Evidence map›Paper›PMID 26117217›Full record

ArticleJournal of critical care2015

Factors associated with interhospital transfer of children with respiratory failure from level II to level I pediatric intensive care units.

Folafoluwa O Odetola, Sarah J Clark, James G Gurney, Janet E Donohue, Achamyeleh Gebremariam, Lindsay DuBois, Gary L Freed

Open access · greenAbstract read
In one paragraph

Article in Journal of critical care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 37% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Folafoluwa O OdetolaDepartment of Pediatrics and Communicable Diseases, Division of Pediatric Critical Care Medicine, University of Michigan Health System, Ann Arbor, MI, USA; Child Health Evaluation and Research Unit of the Division of General Pediatrics, University of Michigan Health System, Ann Arbor, MI, USA. Electronic address: fodetola@med.umich.edu.
Sarah J ClarkChild Health Evaluation and Research Unit of the Division of General Pediatrics, University of Michigan Health System, Ann Arbor, MI, USA.
James G GurneyDivision of Epidemiology and Biostatistics, University of Memphis School of Public Health, Memphis, TN, USA.
Janet E DonohueDivision of Cardiology, University of Michigan Health System, Ann Arbor, MI, USA.
Achamyeleh GebremariamDepartment of Pediatrics and Communicable Diseases, Division of Pediatric Critical Care Medicine, University of Michigan Health System, Ann Arbor, MI, USA.
Lindsay DuBoisWaisman Center, University of Wisconsin-Madison, Madison, WI, USA.
Gary L FreedChild Health Evaluation and Research Unit of the Division of General Pediatrics, University of Michigan Health System, Ann Arbor, MI, USA.
Michigan Medicine · USUniversity of Memphis · USUniversity of Wisconsin–Madison · US

Funding

Transfer of Children to Level I Pediatric Intensive Care UnitsK23HD054526 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ODETOLA, FOLAFOLUWA · 2007 to 2009
$397k
NICHD NIH HHS K23 HD054526NICHD NIH HHS K23HD054526
6 · The paper itself

Abstract

purposeOf all sources of admission to level I pediatric intensive care units (PICUs), interhospital transfer admissions from level II PICUs carry the highest mortality and resource use burden. We sought to investigate factors associated with transfer of children with respiratory failure from level II to level I PICUs.

methodsA case-control study was conducted among children with respiratory failure admitted to 6 level II PICUs between January 1, 1997, and December 31, 2007, with frequency matching of 466 nontransferred children (controls) to 187 transferred children (cases).

resultsAmong 653 children, transferred children were younger and had more comorbidities. After multivariable analysis, transferred children were more likely to have comorbidities (odds ratio [OR], 2.02; 95% confidence interval [CI], 1.36-2.98) and receive escalated care including high-frequency ventilation (OR, 2.57; 95% CI, 1.04-6.37) and surfactant therapy (OR, 5.33; 95% CI, 1.35-21.0).

conclusionsThe study identified patient-level and process-of-care factors associated with transfer from level II to level I PICUs. These findings highlight the influence of escalated care on transfer decision making for critically ill children in respiratory failure.

Indexed as

Case-Control StudiesChildChild, PreschoolCritical CareFemaleHealth ResourcesHigh-Frequency VentilationHospitalizationHospital MortalityHumansInfantIntensive Care Units, PediatricMalePatient TransferRespiratory InsufficiencyChildrenCritical illnessPatient transferRespiratory insufficiencyTherapeutics

Identifiers

PMID26117217
PMCPMC4681687
OpenAlexW1828499389

What OpenQuestion holds

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Registered trials

None linked

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.