Factors associated with Interhospital transfers of emergency general surgery patients from emergency departments

Predictors of interhospital transfer delays in acute surgical patient deaths in Australia: a retrospective study

“…Demographics of our study were similar to Feranandes-Taylor et al's cohort, where they examined local emergency department visits for emergency general surgical conditions between 2014 and 2018. 35 They reported men, old age, multiple comorbidities, rural hospital and high-level trauma having greater odds of transfer. Their study differs from ours by not differentiating between prompt and delayed transfers, thus there remains the possibility that predictors of transfer could be different from predictors of transfer delays.…”

“…Demographics of our study were similar to Feranandes‐Taylor et al . 's cohort, where they examined local emergency department visits for emergency general surgical conditions between 2014 and 2018 35 . They reported men, old age, multiple comorbidities, rural hospital and high‐level trauma having greater odds of transfer.…”

Interhospital transfer (IHT) in emergency general surgery patients (EGS): A scoping review

“…Previous studies have reported that residents of rural areas, individuals who are historically underrepresented by race, and the socioeconomically disadvantaged are at high risk of living in an EGS desert with little or no access to EGS care [ 1 ]. More recently, research has shown that up to 25% of patient transfers were potentially avoidable and that hospital-related factors were more likely to account for potentially avoidable transferred compared to patient-related factors [ 32 , 33 ]. Using this information is a starting point when trying to adapt a better transfer system.…”

“… Santry, H; 2011 [ 45 ] World Journal of Surgery 7 Acuity, outcomes, and trends in the transfer of surgical patients: a national study Huntington, C; 2015 [ 7 ] Surgical Endoscopy 8 Transferred emergency general surgery patients are at increased risk of death: a NSQIP propensity score matched analysis Castillo-Angeles, M; 2019 [ 46 ] Journal of the American College of Surgeons 9 High-volume hospitals are associated with lower mortality among high-risk emergency general surgery patients Ogola, G; 2018 [ 30 ] The Journal of Trauma and Acute Care Surgery 10 Interhospital transfer for acute surgical care: does delay matter? Kummerow Broman, K; 2016 [ 28 ] American Journal of Surgery 11 Interhospital transfer for emergency general: an independent predictor of mortality Yelverton, S; 2018 [ 47 ] American Journal of Surgery 12 Triaging to a regional acute care surgery center: distance is critical Diaz, Jose J; 2011 [ 48 ] The Journal of Trauma 13 Factors associated with interhospital transfers of emergency general surgery patients from emergency departments Fernandes-Taylor, 2021 [ 49 ] American Journal of Emergency Medicine 14 An evaluation of emergency general surgery transfers and a call for standardization of practices Bruenderman, 2021 [ 43 ] Surgery 15 Escalation of mortality and resource utilization in emergency general surgery transfer patients Keeven, D; 2019 [ 50 ] Journal of Trauma Acute Care Surgery 16 Characteristics and timing of interhospital transfers of emergency general surgery patients Philip, J; 2018 [ 51 ] Journal of Surgical Research 17 Interhospital transfer and adverse outcomes after general surgery: implications for pay for performance Lucas, D; ...…”

Factors influencing interhospital transfer delays in emergency general surgery: a systematic review and narrative synthesis

“…Gaps in surgical coverage occur when hospitals are unable to provide around‐the‐clock EGS service, with reasons including rural location, small bed size, non‐teaching status, inconsistent surgeon coverage, lack of system for booking emergency cases and lack of anaesthesia availability overnight 11 . It is not surprising that these findings coincide with the triggers for interhospital transfers, 12–14 and highlights the relationship between interhospital transfers and EGS coverage gaps. Short of establishing unrealistic 24/7 surgical coverage at all healthcare facilities, interhospital transfers will continue to exist out of necessity despite poorer outcomes.…”