@article{ref1,
title="Sociodemographic determinants in the hospitalization decision: evaluation of an emergency department interhospital transfer policy",
journal="Annals of emergency medicine",
year="1993",
author="Samet, Jeffrey H. and Burstin, H. R. and Green, J. and Singer, D. E.",
volume="22",
number="5",
pages="813-818",
abstract="STUDY OBJECTIVES: To evaluate an emergency department's &quot;treat and transfer&quot; policy during a two-month period of reduced inpatient capacity by determining the number and characteristics of transferred patients not admitted as planned to the receiving hospital. DESIGN: Matched case-control analysis. SETTING: Public hospital adult ED. TYPE OF PARTICIPANTS: Patients transferred to other hospitals for admission. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Twelve percent of patients (16 of 135) were not admitted after transfer during the first month, and 8% during the two-month period. Only IV drug use was found to be significantly associated with an increased risk of discharge without admission (odds ratio = 9.5; 95% confidence interval, 1.9 to 47.8). CONCLUSION: Patients transferred from the public hospital ED resulted in admission to the receiving hospital in 92% of transfers. A history of IV drug use was the only characteristic found to be associated with discharge without admission to the accepting hospital.<p /><p>Language: en</p>",
language="en",
issn="0196-0644",
doi="",
url="http://dx.doi.org/"
}