C. Johnston
Regionalization of Treatment for Subarachnoid Hemorrhage: A Cost-Utility Analysis
Circulation, May 11, 2004; 109(18): 2207 - 2212.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
K. E. Thomas, C. M. Owens, J. Britto, S. Nadel, P. Habibi, and R. Nicholson
Efficacy of Chest CT in a Pediatric ICU : A Prospective Study
Chest, June 1, 2000; 117(6): 1697 - 1705.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
R. K. Kanter, W. E. Edge, C. R. Caldwell, M. A. Nocera, and R. A. Orr
Pediatric Mortality Probability Estimated From Pre-ICU Severity of Illness
Pediatrics, January 1, 1997; 99(1): 59 - 63.
[Abstract] [Full Text] [PDF]

Home page
 BMJHome page
A. Kelleher and L. Murdoch
Criteria indicating physiological morbidity were too non-specific
BMJ, January 13, 1996; 312(7023): 119b - 120.
[Full Text]

Home page
 BMJHome page
J. Britto, S. Nadel, I. Maconochie, M. Levin, and P. Habibi
Morbidity and severity of illness during interhospital transfer: impact of a specialised paediatric retrieval team
BMJ, September 30, 1995; 311(7009): 836 - 839.
[Abstract] [Full Text]