Evidence map›Paper›PMID 29260375›Full record

ArticleEuropean journal of pediatrics2018

Changing characteristics of hospital admissions but not the children admitted-a whole population study between 2000 and 2013.

Maryam Al-Mahtot, Rebecca Barwise-Munro, Philip Wilson, Steve Turner

Abstract read
In one paragraph

Article in European journal of pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. Trial
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  5. Scoping a paediatric emergency medicine unit.Emergency medicine Australasia : EMA · 2025
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  18. Hospital admissions for acute throat and deep neck infections versus tonsillectomy rates in Germany.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 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

4 authors.

Maryam Al-MahtotChild Health, Royal Aberdeen Children's Hospital, Aberdeen, AB25 2ZG, UK.
Rebecca Barwise-MunroChild Health, Royal Aberdeen Children's Hospital, Aberdeen, AB25 2ZG, UK.
Philip WilsonCentre for Rural Health, University of Aberdeen, Inverness, UK.
Steve TurnerChild Health, Royal Aberdeen Children's Hospital, Aberdeen, AB25 2ZG, UK. s.w.turner@abdn.ac.uk.ORCID http://orcid.org/0000-0001-8393-5060

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There are increasing numbers of emergency medical paediatric admissions. Our hypothesis was that characteristics of children and details of their emergency admissions are also changing over time. Details of emergency admissions in Scotland 2000-2013 were analysed. There were 574,403 emergency admissions, median age 2.3 years. The age distribution, proportion of boys and socioeconomic status of children admitted were essentially unchanged. Emergency admissions rose by 49% from 36/1000 children per annum to 54/1000 between 2000 and 2013. Emergency admissions that were discharged on the same day rose by 186% from 8.6/1000 to 24.6/1000. The mean duration of emergency admission fell from 1.7 to 1.0 days. The odds for an emergency admission with upper respiratory infection, "viral infection", tonsillitis, bronchiolitis and lower respiratory tract infection all rose. In contrast the odds for an emergency admission with asthma and gastroenteritis fell.

conclusionsThe demographics of children with emergency admissions have not changed substantially but characteristics of admissions have changed considerably, in particular admissions which are short stay and due to respiratory infection are much more common. The fall in the absolute number of children with some acute medical diagnoses suggests that the rise in admissions is not necessarily inexorable. What is Known: • Emergency admission prevalence is rising in many countries across Europe. What is New: • Our paper is the first to comprehensively analyse emergency medical paediatric admissions by exploring how characteristics of admissions and the children admitted have changed over time for a whole population. • The "take home message" is that whilst characteristics of emergency admissions have changed (e.g. number, duration of stay, readmissions, diagnoses), the characteristics of the children have not changed.

Indexed as

AdolescentAge DistributionAsthmaChildChild, PreschoolEmergenciesFemaleGastroenteritisHumansInfantInfant, NewbornLogistic ModelsMalePatient AdmissionRespiratory Tract InfectionsScotlandChildEpidemiologyHospitalisation

Identifiers

PMID29260375
PMCPMC5816774

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Registered trials

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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.