ArticleThe Journal of pediatrics2017
Impact of Chronic Conditions on Emergency Department Visits of Children Using Medicaid.
Article in The Journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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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.
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Who cites it
17 citing papers in PubMed, 40 citations in OpenAlex.
- Article
- Respiratory Illness-related Emergency Visits Among Children, COVID-19 and Beyond: Observing a Return to Seasonal Patterns?The western journal of emergency medicine · 2025Article
- An assessment of information needs and workflows for emergency service providers and caregivers of children with medical complexity.BMC health services research · 2023Article
- Racial and Ethnic Differences in Insurer Classification of Nonemergent Pediatric Emergency Department Visits.JAMA network open · 2023Article
- A Comparison of Emergency Department Revisit Rates of Pediatric Patients between Pre-COVID-19 and COVID-19 Periods.Children (Basel, Switzerland) · 2022Article
- Home Health Care Utilization in Children With Medicaid.Pediatrics · 2022Article
- Assessing the Relationship Between Well-Care Visit and Emergency Department Utilization Among Adolescents and Young Adults.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022Article
- Trends in Health Care Use and Spending for Young Children With Neurologic Impairment.Pediatrics · 2022Article
- Learning the impact of acute and chronic diseases on forecasting neonatal encephalopathy.Computer methods and programs in biomedicine · 2021Article
- Article
- The State of Sickle Cell Disease Care in the United States: How Can Emergency Medicine Contribute?Annals of emergency medicine · 2020Article
- Outpatient Prescription Opioid Use in Pediatric Medicaid Enrollees With Special Health Care Needs.Pediatrics · 2019Article
- Impact of a Make-A-Wish experience on healthcare utilization.Pediatric research · 2019Article
- Healthcare resource utilization and costs associated with incremental systemic corticosteroid exposure in asthma.Allergy · 2019Article
- Emergency department 72-hour revisits among children with chronic diseases: a Saudi Arabian study.BMC pediatrics · 2018Article
- Excess mortality and hospitalizations in transitional-age youths with a long-term disease: A national population-based cohort study.PloS one · 2018Article
- Characteristics of Children Enrolled in Medicaid With High-Frequency Emergency Department Use.Pediatrics · 2017Article
Corrections and comments
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Authors and funding
14 authors at 12 institutions in 2 countries.
Funding
Abstract
objectiveTo assess the impact of chronic conditions on children's emergency department (ED) use. STUDY
designRetrospective analysis of 1 850 027 ED visits in 2010 by 3 250 383 children ages 1-21 years continuously enrolled in Medicaid from 10 states included in the Truven Marketscan Medicaid Database. The main outcome was the annual ED visit rate not resulting in hospitalization per 1000 enrollees. We compared rates by enrollees' characteristics, including type and number of chronic conditions, and medical technology (eg, gastrostomy, tracheostomy), using Poisson regression. To assess chronic conditions, we used the Agency for Healthcare Research and Quality's Chronic Condition Indicator system, assigning chronic conditions with ED visit rates ≥75th percentile as having the "highest" visit rates.
resultsThe overall annual ED visit rate was 569 per 1000 enrollees. As the number of the children's chronic conditions increased from 0 to ≥3, visit rates increased by 180% (from 376 to 1053 per 1000 enrollees, P < .001). Rates were 174% higher in children assisted with vs without medical technology (1546 vs 565, P < .001). Sickle cell anemia, epilepsy, and asthma were among the chronic conditions associated with the highest ED visit rates (all ≥1003 per 1000 enrollees).
conclusionsThe highest ED visit rates resulting in discharge to home occurred in children with multiple chronic conditions, technology assistance, and specific conditions such as sickle cell anemia. Future studies should assess the preventability of ED visits in these populations and identify opportunities for reducing their ED use.
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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.