Evidence map›Paper›PMID 24639270›Full record

ArticlePediatrics2014

Common and costly hospitalizations for pediatric mental health disorders.

Naomi S Bardach, Tumaini R Coker, Bonnie T Zima, J Michael Murphy, Penelope Knapp, Laura P Richardson, Glenace Edwall, Rita Mangione-Smith

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02744326 (Improving Outcomes for Youth Visiting the Emergency Department With Mental Health Issues), which is not on this map. Cited by 91 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 2 pooled it
12.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02744326 naunknown statusnot on this mapstarted 2016, after this paper: background citation

Improving Outcomes for Youth Visiting the Emergency Department With Mental Health Issues

TypeinterventionalSponsorChildren's Hospitals and Clinics of MinnesotaRan2016 to 2017Enrolled800ConditionsMental Health Disorder, Mental and Behavioral Disorder, Self-inflicted InjuryArmsText message reminders
3 · Its place in the literature

Who cites it

91 citing papers in PubMed, 2 syntheses or guidelines pooled it, 221 citations in OpenAlex.

  1. Pooled it
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  6. Renal Function in Patients Hospitalized With Anorexia Nervosa Undergoing Refeeding: Findings From the Study of Refeeding to Optimize Inpatient Gains.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022
    Trial
  7. Trial
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  9. Predicting Psychiatric Readmission of Children and Adolescents Using Machine Learning.Journal of child and adolescent psychopharmacology · 2026
    Article
  10. Crisis Phone Services.Child and adolescent psychiatric clinics of North America · 2026
    Review
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  12. Article
  13. Article
  14. Article
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  20. Innovative and Emerging Treatments for Anorexia Nervosa.Focus (American Psychiatric Publishing) · 2024
    Article

31 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 8 institutions in 1 country.

Naomi S BardachDepartment of Pediatrics, University of California at San Francisco, San Francisco, California;
Tumaini R Coker
Bonnie T Zima
J Michael Murphy
Penelope Knapp
Laura P Richardson
Glenace Edwall
Rita Mangione-Smith
Massachusetts General Hospital · USMinnesota State Colleges and Universities System · USNeurobehavioral Systems · USRAND Corporation · USSeattle Children's Hospital · USUniversity of California, Davis · USUniversity of California, San Francisco · USUniversity of Washington · US

Funding

Center of Excellence on Quality of Care Measures for Children with Complex NeedsU18HS020506 · AHRQ · SEATTLE CHILDREN'S HOSPITAL · PI MANGIONE-SMITH, RITA · 2011 to 2014
$7.9M
Understanding and Preventing Pediatric Asthma ReadmissionsK23HD065836 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BARDACH, NAOMI SHULA · 2011 to 2015
$697k
AHRQ HHS U18 HS020506AHRQ HHS U18 HS020506-03NICHD NIH HHS K23 HD065836NICHD NIH HHS K23HD065836
6 · The paper itself

Abstract

BACKGROUND AND

objectivesInpatient pediatric mental health is a priority topic for national quality measurement and improvement, but nationally representative data on the patients admitted or their diagnoses are lacking. Our objectives were: to describe pediatric mental health hospitalizations at general medical facilities admitting children nationally; to assess which pediatric mental health diagnoses are frequent and costly at these hospitals; and to examine whether the most frequent diagnoses are similar to those at free-standing children's hospitals.

methodsWe examined all discharges in 2009 for patients aged 3 to 20 years in the nationally representative Kids' Inpatient Database (KID) and in the Pediatric Health Information System (free-standing children's hospitals). Main outcomes were frequency of International Classification of Diseases, Ninth Revision, Clinical Modification-defined mental health diagnostic groupings (primary and nonprimary diagnosis) and, using KID, resource utilization (defined by diagnostic grouping aggregate annual charges).

resultsNearly 10% of pediatric hospitalizations nationally were for a primary mental health diagnosis, compared with 3% of hospitalizations at free-standing children's hospitals. Predictors of hospitalizations for a primary mental health problem were older age, male gender, white race, and insurance type. Nationally, the most frequent and costly primary mental health diagnoses were depression (44.1% of all mental health admissions; $1.33 billion), bipolar disorder (18.1%; $702 million), and psychosis (12.1%; $540 million).

conclusionsWe identified the child mental health inpatient diagnoses with the highest frequency and highest costs as depression, bipolar disorder, and psychosis, with substance abuse an important comorbid diagnosis. These diagnoses can be used as priority conditions for pediatric mental health inpatient quality measurement.

Indexed as

AdolescentChildChild, PreschoolCosts and Cost AnalysisFemaleHospitalizationHospitals, PediatricHumansMaleMental DisordersUnited StatesYoung Adultbipolar disorderchild mental healthcostsdepressionpediatric hospitalizationpsychosis

Identifiers

PMID24639270
PMCPMC3966505
OpenAlexW2087217077

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.