Patient assessment instruments for secondary transport: a scoping review
DOI:
https://doi.org/10.29352/mill0222.30629Keywords:
critical care nursing; patient transfer; risk assessment; surveys and questionnaires; transportation of patientsAbstract
Introduction: Secondary patient transport plays an important role in inter-hospital transfers, either due to the need to perform unavailable complementary diagnostic tests or due to the lack of technical or human resources in the continuity of care in certain healthcare units. The decision involved in this process should consider the risk/benefit assessment inherent to patient transport.
Objective: To map the scientific evidence on patient assessment instruments for secondary transport.
Methods: A scoping review was conducted according to the PRISMA-ScR methodology and the framework proposed by the JBI: population (critically ill patients), concept (assessment instruments), and context (secondary transport). A literature search was performed on the MEDLINE, CINAHL Complete, Cochrane, Scielo, and LILACS databases; and the grey literature was searched on the OpenGrey, DART-Europe, and RCAAP databases. Studies published in Portuguese, Spanish, and English were included in the review, with no limitation on the time of publication.
Results: Eight articles were included in the review. A total of 9 risk stratification instruments for patient assessment in the secondary transfer were identified.
Conclusion: Patient assessment instruments for secondary transport are beneficial due to the inclusion of variables that aid in risk stratification. Nurses play a key role in the planning and execution of an effective transfer system.
Downloads
References
Abdelmawla, M., Hansen, G., Narvey, M., Whyte, H., Ilodigwe, D., Lee, K.-S., & Network, C. N. T. (2021). Evaluation of transport-related outcomes for neonatal transport teams with and without physicians. Paediatrics & Child Health (1205-7088), 26(7), e290–e296. https://doi.org/10.1093/pch/pxab019
Bardin, L. (2016). Análise de Conteúdo (1st ed). Edições 70, Brazil. https://madmunifacs.files.wordpress.com/2016/08/anc3a1lise-de-contec3bado-laurence-bardin.pdf
Conde, B. G., Millán García Del Real, N., Escaplés Giménez, T., Marsinyach Ros, I., Toledo Parreño, J. D., Nuñez Cárdenas, M. D. M., Domínguez Sampedro, P., & Brandstrup Azuero, K. B. (2021). Quality indicators in interhospital transport: Multicentre project. Anales de Pediatria, 95(3), 167–173. https://doi.org/10.1016/j.anpede.2020.09.009
Dabija, M., Aine, M., & Forsberg, A. (2021). Caring for critically ill patients during interhospital transfers: A qualitative study. Nursing in Critical Care, 26(5), 333–340. https://doi.org/10.1111/nicc.12598
Eiding, H., Kongsgaard, U. E., & Braarud, A.-C. (2019). Interhospital transport of critically ill patients: experiences and challenges, a qualitative study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 27(1), 27. https://doi.org/10.1186/s13049-019-0604-8
Gabinete do Secretário de Estado Adjunto e da Saúde (2016). Estabelece disposições sobre o transporte integrado de doente crítico (Despacho n.º 5058-D/2016, de 13 de abril). Diário da República, Lisbon. https://www.inem.pt/wp-content/uploads/2017/08/01-Despacho-5058D-2016-de-13-de-abril.pdf
Grass, B., Ye, X. Y., Kelly, E., Synnes, A., & Lee, S. (2020). Association between Transport Risk Index of Physiologic Stability in Extremely Premature Infants and Mortality or Neurodevelopmental Impairment at 18 to 24 Months. The Journal of Pediatrics, 224, 51. https://doi.org/10.1016/j.jpeds.2020.05.019
Kiss, T., Bölke, A., & Spieth, P. M. (2017). Interhospital transfer of critically ill patients. Minerva Anestesiologica, 83(10), 1101–1108. https://doi.org/10.23736/S0375-9393.17.11857-2
Lee LL, Yeung KL, Lo WY, Lau YS, Tang SY, & Chan JT. (2008). Evaluation of a simplified therapeutic intervention scoring system (TISS-28) and the modified early warning score (MEWS) in predicting physiological deterioration during inter-facility transport. Resuscitation, 76(1), 47–51. https://doi.org/10.1016/j.resuscitation.2007.07.005
Manzur, M., Han, S. M., Dunn, J., Elsayed, R. S., Fleischman, F., Casagrande, Y., & Weaver, F. A. (2017). Management of patients with acute aortic syndrome through a regional rapid transport system. Journal of Vascular Surgery, 65(1), 21–29. https://doi.org/10.1016/j.jvs.2016.08.081
Markakis C, Dalezios M, Chatzicostas C, Chalkiadaki A, Politi K, & Agouridakis PJ. (2006). Evaluation of a risk score for interhospital transport of critically ill patients. Emergency Medicine Journal, 313–317. https://doi.org/10.1136/emj.2005.026435
Mueller, S. K., Fiskio, J., & Schnipper, J. (2019). Interhospital Transfer: Transfer Processes and Patient Outcomes. Journal of Hospital Medicine, 14(8), 486–491. https://doi.org/10.12788/jhm.3192
Ordem dos Médicos (Colégio de Medicina Intensiva) & Sociedade Portuguesa de Cuidados Intensivos. (2023) Transporte de Doentes Críticos Adultos: Recomendações 2023. Centro Editor Livreiro da Ordem dos Médicos, Lda., Lisboa. https://ordemdosmedicos.pt/wp-content/uploads/2023/04/Transporte-Doente-Critico-2023-Versa%CC%83o-CEMI_OM-III-2023.pdf
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Revista Espanola de Cardiologia (English Ed.), 74(9), 790–799. https://doi.org/10.1016/j.rec.2021.07.010
Peters, M. D. J., Marnie, C., Tricco, A. C., Pollock, D., Munn, Z., Alexander, L., McInerney, P., Godfrey, C. M., & Khalil, H. (2021). Updated methodological guidance for the conduct of scoping reviews. International Journal of Evidence-Based Healthcare, 19(1), 3–10. https://doi.org/10.1097/XEB.0000000000000277
Phipps, M., Conley, V., & IVConstantine, W. H. (2018). Exploration of a Preflight Acuity Scale for Fixed Wing Air Ambulance Transport. Air Medical Journal, 37(2), 99–103. https://doi.org/10.1016/j.amj.2017.11.011
Ramgopal, S. (2020). Interfacility transports by emergency medical services in the United States: Estimates from the National Hospital Ambulatory Medical Care Survey. The American Journal of Emergency Medicine, 38(10), 2244.e3-2244.e6. https://doi.org/10.1016/j.ajem.2020.05.047
Roe, M. T., Chen, A. Y., Delong, E. R., Boden, W. E., Calvin, J. E., Jr, Cairns, C. B., Smith, S. C., Jr, Pollack, C. V., Jr, Brindis, R. G., Califf, R. M., Gibler, W. B., Ohman, E. M., & Peterson, E. D. (2008). Patterns of transfer for patients with non-ST-segment elevation acute coronary syndrome from community to tertiary care hospitals. American Heart Journal, 156(1), 185–192. https://doi.org/10.1016/j.ahj.2008.01.033
Seidelin JB, Bruun NE, & Nielsen H. (2009). Aeromedical transport after acute myocardial infarction. Journal of Travel Medicine, 16(2), 96–100. https://doi.org/10.1111/j.1708-8305.2008.00281.x
Snedec, N., Simoncic, M., Klemenc, M., Ihan, A., Vidmar, I., & Grosek, S. (2013). Heart rate variability of transported critically ill neonates. European Journal of Pediatrics, 172(12), 1565–1571. https://doi.org/10.1007/s00431-013-2081-9
Tursch, M., Kvam, A. M., Meyer, M., Veldman, A., & Diefenbach, M. (2013). Stratification of Patients in Long-Distance, International, Fixed-Wing Aircraft. Air Medical Journal, 32(3), 164–169. https://doi.org/10.1016/j.amj.2012.10.017
Veldhuis, L. I., Hollmann, M. W., Kooij, F. O., & Ridderikhof, M. L. (2021). A pre-hospital risk score predicts critical illness in non-trauma patients transported by ambulance to a Dutch tertiary referral hospital. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 29(1), 32. https://doi.org/10.1186/s13049-021-00843-z
Wong, Y. K., Lui, C. T., Li, K. K., Wong, C. Y., Lee, M. M., Tong, W. L., Ong, K. L., & Tang, S. Y. H. (2016). Prediction of en-route complications during interfacility transport by outcome predictive scores in ED. American Journal of Emergency Medicine, 34(5), 877–882. https://doi.org/10.1016/j.ajem.2016.02.009
World Medical Association (2013). World Medical Association Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Subjects. World Medical Association General Assembly, Brazil. https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Millenium - Journal of Education, Technologies, and Health

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who submit proposals for this journal agree to the following terms:
a) Articles are published under the Licença Creative Commons (CC BY 4.0), in full open-access, without any cost or fees of any kind to the author or the reader;
b) The authors retain copyright and grant the journal right of first publication, allowing the free sharing of work, provided it is correctly attributed the authorship and initial publication in this journal;
c) The authors are permitted to take on additional contracts separately for non-exclusive distribution of the version of the work published in this journal (eg, post it to an institutional repository or as a book), with an acknowledgment of its initial publication in this journal;
d) Authors are permitted and encouraged to publish and distribute their work online (eg, in institutional repositories or on their website) as it can lead to productive exchanges, as well as increase the impact and citation of published work
Documents required for submission
Article template (Editable format)