Association Between Language Use and ICU Transfer and Serious Adverse Events in Hospitalized Pediatric Patients Who Experience Rapid Response Activation

Frontiers in Pediatrics

article

Jessica E. McDade¹  Aleksandra E. Olszewski²  Pingping Qu⁴  Jessica Ramos⁵  Shaquita Bell⁵  Alicia Adiele⁵  Joan Roberts¹  Tumaini R. Coker⁵ 

[1] Division of Critical Care, Department of Pediatrics, University of Washington and Seattle Children's Hospital;Division of Critical Care, Department of Pediatrics, McGaw Medical Center of Northwestern University;Ann and Robert H. Lurie Children's Hospital of Chicago;Seattle Children's Research Institute, Seattle Children's Hospital;Center for Diversity and Health Equity, Seattle Children's Hospital

关键词: disparities;    hospital medicine;    critical care;    language interpretation;    interpreter use;   

DOI  :  10.3389/fped.2022.872060

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background Hospitalized patients and caregivers who use a language other than English have worse health outcomes, including longer length of stay, more frequent readmissions, and increased rates of in-hospital adverse events. Children who experience clinical deterioration (as measured by a Rapid Response Team event) during a hospitalization are at increased risk for adverse events and mortality. Methods We describe the results of a retrospective cohort study using hospital records at a free-standing, quaternary children's hospital, to examine the association of language of care with outcomes (transfer to intensive care, adverse event, mortality prior to discharge) following Rapid Response Team event, and whether increased interpreter use among patients who use a language other than English is associated with improved outcomes following Rapid Response Team event. Results In adjusted models, Rapid Response Team events for patients who use a language other than English were associated with higher transfer rates to intensive care (RR 1.1, 95% CI 1.01, 1.21), but not with adverse event or mortality. Among patients who use a language other than English, use of 1-2 interpreted sessions per day was associated with lower transfer rates to intensive care compared to use of less than one interpreted session per day (RR 0.79, 95% 0.66, 0.95). Conclusion Rapid Response Team events for hospitalized children of families who use a language other than English are more often followed by transfer to intensive care, compared with Rapid Response Team events for children of families who use English. Improved communication with increased interpreter use for hospitalized children who use a language other than English may lead to improvements in Rapid Response Team outcomes.

【 授权许可】

CC BY