Evidence map›Paper›PMID 26899520›Full record

ArticleThe Journal of emergency medicine2016

Racial Differences in Pediatric Emergency Department Triage Scores.

Heather G Zook, Anupam B Kharbanda, Andrew Flood, Brian Harmon, Susan E Puumala, Nathaniel R Payne

Open access · greenAbstract read
In one paragraph

Article in The Journal of emergency medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 9% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 96 citations in OpenAlex.

  1. Pooled it
  2. Reliability and Validity of the Australian Mental Health Triage Scale in Children's Hospitals.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Observational
  3. Article
  4. Article
  5. Concordance Between Emergency Department Triage Score and Resource Utilization for Children From Different Racial and Ethnic Groups.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Racial and Ethnic Disparities in Emergency Department Wait Times for Headache.Journal of racial and ethnic health disparities · 2024
    Article
  15. Article
  16. Article
  17. Article
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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

6 authors at 3 institutions in 1 country.

Heather G ZookDepartment of Research and Sponsored Programs, Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota.
Anupam B KharbandaDepartment of Emergency Medicine, Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota.
Andrew FloodDepartment of Research and Sponsored Programs, Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota.
Brian HarmonDepartment of Quality and Safety, Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota.
Susan E PuumalaCenter for Health Outcomes and Prevention Research, Sanford Research, Sioux Falls, South Dakota; Department of Pediatrics, Sanford School of Medicine of the University of South Dakota, Sioux Falls, South Dakota.
Nathaniel R PayneDepartment of Research and Sponsored Programs, Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota; Department of Quality and Safety, Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota.
Children’s Minnesota - St. Paul Hospital · USChildren's Minnesota · USSanford Health · US

Funding

Factors Influencing Pediatric Asthma (FIPA)U54MD008164 · NIMHD · SANFORD RESEARCH/USD · PI BEST, LYLE G · 2012 to 2016
$13.5M
NIMHD NIH HHS U54 MD008164
6 · The paper itself

Abstract

backgroundRacial disparities are frequently reported in emergency department (ED) care.

objectivesTo examine racial differences in triage scores of pediatric ED patients. We hypothesized that racial differences existed but could be explained after adjusting for sociodemographic and clinical factors.

methodsWe examined all visits to two urban, pediatric EDs between August 2009 and March 2010. Demographic and clinical data were electronically extracted from the medical record. We used logistic regression to analyze racial differences in triage scores, controlling for possible covariates.

resultsThere were 54,505 ED visits during the study period, with 7216 (13.2%) resulting in hospital admission. White patients accounted for 36.4% of visits, African Americans 28.5%, Hispanics 18.0%, Asians 4.1%, and American Indians 1.8%. After adjusting for potential confounders, African American (adjusted odds ratio [aOR] 1.89, 95% confidence interval [CI] 1.69-2.12), Hispanic (aOR 1.77, 95% CI 1.55-2.02), and American Indian (aOR 2.57, 95% CI 1.80-3.66) patients received lower-acuity triage scores than Whites. In three out of four subgroup analyses based on presenting complaints (breathing difficulty, abdominal pain, fever), African Americans and Hispanics had higher odds of receiving low-acuity triage scores. No racial differences were detected for patients with presenting complaints of laceration/head injury/arm injury. However, among patients admitted to the hospital, African Americans (aOR 1.47, 95% CI 1.13-1.90) and Hispanics (aOR 1.71, CI 1.22-2.39) received lower-acuity triage scores than Whites.

conclusionAfter adjusting for available sociodemographic and clinical covariates, African American, Hispanic, and American Indian patients received lower-acuity triage scores than Whites.

Indexed as

Black or African AmericanChi-Square DistributionCross-Sectional StudiesEmergency Service, HospitalHealthcare DisparitiesHispanic or LatinoHumansIndians, North AmericanLogistic ModelsPediatricsRacismTreatment OutcomeTriageUnited StatesWhite Peoplehealth disparitiespediatricsracetriage

Identifiers

PMID26899520
PMCPMC4851931
OpenAlexW2285433385

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.