MP02-11 NATIONWIDE TRENDS FOR INTERHOSPITAL TRANSFERS FOR UROLOGIC CONDITIONS FROM 2011-2017

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Practice Patterns, Quality of Life and Shared Decision Making I (MP02)1 Apr 2020MP02-11 NATIONWIDE TRENDS FOR INTERHOSPITAL TRANSFERS FOR UROLOGIC CONDITIONS FROM 2011-2017 Vi Tran*, Amber Bettis, Alexandria Corbeau, and Andrew Harris Vi Tran*Vi Tran* More articles by this author , Amber BettisAmber Bettis More articles by this author , Alexandria CorbeauAlexandria Corbeau More articles by this author , and Andrew HarrisAndrew Harris More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000816.011AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Interhospital transfers (IHT), defined as transfers between acute care hospitals, remain largely unstudied in Urology. To improve the quality and safety of IHT for urologic conditions, further investigation is warranted to elucidate characteristics of patients who undergo IHT. No prior study has described national trends in IHT for urologic conditions. The objective of our study is to build on our regional IHT work and characterize recent nationwide frequencies of IHT for urological conditions and assess trends amongst states. METHODS: We performed a nationwide cross-sectional retrospective analysis of IHT within MarketScan Research Databases for Truven Health Analytics during January 1, 2011 to September 9, 2017. Patients were characterized by age, gender, length of stay (LOS), and International Classification of Diseases (ICD) diagnosis transfer code. Results were reported overall and by state including District of Columbia and Puerto Rico. Total state IHT was divided by the average state population from 2011-2017 to account for increases due to a larger potential patient population. State population data was obtained from the United States Census Bureau. RESULTS: A total of 95,274 patients were identified who underwent IHT for urologic conditions. Overall average age of transfer was 68 years (SD: 20) and LOS was 8 days (SD: 12). The most frequent ICD diagnosis code for transfer was general urinary tract infection (UTI, 38%), followed by other GU conditions including urinary obstruction, hematuria, disorder of urinary tract, retention, and incontinence (17%), shock (11%), and calculus of urinary tract (7%). Overall, California (9149), New York (8844), and Texas (7079) had the highest number of total IHT over the study period. However, when divided by average state population, New York, New Jersey, and South Carolina had the highest ratios of transfers to population. Figure 1 illustrates IHT by total state population. CONCLUSIONS: Interhospital transfers vary by state and do not necessarily correlate with total population size. The most common reason for transfer is general UTI. Lack of standardization of transfer nomenclature makes analysis difficult. Significant variability in transfer ICD codes also exists suggesting further investigation is needed to determine best practices concerning IHT. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e15-e16 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Vi Tran* More articles by this author Amber Bettis More articles by this author Alexandria Corbeau More articles by this author Andrew Harris More articles by this author Expand All Advertisement PDF downloadLoading ...