National Trends of Interhospital Transfers for Aneurysmal Subarachnoid Hemorrhage in the United States.

Publication/Presentation Date

1-1-2023

Abstract

BACKGROUND: The American Heart Association guidelines recommend transferring patients with aneurysmal subarachnoid hemorrhage (aSAH) to high-volume centers. The purpose of this study was to describe national trends in interhospital transfers (IHTs) for patients with aSAH in the United States.

METHODS: We performed a cross-sectional analysis of Nationwide Inpatient Sample (2008-2014) in adults hospitalized for aSAH. We performed weighted analyses using the χ

RESULTS: Of 146 461 aSAH hospitalizations, 53 289 (36.38%) patients underwent IHT and 93 172 (63.62%) patients did not. There was a significant increase in the prevalence of IHT for aSAH (31.66% in 2008 to 39.91% in 2014;

CONCLUSIONS: IHT has been steadily increasing for patients with aSAH over the past few years in the United States. IHT has been associated with lower odds of in-hospital mortality, despite higher in-hospital costs, longer length of stay, and unchanged discharge disposition in this patient population. Future studies should explore the different reasons for IHT and the prevalence of neurological deterioration during IHT.

Volume

3

Issue

1

First Page

000462

Last Page

000462

ISSN

2694-5746

Disciplines

Medicine and Health Sciences

PubMedID

41585753

Department(s)

Fellows and Residents

Document Type

Article

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