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Objectives: Determine the rate of discordance between the reason for transport (determined by referring institution) and the final diagnosis (determined by accepting institution), identify factors associated with diagnostic discordance, and determine whether diagnostic discordance is associated with mortality and morbidity.

Design: Cross-sectional analysis of prospectively collected transport data using an existing multicenter database.

Setting: Interfacility transport of neonatal and pediatric patients referred to five tertiary centers during years 1998-2000.

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