Factors Associated with the Transfer of Pediatric Patients with Supracondylar Humerus Fractures to a Level I Pediatric Trauma Center.
OBJECTIVE
To compare the characteristics of pediatric patients with supracondylar humerus fractures transferred to a level I pediatric trauma center to those who presented directly to our institution.


METHODS
Retrospective chart review of patients with a supracondylar humerus fracture during a 42-month period (2008-2011) at a major level I pediatric trauma center were reviewed. Of 195 patients, 37 were transferred from outside hospitals.


RESULTS
After multivariable analysis, it was determined that transferred patients were significantly more likely to present on the weekends (p = 0.003) and require operative treatment (p < 0.001) as compared to nontransferred patients.


CONCLUSIONS
Injuries requiring operative treatment and presentation on a weekend were independent predictors of the transfer of pediatric patients with supracondylar humerus fractures.
Glenn S
GS
Russo
Allen M
AM
Ferrucci
Christopher P
CP
Miller
Ethan W
EW
Dean
Garth W
GW
Strohbehn
Natalie E
NE
Dean
Melinda S
MS
Sharkey
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003237:Connecticut; D005260:Female; D006801:Humans; D006810:Humeral Fractures / Q000628:therapy*; D007223:Infant; D008297:Male; D010360:Patient Transfer; D012189:Retrospective Studies; D014193:Trauma Centers