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The Effect of Treatment Delays Associated with Inpatient Inter-hospital Transfer from Peripheral to Tertiary Hospitals for the Surgical Treatment of Cardiology Patients.
- Source :
-
Heart, Lung & Circulation . Jan2016, Vol. 25 Issue 1, p75-81. 7p. - Publication Year :
- 2016
-
Abstract
- <bold>Background: </bold>Nearly 100,000 presentations to non-tertiary hospitals per year result in an inpatient transfer [1]. The timely inter-hospital transfer of patients for cardiothoracic surgery is significant to their overall outcomes. We hypothesised that patients with a prolonged pre-operative admission were at risk of nosocomial infection, leading to prolonged hospitalisation, morbidity and mortality.<bold>Methods: </bold>Patients admitted to a non-tertiary centre (Frankston Hospital, Group 1) and requiring transfer to tertiary centres for cardiac surgery were compared to patients presenting directly to tertiary centres (Alfred Hospital, Group 2; St Vincent's Hospital, Group 3) from June 2011-July 2012. Data was obtained from medical records and the National Cardiac Surgery Database.<bold>Results: </bold>Eighty-seven patients in Group 1, 78 patients in Group 2 and 65 patients in Group 3 were identified. A higher proportion of total admission time was spent awaiting surgery in Group 1 compared to Group 2 (52.8% vs. 38.3%, p≤0.001) and Group 3 (52.8% vs. 26.3%, p≤0.001). Nosocomial infections occurred more frequently in Group 1 compared to Group 2 (20.7% vs. 5.1%, p=0.04) and Group 3 (20.7% vs. 6%, p<0.001).<bold>Conclusion: </bold>Presentation to a non-tertiary centre requiring inpatient cardiothoracic surgery is associated with longer pre-operative waiting time and higher rates of hospital-acquired infections. [ABSTRACT FROM AUTHOR]
- Subjects :
- *TREATMENT effectiveness
*TERTIARY care
*OPERATIVE surgery
*CARDIOLOGY
*THORACIC surgery
*HEALTH outcome assessment
*COMPARATIVE studies
*CROSS infection
*DATABASES
*CARDIAC surgery
*HOSPITAL admission & discharge
*RESEARCH methodology
*MEDICAL cooperation
*PATIENTS
*RESEARCH
*TIME
*EVALUATION research
*SPECIALTY hospitals
*PREOPERATIVE period
Subjects
Details
- Language :
- English
- ISSN :
- 14439506
- Volume :
- 25
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Heart, Lung & Circulation
- Publication Type :
- Academic Journal
- Accession number :
- 111566308
- Full Text :
- https://doi.org/10.1016/j.hlc.2015.05.018