Pediatric XXXX transport performance measures in a mountain state: adherence and outcomes.

@entity1 @entity542 @entity764 @entity204 @entity130
BACKGROUND: Utah state @entity130 audit filters assess expeditious care at referring emergency departments for severely injured @entity1 to avoid delays in transfer. We evaluated two state performance measures related to pediatric @entity130 care before arrival at the Level I @entity130 center. METHODS: Analysis of the Primary @entity1 's Medical Center (PCMC) @entity130 database for @entity1 with Injury Severity Scores (ISS)>15 from 2006 to 2009 was performed. @entity1 care was evaluated for referring hospital emergency department triage time of <2 hours and total transfer time of  <=6 hours for rural and  <=4 hours for urban place of injury. RESULTS: Four hundred twelve @entity1 with ISS>15 were admitted via interhospital transfer from within Utah. Approximately 50% of @entity1 were triaged<2 hours, which increased to almost two thirds when restricted to those initially evaluated within 100 miles (helicopter range) of PCMC. Factors associated with delayed triaged included lower ISS, less severe @entity542 , greater distance from the @entity130 center, and primary @entity764 . @entity204 and poor outcome did not differ significantly by triage in <2 hours or >= 2 hours. Adherence with the total transfer time goal was 94% for rural and 76% for urban place of injury. CONCLUSIONS: There was substantial nonadherence with @entity130 performance measures for triage in <2 hours among pediatric @entity130 @entity1 with ISS >15. Because of low rates of poor outcome, we are unable to determine whether adherence with state triage goals lessens morbidity or mortality.
