1. Examining the association between professional language interpreter services and intensive care unit utilization among patients with non-English language preference: Evidence from a large U.S. hospital.
- Author
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Kelleher DP, Barwise AK, Robbins KA, and Borah BJ
- Subjects
- Humans, Female, Male, Middle Aged, Adult, Language, Aged, Length of Stay statistics & numerical data, United States, Cohort Studies, Limited English Proficiency, Intensive Care Units, Communication Barriers, Translating
- Abstract
Objective: To examine the healthcare utilization of patients with non-English language preference (NELP) who utilized a professional language interpreter (PLI) in the intensive care unit (ICU) compared to similar patients with NELP who did not utilize a PLI in the ICU., Methods: Single center cohort study of patients with NELP with at least one ICU admission a large academic medical center in the U.S. Midwest (1/1/2008-12/31/2022). The first model examined ICU length-of-stay (LOS) using a negative binomial and the second model examined whether a patient was readmitted to the ICU using a logistic regression with each model controlling for PLI utilization and covariates., Results: Patients with NELP who utilized a PLI in the ICU had 0.87-days longer in the ICU (p < 0.01) and had a 46 % decreased odds of being readmitted to the ICU (p < 0.01) than a comparable patient with NELP who did not utilize a PLI in the ICU., Conclusion: Providing patients with NELP with access to a PLI in the ICU can improve patient outcomes and reduce language barriers., Practice Implications: These results can provide the justification to potentially increase PLI staffing levels or increase the access to existing PLIs for more patients with NELP in ICUs., Competing Interests: Declaration of Competing Interest No funding supported this research. Dr Kelleher, Dr Barwise and Kellie Robbins have no conflicts of interest whatsoever to report of. Dr. Borah is a consultant to Boehringer Ingelheim and Exact Sciences Corporation on studies unrelated to this work., (Copyright © 2024 Elsevier B.V. All rights reserved.)
- Published
- 2024
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