Evidence map›Paper›PMID 26141551›Full record

ArticleThe Journal of pediatrics2015

Patient- and Community-Level Sociodemographic Characteristics Associated with Emergency Department Visits for Childhood Injury.

Michelle L Macy, Mark R Zonfrillo, Lawrence J Cook, Tomohiko Funai, Jason Goldstick, Rachel M Stanley, James M Chamberlain, Rebecca M Cunningham, Robert Lipton, Elizabeth R Alpern and 1 more

Abstract readMulticenter Study
In one paragraph

Article in The Journal of pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

  1. Systems-based care of the injured child: Technical report.The journal of trauma and acute care surgery · 2025
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  8. Evaluation of multidisciplinary collaboration in pediatric trauma care using EHR data.Journal of the American Medical Informatics Association : JAMIA · 2019
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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

11 authors.

Michelle L MacyDepartment of Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI; University of Michigan Injury Center, Ann Arbor, MI; Division of General Pediatrics, Child Health Evaluation and Research (CHEAR) Unit, University of Michigan Medical School, Ann Arbor, MI. Electronic address: mlmacy@umich.edu.
Mark R ZonfrilloDivision of Emergency Medicine, Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, PA; Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Lawrence J CookDepartment of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT.
Tomohiko FunaiDepartment of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT.
Jason GoldstickUniversity of Michigan Injury Center, Ann Arbor, MI.
Rachel M StanleyDepartment of Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI.
James M ChamberlainDivision of Emergency Medicine, Children's National Health System, George Washington University School of Medicine and Health Sciences, Washington, DC.
Rebecca M CunninghamDepartment of Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI; University of Michigan Injury Center, Ann Arbor, MI; Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI.
Robert LiptonDepartment of Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI; University of Michigan Injury Center, Ann Arbor, MI.
Elizabeth R AlpernDepartment of Pediatrics, Ann and Robert H. Lurie Children's Hospital of Chicago, Center for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Pediatric Emergency Care Applied Research Network

Funding

The Unviersity of Michigan Injury CenterR49CE002099 · CE · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CUNNINGHAM, REBECCA M. · 2012 to 2018
$5.6M
A Brief Intervention to Increase Size-Appropriate Child Passenger Restraint UseK23HD070913 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MACY, MICHELLE LEA · 2012 to 2016
$670k
Functional Disability as a Measurement of Injury Burden in ChildrenK08HD073241 · NICHD · RHODE ISLAND HOSPITAL · PI ZONFRILLO, MARK ROBERT · 2012 to 2016
$628k
ACL HHS R49CE002099NCIPC CDC HHS R49CE002099NCIPC CDC HHS U01 CE002698NICHD NIH HHS 5K08HD073241-02NICHD NIH HHS K08 HD073241NICHD NIH HHS K23 HD070913PHS HHS U03MC00001PHS HHS U03MC00003PHS HHS U03MC00006PHS HHS U03MC00007PHS HHS U03MC00008PHS HHS U03MC22684PHS HHS U03MC22685
6 · The paper itself

Abstract

objectiveTo examine pediatric emergency department (ED) visits over 5 years, trends in injury severity, and associations between injury-related ED visit outcome and patient and community-level sociodemographic characteristics. STUDY

designRetrospective analysis of administrative data provided to the Pediatric Emergency Care Applied Research Network Core Data Project, 2004-2008. Home addresses were geocoded to determine census block group and associated sociodemographic characteristics. Maximum Abbreviated Injury Scale severity and Severity Classification System scores were calculated. Generalized estimating equations were used to test for associations between sociodemographic characteristics and admission or transfer among injury-related ED visits.

resultsOverall ED visits and injury-related visits increased from 2004 to 2008 at study sites. Of 2,833676 successfully geocoded visits, 700,821 (24.7%) were injury-related. The proportion of higher severity injury-related visits remained consistent. Nearly 10% of injury-related visits resulted in admission or transfer each year. After adjusting for age, sex, payer, and injury severity, odds of admission or transfer were lower among minority children and children from areas with moderate and high prevalence of poverty.

conclusionsPediatric injury-related ED visits to included sites increased over the study period while injury severity, anticipated resource utilization, and visit outcomes remained stable, with low rates of admission or transfer. Sociodemographic differences in injury-related visits and ED disposition were apparent. ED-based injury surveillance is essential to understand disparities, inform targets for prevention programs, and reduce the overall burden of childhood injuries.

Indexed as

Abbreviated Injury ScaleChildChild, PreschoolEmergency Service, HospitalFemaleHumansInfantInfant, NewbornInsurance, HealthMaleMedically UninsuredMinority GroupsPatient AdmissionPatient TransferPovertyRacial Groups

Identifiers

PMID26141551
PMCPMC4554798

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.