TABLE 2

Ten Conditions With the Largest RI Change From 2006 to 2011

ConditionCAFLMANYAverage (% Change)
RI 2011 (% Change)TRRI 2011 (% Change)TRRI 2011 (% Change)TRRI 2011 (% Change)TR
Appendicitis and other appendiceal conditions0.29 (35.7)980.59 (74.3)2120.27 (92.8)1090.31 (80.7)8370.6
Noninfectious gastroenteritis0.50 (26.4)950.59 (28.6)1000.50 (61.7)670.48 (68.1)8446.2
Skin and subcutaneous tissue infections0.43 (29.1)1170.58 (47.4)1020.48 (29.2)1000.41 (55.9)7140.3
Abdominal pain0.63 (16.4)4870.77 (17.5)5630.70 (30.1)4630.60 (53.4)43029.4
Asthma0.51 (28.5)1330.60 (31.5)1010.45 (16.7)860.40 (40.6)4929.4
Fracture of lower limb0.53 (16.5)1950.70 (29.3)2400.70 (29.8)3610.54 (39.4)17928.6
Urinary tract infections0.44 (26.8)960.57 (26.6)720.44 (16.6)590.36 (34.9)4126.2
Acute and chronic tonsillitis0.55 (27.4)600.64 (14.9)750.47 (27.2)150.51 (34.3)4425.8
Fracture of upper limb0.57 (21.2)2310.74 (22.7)4070.74 (18.7)4370.61 (40.0)29425.6
Fluid and electrolyte disorders0.51 (21.1)1030.60 (22.6)930.42 (23.3)400.37 (33.6)3525.1
  • Conditions with high RIs are definitively managed in a few institutions and are frequently transferred. Conditions with low RIs are cared for in many places and infrequently transferred. Because the RI simultaneously captures self-selection and transfer (given 1000 TRs are also provided), they are calculated as the no. patients transferred statewide and divided by the no. patients requiring admission or transfer. For example, in California in 2011, 95 of 1000 children who presented to a hospital with gastroenteritis and were not discharged from the hospital were transferred to another institution. CA, California; FL, Florida; MA, Massachusetts; NY, New York.