A Reversed Trend: Care for Limited English Proficiency Patients in the Pediatric Emergency Department

Abstract results

Each result the abstract reports — is it captured as evidence?

• The population included 152,945 patients from 232,787 ED encounters in 2016.

  Covered Promote Not a result

• Interpreters were requested for 12.1% of encounters.

  Covered Promote Not a result

• For ED LOS, a model-adjusted difference of 0.77% was found between interpreter groups.

  Covered Promote Not a result

• For change in triage status, adjusted odds were 7% higher in the interpreter requested cohort.

  suggested · 19% For ED readmission within 7 days, the adjusted odds were only 3.0% higher in the interpreter-requested cohort than in the no-inter

  Covered Promote Not a result

• For ED readmission within 7 days, adjusted odds were 3% higher in the interpreter requested cohort.

  suggested · 32% For ED readmission within 7 days, the adjusted odds were only 3.0% higher in the interpreter-requested cohort than in the no-inter

  Covered Promote Not a result

• These effect sizes are small (ES < 0.2).

  Covered Promote Not a result

• Our study showed low ES of the differences in ED metrics between LEP and English-speaking patients, suggesting little clinical difference between the two groups.

  Covered Promote Not a result

• The impact of this improvement should be further studied.

  Covered Promote Not a result

Tables & figures

Map each object to the evidence it grounds (one object can ground several), add anything missed, or flag a gap.

• Table 1 — Patient and encounter characteristics overall and by interpreter requested.

  p2
  • Adjusted ED length of stay was negligibly different (0.77%, ~1.2 min) between interpreter-requested and English-speaking pediatric patients
  • Adjusted odds of 7-day ED readmission were only 3% higher and non-significant for interpreter-requested pediatric patients
  • Adjusted odds of hospital admission or transfer were only 6% higher for interpreter-requested pediatric patients, a reversed trend from prior gaps
  • Interpreters were requested for 12.1% of pediatric ED patients in 2016, up from ~2% in 2002
  Add evidence Flag gap Nothing to capture
• 

  Table 2 — Adjusted outcome variables by interpreter needed.

  p4
  • Adjusted ED length of stay was negligibly different (0.77%, ~1.2 min) between interpreter-requested and English-speaking pediatric patients
  • Adjusted odds of 7-day ED readmission were only 3% higher and non-significant for interpreter-requested pediatric patients
  • Adjusted odds of hospital admission or transfer were only 6% higher for interpreter-requested pediatric patients, a reversed trend from prior gaps
  • Interpreters were requested for 12.1% of pediatric ED patients in 2016, up from ~2% in 2002
  Add evidence Flag gap Nothing to capture

• Table 3 — Admission rates by acuity and interpreter status.

  p4
  • Adjusted ED length of stay was negligibly different (0.77%, ~1.2 min) between interpreter-requested and English-speaking pediatric patients
  • Adjusted odds of 7-day ED readmission were only 3% higher and non-significant for interpreter-requested pediatric patients
  • Adjusted odds of hospital admission or transfer were only 6% higher for interpreter-requested pediatric patients, a reversed trend from prior gaps
  • Interpreters were requested for 12.1% of pediatric ED patients in 2016, up from ~2% in 2002
  Add evidence Flag gap Nothing to capture

• Table 4 — shows adjusted results for Spanish interpreter

  p5
  • Adjusted ED length of stay was negligibly different (0.77%, ~1.2 min) between interpreter-requested and English-speaking pediatric patients
  • Adjusted odds of 7-day ED readmission were only 3% higher and non-significant for interpreter-requested pediatric patients
  • Adjusted odds of hospital admission or transfer were only 6% higher for interpreter-requested pediatric patients, a reversed trend from prior gaps
  • Interpreters were requested for 12.1% of pediatric ED patients in 2016, up from ~2% in 2002
  Add evidence Flag gap Nothing to capture