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

Table 3

Admission rates by acuity and interpreter status.

Characteristic	N	High (1-2)	N	Moderate/Low (3-5)	OR (95% CI)^1	P-Value
Interpreter Request
ICU/Hospital Admission/Transfer	3,818	1,447 (37.9%)	24,439	1,506 (6.2%)	9.29 (8.55, 10.10)	<0.001
Discharged		2,371 (62.1%)		22,933 (93.8%)
No Interpreter Request
ICU/Hospital Admission/Transfer	38,383	16,070 (41.9%)	165,971	11,664 (7%)	9.53 (9.27, 9.80)	<0.001
Discharged		22,313 (58.1%)		154,307 (93%)

¹Breslow-Day-Tarone (BDT) test compares OR between interpreter requested and no interpreter requested groups. This p value was insignificant (OR 9.3 versus 9.5, p=0.579), indicating no difference in the odds of ICU/hospital admission/transfer for those with high acuity between interpreter groups.
²Mantel-Haenszel statistics showed higher odds for ICU/hospital admission/transfer in the high acuity patient group, after adjustment for interpreter request status (OR: 9.51; 95% CI: 9.26, 9.76; p<0.001).