Article Figures & Data
Tables
Variable Non-RT, N = 345 RT, N = 105 P Age, mo .74 Mean (SD) 90.7 (97.66) 94.3 (92.09) Median 59 72 Min–max 0–761 0–423 Wt, kg .81 Mean (SD) 28.7 (26.19) 29.4 (25.02) Median 17.8 19.2 Min-max 2.5–113.9 2.2–98.3 PRISM III score .71 Mean (SD) 2.56 (3.89) 2.4 (3.64) Median 0 0 Min-max 0–20 0–26 PIM2 ROM score .83 Mean (SD) 1.51 (2.50) 1.58 (3.60) Median 0.87 0.84 Min-max 0.16–22.96 0.11–35.1 Baseline POPC, n (%) 1: good 140 (40.6%) 55 (52.4%) — 2: mild 70 (20.3%) 23 (21.9%) — 3: moderate 73 (21.2%) 14 (13.3%) — 4: severe 61 (17.7%) 13 (12.4%) — 5: coma 1 (0.3%) 0 — 6: brain death 0 0 — Median (IQR) 2 (1–3) 1 (1–3) .01 P values from independent samples Student’s t tests except for baseline POPC comparison which employed the Mann–Whitney U test. Min-max, minimum-maximum; —, not applicable.
Variable Non-RT, N = 345 RT, N = 105 P Service line, n (%) .362 Pediatric hospital medicine 152 (44.1) 56 (53.3) Medical subspecialties 148 (42.9) 39 (37.1) Pediatric surgery 17 (4.9) 3 (2.9) Surgical subspecialties 28 (8.1) 7 (6.7) Origin of admission, n (%) .033 Direct admission 28 (8.1) 14 (13.3) ED 132 (38.3) 41 (39.0) PACU 52 (15.1) 14 (13.3) PICU 64 (18.6)a 7 (6.7)a Transport 44 (12.8) 20 (19.0) Other 25 (7.2) 9 (8.6) Direct admission or transport origin of admission, n (%) 72 (20.9) 34 (32.4) .010 Medical subspecialties include pulmonology, hematology oncology, adolescent, neurology, cardiology, endocrinology, allergy immunology, nephrology, gastroenterology, rheumatology, and palliative care. Surgical subspecialties include otolaryngology, plastic surgery, urology, and neurosurgery. Other includes on-site primary care and subspecialty clinics and Metro Life flight or other transport. P values from Pearson χ2 tests with Bonferroni adjusted P values. PACU, postanesthesia care unit.
↵a Significant heterogeneous subcategory.
Factor Full Model OR (95% CI) P Reduced Model OR (95% CI) P Constant 0.451 .002 0.526 .005 PICU origin of admission 0.383 (0.166–0.881) .024 0.347 (0.153–0.789) .012 Direct admission or transport origin of admission 1.424 (0.860–2.355) .169 — — Baseline POPC 0.830 (0.673–1.025) .083 0.810 (0.659–0.996) .046 Significantly associated (P < .05) univariate factors were selected for multivariate logistic regression. Stepwise elimination reduced the model to significant factors (P < .05). Insignificant Hosmer-Lemeshow test supports reduced model (P = .961, χ2 = 0.620, df = 4). df, degrees of freedom; —, not applicable.
Variable Non-RT, N = 345 RT, N = 105 P Mortality, n (%) 11 (3.2%) 2 (1.9%) .74 LOS, d <.001 Mean (SD) 5.5 (12.01) 2.8 (3.75) Median 2.4 1.5 Min-max 0.1–144.5 0.2–25.7 Emergency transfer, n (%) 26 (7.5%) 16 (15.2%) .018 P value for mortality and emergency transfer comparisons via Pearson χ2 tests. LOS was compared for rank equality via Mann–Whitney U test. Min-max, minimum-maximum.
- TABLE 5
Severity of Illness Scores and Mortality in RT Patients in the Presence and Absence of Emergency Transfer
Subgroup or Variable Emergency Transfer and RT, N = 16 Nonemergency Transfer and RT, N = 89 P Severity of illness score Baseline POPC, median (IQR) 1 (1–2.75) 1 (1–3) .701 PIM2 ROM, median (IQR) 2.11 (0.87–4.40) 0.82 (0.19–1.09) .001 PRISM III, median (IQR) 4 (0.25–9.25) 0.00 (0–3) .003 Mortality, n (%) 2 (12.5%) 0 (0%) .022 P values from baseline POPC, PIM2 ROM, PRISM III comparisons via Mann–Whitney U tests. Results are reported as median (IQR) because of small sample size. Mortality was compared via Fisher’s exact tests.