• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

相似文献

1
Interhospital transfer for acute surgical care: does delay matter?急性外科护理的院际转运：延迟会有影响吗？
Am J Surg. 2016 Nov;212(5):823-830. doi: 10.1016/j.amjsurg.2016.03.004. Epub 2016 Jun 1.
2
Impact of interhospital transfers on outcomes in an academic medical center. Implications for profiling hospital quality.学术医疗中心内院间转运对治疗结果的影响。对医院质量评估的启示。
Med Care. 1996 Apr;34(4):295-309. doi: 10.1097/00005650-199604000-00002.
3
Insurance status influences emergent designation in surgical transfers.保险状况会影响外科转诊中的紧急指定。
J Surg Res. 2016 Feb;200(2):579-85. doi: 10.1016/j.jss.2015.08.021. Epub 2015 Aug 20.
4
Interhospital Transfer Delays Appropriate Treatment for Patients With Severe Sepsis and Septic Shock: A Retrospective Cohort Study.院内转院延迟会影响严重脓毒症和感染性休克患者的治疗：一项回顾性队列研究。
Crit Care Med. 2015 Dec;43(12):2589-96. doi: 10.1097/CCM.0000000000001301.
5
Unnecessary Transfers for Acute Surgical Care: Who and Why?急性外科护理中的不必要转诊：对象是谁以及原因何在？
Am Surg. 2016 Aug;82(8):672-8.
6
Survival benefit of transfer to tertiary trauma centers for major trauma patients initially presenting to nontertiary trauma centers.原发于非三甲创伤中心的严重创伤患者转送至三甲创伤中心的生存获益。
Acad Emerg Med. 2010 Nov;17(11):1223-32. doi: 10.1111/j.1553-2712.2010.00918.x.
7
Characteristics and Timing of Interhospital Transfers of Emergency General Surgery Patients.急诊普通外科患者的院际转运特征和时机。
J Surg Res. 2019 Jan;233:8-19. doi: 10.1016/j.jss.2018.06.017. Epub 2018 Jul 26.
8
Identifying patients at risk of inhospital death or hospice transfer for early goals of care discussions in a US referral center: the HELPS model derived from retrospective data.在美国一家转诊中心识别有住院死亡或临终关怀转诊风险的患者，以便进行早期护理目标讨论：源自回顾性数据的HELPS模型
BMJ Open. 2018 Jan 21;8(1):e015550. doi: 10.1136/bmjopen-2016-015550.
9
Variability of trauma transfer practices among non-tertiary care hospital emergency departments.非三级护理医院急诊科创伤转运实践的差异
Acad Emerg Med. 2006 Jul;13(7):746-54. doi: 10.1197/j.aem.2006.02.014. Epub 2006 May 24.
10
The association between length of emergency department boarding and mortality.急诊科滞留时间与死亡率之间的关联。
Acad Emerg Med. 2011 Dec;18(12):1324-9. doi: 10.1111/j.1553-2712.2011.01236.x.

引用本文的文献

1
Intracerebral hemorrhage hospitalizations and outcomes: comparisons between institutional and national data.脑出血住院情况及预后：机构数据与全国数据的比较
Intern Emerg Med. 2025 May 28. doi: 10.1007/s11739-025-03977-5.
2
Timing, triage, and mode of emergency general surgery interfacility transfers in the United States: A scoping review.美国紧急普通外科医院间转运的时机、分类和模式：范围综述。
J Trauma Acute Care Surg. 2023 Dec 1;95(6):969-974. doi: 10.1097/TA.0000000000004011. Epub 2023 Jun 20.
3
Interhospital transfer (IHT) in emergency general surgery patients (EGS): A scoping review.急诊普通外科患者的院际转运：一项范围综述
Surg Open Sci. 2022 May 21;9:69-79. doi: 10.1016/j.sopen.2022.05.004. eCollection 2022 Jul.
4
Inter-hospital Transfer Delays to a Tertiary Referral Center and Postoperative Outcomes in Patients with Abdominal Surgical Emergencies in Malawi.马拉维腹部外科急症患者转至三级转诊中心的院内转院延迟与术后结局。
World J Surg. 2022 Sep;46(9):2085-2093. doi: 10.1007/s00268-022-06592-z. Epub 2022 May 15.
5
Interhospital Transfer and Outcomes in Patients with AKI: A Population-Based Cohort Study.急性肾损伤患者的院内转院与结局：基于人群的队列研究。
Kidney360. 2020 Sep 17;1(11):1195-1205. doi: 10.34067/KID.0003612020. eCollection 2020 Nov 25.
6
Do deaths from road traffic injuries follow a classical trimodal pattern in North West Ethiopia? A hospital-based prospective cohort study.在埃塞俄比亚西北部，道路交通伤害导致的死亡是否遵循经典的三峰模式？一项基于医院的前瞻性队列研究。
BMJ Open. 2021 Dec 20;11(12):e051017. doi: 10.1136/bmjopen-2021-051017.
7
A Level 1 Trauma Center's response to the COVID-19 pandemic in New York City: a qualitative and quantitative story.一级创伤中心应对纽约市 COVID-19 大流行：定性与定量故事。
Eur J Orthop Surg Traumatol. 2021 Oct;31(7):1451-1456. doi: 10.1007/s00590-021-02902-8. Epub 2021 Feb 22.
8
Emergency urolithiasis management at a national level: exploring the need for a care pathway.国家级紧急尿路结石管理：探索建立护理路径的必要性。
Ir J Med Sci. 2022 Feb;191(1):113-117. doi: 10.1007/s11845-021-02553-y. Epub 2021 Feb 20.
9
Factors associated with Interhospital transfers of emergency general surgery patients from emergency departments.与急诊科紧急普通外科患者院内转运相关的因素。
Am J Emerg Med. 2021 Feb;40:83-88. doi: 10.1016/j.ajem.2020.12.012. Epub 2020 Dec 13.
10
Effect of Transfer Status on Outcomes of Emergency General Surgery Patients.急诊普通外科患者的转归状态对结局的影响。
Surgery. 2020 Aug;168(2):280-286. doi: 10.1016/j.surg.2020.01.005. Epub 2020 May 23.

本文引用的文献

1
Fibrinolysis use among patients requiring interhospital transfer for ST-segment elevation myocardial infarction care: a report from the US National Cardiovascular Data Registry.接受 ST 段抬高型心肌梗死治疗的患者在院间转移中使用纤溶治疗的情况：来自美国国家心血管数据注册中心的报告。
JAMA Intern Med. 2015 Feb;175(2):207-15. doi: 10.1001/jamainternmed.2014.6573.
2
Interhospital transfer: an independent risk factor for mortality in the surgical intensive care unit.医院间转运：外科重症监护病房死亡率的独立危险因素。
Am Surg. 2013 Sep;79(9):909-13. doi: 10.1177/000313481307900929.
3
Analysis of a coordinated stroke center and regional stroke network on access to acute therapy and clinical outcomes.分析协调的卒中中心和区域卒中网络对急性治疗和临床结局的影响。
Stroke. 2013 Jan;44(1):132-7. doi: 10.1161/STROKEAHA.112.666578. Epub 2012 Nov 13.
4
The incomplete infrastructure for interhospital patient transfer.医院间患者转运的基础设施不完善。
Crit Care Med. 2012 Aug;40(8):2470-8. doi: 10.1097/CCM.0b013e318254516f.
5
Are the frail destined to fail? Frailty index as predictor of surgical morbidity and mortality in the elderly.虚弱的人注定会失败吗？虚弱指数预测老年人的手术发病率和死亡率。
J Trauma Acute Care Surg. 2012 Jun;72(6):1526-30; discussion 1530-1. doi: 10.1097/TA.0b013e3182542fab.
6
Interhospital transfers of acute care surgery patients: should care for nontraumatic surgical emergencies be regionalized?急性外科手术患者的医院间转院：非创伤性外科急症的治疗是否应该区域化？
World J Surg. 2011 Dec;35(12):2660-7. doi: 10.1007/s00268-011-1292-3.
7
Association of door-in to door-out time with reperfusion delays and outcomes among patients transferred for primary percutaneous coronary intervention.门到门时间与直接经皮冠状动脉介入治疗患者再灌注延迟和结局的关系。
JAMA. 2011 Jun 22;305(24):2540-7. doi: 10.1001/jama.2011.862.
8
Which patients and where: a qualitative study of patient transfers from community hospitals.哪些患者以及在何处：一项关于社区医院患者转院的定性研究。
Med Care. 2011 Jun;49(6):592-8. doi: 10.1097/MLR.0b013e31820fb71b.
9
Scoop and run to the trauma center or stay and play at the local hospital: hospital transfer's effect on mortality.直接送往创伤中心还是留在当地医院：医院转诊对死亡率的影响。
J Trauma. 2010 Sep;69(3):595-9; discussion 599-601. doi: 10.1097/TA.0b013e3181ee6e32.
10
Factors associated with delayed treatment of acute testicular torsion-do demographics or interhospital transfer matter?与急性睾丸扭转延迟治疗相关的因素——是人口统计学因素还是医院间转院的问题？
J Urol. 2010 Oct;184(4 Suppl):1743-7. doi: 10.1016/j.juro.2010.03.073. Epub 2010 Aug 21.

急性外科护理的院际转运：延迟会有影响吗？

Interhospital transfer for acute surgical care: does delay matter?

作者信息

Kummerow Broman Kristy, Hayes Rachel M, Kripalani Sunil, Vasilevskis Eduard E, Phillips Sharon E, Ehrenfeld Jesse M, Holzman Michael D, Sharp Kenneth W, Pierce Richard A, Nealon William H, Poulose Benjamin K

机构信息

Department of Surgery, Vanderbilt University Medical Center, 1211 Medical Center Drive, Nashville, TN 37232, USA; Geriatric Research, Education, and Clinical Center, Tennessee Valley Healthcare System, Veterans Affairs Medical Center, Nashville, TN, USA; Department of Surgery, Tennessee Valley Healthcare System, Veterans Affairs Medical Center, Nashville, TN, USA.

Department of Surgery, Vanderbilt University Medical Center, 1211 Medical Center Drive, Nashville, TN 37232, USA.

出版信息

Am J Surg. 2016 Nov;212(5):823-830. doi: 10.1016/j.amjsurg.2016.03.004. Epub 2016 Jun 1.

DOI:10.1016/j.amjsurg.2016.03.004
PMID:27381817
原文链接:
https://pmc.ncbi.nlm.nih.gov/articles/PMC5204367/
Abstract

BACKGROUND

Delays to definitive care are associated with poor outcomes after trauma and medical emergencies. It is unknown whether inter-hospital transfer delays affect outcomes for nontraumatic acute surgical conditions.

METHODS

We performed a retrospective cohort study of patient transfers for acute surgical conditions within a regional transfer network from 2009 to 2013. Delay was defined as more than 24 hours from presentation to transfer request and categorized as 1 or 2+ days. The primary outcome was post-transfer death or hospice. Bivariate and multivariable logistic regression were performed.

RESULTS

The cohort included 2,091 patient transfers. Delays of 2 or more days were associated with death or hospice in unadjusted analyses, but there was no difference after adjustment. Predictors of post-transfer death or hospice included older age, higher comorbidity scores, and greater severity of illness.

CONCLUSIONS

Delays in transfer request were not associated with post-transfer mortality or discharge to hospice, suggesting effective triage of nontraumatic acute surgical patients.

摘要

背景

确定性治疗的延迟与创伤和医疗紧急情况后的不良结局相关。目前尚不清楚医院间转运延迟是否会影响非创伤性急性外科疾病的治疗结果。

方法

我们对2009年至2013年期间区域转运网络内急性外科疾病患者的转运进行了一项回顾性队列研究。延迟定义为从就诊到提出转运请求的时间超过24小时，并分为1天或2天以上。主要结局是转运后死亡或进入临终关怀。进行了双变量和多变量逻辑回归分析。

结果

该队列包括2091例患者转运。在未调整的分析中，延迟2天或更长时间与死亡或临终关怀相关，但调整后无差异。转运后死亡或临终关怀的预测因素包括年龄较大、合并症评分较高和疾病严重程度较高。

结论

转运请求延迟与转运后死亡率或临终关怀出院无关，这表明对非创伤性急性外科患者进行了有效的分诊。