ArticlePediatrics2016
Characteristics of Rural Children Admitted to Pediatric Hospitals.
Article in Pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06959407 (Efficacy Of Oral Dexamethasone Versus Parenteral Dexamethasone In The Management Of Mild To Moderate Croup), which is not on this map. Cited by 35 papers.
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.
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.
Efficacy Of Oral Dexamethasone Versus Parenteral Dexamethasone In The Management Of Mild To Moderate Croup
Who cites it
35 citing papers in PubMed.
- Well-Child Visits and Immunization Encounters in South Carolina Medicaid: A 3-Year Retrospective Comparison Between Rural and Urban Children with a History of Neonatal Opioid Withdrawal Syndrome, 2006-2014.Healthcare (Basel, Switzerland) · 2025Article
- Rural-urban differences in health care access for postpartum parent and infant dyads.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Interfacility Transfer of Children With Time-Sensitive Surgical Conditions, 2002-2017.JAMA network open · 2024Article
- Rural-Urban Disparities in Hospital Services and Outcomes for Children With Medical Complexity.JAMA network open · 2024Article
- A mixed-methods exploration of the Real-Time Virtual Support pathway Child Health Advice in Real-Time Electronically in Northwestern BC.Paediatrics & child health · 2024Article
- Rurality of patient residence and access to transplantation among children with kidney failure in the United States.Pediatric nephrology (Berlin, Germany) · 2024Article
- Disparities in Continuous Glucose Monitor Use Between Children With Type 1 Diabetes Living in Urban and Rural Areas.Diabetes care · 2024Article
- Rural-urban disparities in health care delivery for children with medical complexity and moderating effects of payer, disability, and community poverty.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2024Article
- Mapping Access to Children's Hospitals in Texas.International journal of environmental research and public health · 2024Article
- Socioeconomic Disparities in Surgical Care for Congenital Hand Differences.Hand (New York, N.Y.) · 2024Article
- Tiny patients, huge impact: a call to action.Frontiers in public health · 2024Article
- Inter-hospital Variation in COVID-19 Era Pediatric Hospitalizations by Age Group and Diagnosis.Hospital pediatrics · 2023Article
- Factors associated with hospital admission and 30-day readmission for children less than 18 years of age in 2018 in France: a one-year nationwide observational study.BMC health services research · 2023Observational
- Hospital Admissions in Pediatric Patients With Tracheostomies Based on Rurality and Insurance Status.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2023Article
- Assessing the pediatric subspecialty pipeline: it is all about the data source.Pediatric research · 2023Article
- Utilization and Adequacy of Telemedicine for Outpatient Pediatric Surgical Care.The Journal of surgical research · 2022Article
- Conducting a Community Engagement Studio to Adapt Enhanced Milieu Teaching.American journal of speech-language pathology · 2022Article
- How Does Pediatric Quality Measure Development Reflect the Real World Needs of Hospitalized Children?Academic pediatrics · 2022Article
- Characteristics Associated With Presence of Pediatric Mental Health Care Policies in Emergency Departments.Pediatric emergency care · 2021Article
- Identifying Conditions With High Prevalence, Cost, and Variation in Cost in US Children's Hospitals.JAMA network open · 2021Article
Corrections and comments
- Commented on by
Authors and funding
8 authors.
Funding
Abstract
BACKGROUND AND
objectivesDelivering high-quality care to children living in rural areas can be challenging. Compared with nonrural children, rural children often experience worse health outcomes. We assessed characteristics and hospitalizations of rural children admitted to US children's hospitals in 2012.
methodsRetrospective cohort analysis of 672190 admissions between January 1, 2012, and December 31, 2012, to 41 children's hospitals in the Pediatric Health Information System database. ZIP codes were used to assess the patients' rurality (by using Rural-Urban Community Areas classification), residence in a Health Professional Shortage Area, and family income. Multivariable regression was used to compare patient characteristics and hospital utilization between rural and nonrural children.
resultsRural children accounted for 12% of all admissions (n = 81 360) to the children's hospitals. Compared with nonrural children, rural children lived farther from the hospital (median [interquartile range]: 68 [48-104] vs 12 [6-24] miles) and more often resided in low-income ZIP codes (53% vs 24%) and Health Professional Shortage Areas (20% vs 4%) (P < .001 for all). Rural children had a higher prevalence of complex chronic conditions (44% vs 37%; P < .001) and medical technology assistance (15% vs 12%; P < .001). In multivariable analysis, rural children experienced higher inpatient costs (mean: $8507 vs $7814; P < .001) and higher odds of 30-day readmission (odds ratio: 1.1; 95% confidence interval: 1.0-1.1; P < .001).
conclusionsRural children hospitalized at children's hospitals have high rates of medical complexity and often reside in low-income and medically underserved areas. Compared with nonrural children, rural children experience more expensive hospitalizations and more frequent readmissions.
Indexed as
Identifiers
What OpenQuestion holds
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.