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Table 1 Comparison of demography, details of referring facility, indications and transport in pre vs post intervention phases

From: Referrals to a pediatric emergency department of a tertiary care teaching hospital before and after introduction of a referral education module - a quality improvement study

 

Preintervention N = 1403

Post intervention N = 957

P value

Age Median (IQR)

3.6 (1.9–7)

3.8 (2.3–7)

0.04

Boys N (%)

860 (61.3)

574 (60)

0.52

Residential area

Rural N (%)

969 (69)

623 (65)

0.04

Urban N (%)

434 (31)

334 (35)

Referring States

 Punjab

695 (49.5)

450 (47)

0.23

 Haryana

313 (22.3)

194 (20.3)

0.24

 Chandigarh

190 (13.6)

154 (16.1)

0.08

 Himachal Pradesh

147 (10.5)

91 (9.5)

0.44

 Uttar Pradesh

58 (4.1)

68 (7.1)

0.002

Type of referring facility

Public sector

1198 (85.4%)

799 (83.5%)

0.21

  Medical College & Teaching Hospital

664(47.3%)

397(41.4%)

0.005

  Community Health Care Centers

317(22.5%)

205(21.4%)

0.50

  District Hospitals

217(15.4%)

197(20.5%)

0.001

Corporate sector

205 (14.6%)

158 (16.5%)

0.21

  Private Hospitals

186(13.2%)

147(15.3%)

0.15

  Medical College & Teaching Hospitals

19(0.01%)

11(0.01%)

0.66

Mode of transport

 Government ambulance services

1200 (85.5)

820 (85.6)

0.91

 Private ambulance services

147 (10.5)

95 (10)

0.66

 Self-owned vehicles

56 (4)

42 (4.4)

0.63

Reasons for referral

 Need for PICU /Mechanical ventilation

654 (46.6)

482 (50.4)

0.07

 Expert consultation

569 (40.5)

343 (35.8)

0.02

 Financial constraints

140 (10)

101 (10.6)

0.65

 Parental request

40 (2.9)

31 (3.2)

0.47

  1. Foot note: Rural, Urban description adapted from Indian census 2011 [10]