Neurocritical Care

, Volume 17, Issue 3, pp 324–333 | Cite as

Impact of Interhospital Transfer on Complications and Outcome After Intracranial Hemorrhage

  • Ashley R. Catalano
  • H. R. Winn
  • Errol Gordon
  • Jennifer A. Frontera
Original Article

Abstract

Background

Interhospital transfer of patients with intracranial hemorrhage can offer improved care, but may be associated with complications.

Methods

A prospective single-center study was conducted between 2/2008 and 6/2010 of patients with subarachnoid hemorrhage (SAH), intracerebral hemorrhage (ICH) and subdural hemorrhage (SDH), admitted to the neuro-ICU at a tertiary-care academic hospital. Admission demographics, complications and 3-month functional outcomes were compared between directly admitted and transferred patients. The effect of transfer time on complications and outcomes was assessed.

Results

Of 257 total patients, 120 (47%) were transferred and 137 (53%) were directly admitted. About 86 (34%) had SAH, 80 (31%) had ICH and 91 (35%) had SDH. The median transfer time was 190 min (46–1,446). Transferred patients were significantly less educated, less likely to be insured and more frequently had SAH as a diagnosis than directly admitted patients (all P < 0.05), though admission neurological and cognitive status was similar. Complications did not differ between transferred and directly admitted patients; however, among transferred patients, longer transfer time was associated with aneurysm rebleed (7.3 vs. 1.8%, P = 0.007) and tracheostomy (20 vs. 17.5%, P = 0.013). In multivariate analysis, after adjusting for other predictors, transferred patients had worse cognitive outcome at 3-months (adjusted OR 12.4, 95% CI 1.2–125.2, P = 0.033) compared to direct admits, though there were no differences in death, disability or length of stay (LOS).

Conclusions

Transferred patients had similar rates of death, disability and LOS as directly admitted patients, though worse 3-month cognitive outcomes. Prolonged time to interhospital transfer was associated with an increased risk of aneurysm rerupture and tracheostomy.

Keywords

Transfer Interhospital Intracranial hemorrhage Subarachnoid hemorrhage Subdural hematoma Critical care Neurointensive care 

Notes

Disclosures

The authors have nothing to disclose.

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Ashley R. Catalano
    • 1
  • H. R. Winn
    • 3
  • Errol Gordon
    • 2
  • Jennifer A. Frontera
    • 2
  1. 1.Department of NeurosurgeryMount Sinai School of MedicineNew YorkUSA
  2. 2.Neuroscience Intensive Care Unit, Departments of Neurosurgery and NeurologyMount Sinai School of MedicineNew YorkUSA
  3. 3.Department of NeurosurgeryLennox Hill HospitalNew YorkUSA

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