Respiratory failure & ventilation
Health Insurance and Interhospital Transfer for Critically Ill Patients With Respiratory Failure
Main finding · Interhospital transferResult — go to the resultAdjusted odds ratio 0.56 95% CI 0.51–0.61Authors' conclusion
In this cohort study, a lack of health insurance was associated with lower odds of interhospital transfer and higher odds of mortality among critically ill patients.
Study context
- Population
- Critically ill adults (≥18 y) with acute respiratory failure receiving mechanical ventilation and intensive care within the first 3 days of hospitalization, academic and community US hospitals, 2017–2021admissions at 824 hospitals
- Participants
- 703,392 adults
- Exposure
- Health insurance type vs commercial insurance
- Outcome
- Receipt of interhospital transfer and mortality
Methodological detailsmulticentre database (Premier Healthcare Database), multivariable logistic regression, shared frailty model, Data analyzed from October 2023 through August 2024
- Multicentre database (Premier Healthcare Database)
- Multivariable logistic regression
- Shared frailty model
- Data analyzed from October 2023 through August 2024
Main finding
Interhospital transfer
Adjusted odds ratio
0.56
95% CI 0.51–0.61
P < 0.001
Uninsured vs Commercial
aOR 0.56 (95% CI 0.51–0.61); P < 0.001
As reported in the abstract
Observational data: associations, not effects.
Further findings
| Outcome | Estimate | P value | |
|---|---|---|---|
| MortalityUninsured vs Commercial | aOR 1.31 (95% CI 1.25–1.37) | P < 0.001 | |
| Time to interhospital transferUninsured vs Commercial · slower time to transfer | aHR 0.72 (95% CI 0.68–0.76) | P < 0.001 | |
| 0.512Ratio (log scale) |
Overall cohort: transfer and death or discharge to hospice
- Underwent interhospital transfer
- 30 613 (4.35%)
- Died or discharged to hospice
- 263 261 (37.43%)
Original publication
Health Insurance and Interhospital Transfer for Critically Ill Patients With Respiratory Failure. JAMA Netw Open. Published 1 August 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →