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

Table 4

Outcome variables by interpreter needed.

Study Group	Crude Estimate (95% CI)	P-Value	Adjusted Estimate (95% CI)^1,3	P-Value
Change in Acuity
Spanish Interpreter	1.34 (0.75, 2.37)	0.323	1.43 (0.79, 2.61)	0.239
Non-Spanish Interpreter	Reference		Reference
ED LOS (hours)^2
Spanish Interpreter	2.17 (2.15, 2.19)	<0.001	2.42 (2.08, 2.81)	0.606
Non-Spanish Interpreter	2.29 (2.25, 2.32)		2.43 (2.09, 2.82)
ED Readmission within 7 Days
Spanish Interpreter	1.03 (0.92, 1.15)	0.640	1.08 (0.96, 1.21)	0.224
Non-Spanish Interpreter	Reference		Reference
ICU/Hospital Admission/Transfer
Spanish Interpreter	0.89 (0.81, 0.98)	0.014	1.13 (1.12, 1.13)	<0.001
Non-Spanish Interpreter	Reference		Reference

ED LOS modeled using linear regression; ED readmission and hospital admission/transfer modeled using logistic regression.
¹Adjusted estimates account for age at baseline, insurance status, means of arrival, and maximum acuity.
²ED LOS (hours) was log-transformed prior to linear regression analysis and reverse-exponentiated for interpretation.
³0.41% difference in adjusted ED LOS hours between interpreter groups; 43%, 8%, and 13% differences in adjusted odds for (1) change in acuity, (2) ED readmission, and (3) ICU/hospital admittance/transfer, respectively.