Here and Gone: Rapid Transfer From the General Care Floor to the PICU

Article Figures & Data

TABLE 1

Non-RT and RT Patient Demographics

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.

TABLE 2

Service Line and Origin of Admission for Non-RT and RT Patients

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.

TABLE 3

Multivariate Logistic Regression for RT Outcome

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.

TABLE 4

Non-RT and RT Patient Mortality, LOS, and Emergency Transfer

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.