Are patients being transferred to level-I trauma centers for reasons other than medical necessity?
Are patients being transferred to level-I trauma centers for reasons other than medical necessity?
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DOI：
10.2106/jbjs.f.00245
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发表时间：
2006-10-01
影响因子：
5.3
通讯作者：
Spratt, Kevin F.
中科院分区：
文献类型：
--
作者：
Koval, Kenneth J.;Tingey, Chad W.;Spratt, Kevin F.
背景：在美国，《紧急医疗和现行劳动法》对急诊科求医的病人在医院间的转移规定了广泛的指导方针。然而，非医疗原因的患者转移仍然被认为是一种常见的做法。这项研究的目的是评估因医疗原因不太可能需要转院到一级中心的患者中可能存在的转院危险因素。方法：使用国家创伤数据库(4.3版)的数据进行回顾性病例对照国家数据库研究。研究组由损伤严重程度评分较低的患者(
Background: In the United States, the Emergency Medical Treatment and Active Labor Act defines broad guidelines regarding interhospital transfer of patients who have sought care in the emergency department. However, patient transfers for nonmedical reasons are still considered a common practice. The purpose of this study was to evaluate the possible risk factors for hospital transfer in a population of patients unlikely to require transfer to a level-I center for medical reasons.Methods: A retrospective case-control national database study was performed with use of data from the National Trauma Data Bank (version 4.3). The study group consisted of patients with low Injury Severity Scores (