Evidence map›Paper›PMID 29336799›Full record

ArticleThe Journal of pediatrics2018

Access to High Pediatric-Readiness Emergency Care in the United States.

Kristin N Ray, Lenora M Olson, Elizabeth A Edgerton, Michael Ely, Marianne Gausche-Hill, Patricia Schmuhl, David J Wallace, Jeremy M Kahn

Abstract read
In one paragraph

Article in The Journal of pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
–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

42 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
  3. A Qualitative Needs Assessment for Pediatric Care Partnerships in Community Emergency Departments.Journal of the American College of Emergency Physicians open · 2026
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  15. Pediatric capacity crisis: A framework and strategies to prepare for a pediatric surge.Journal of the American College of Emergency Physicians open · 2024
    Article
  16. Article
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  18. Article
  19. Patient and Family Factors Associated with Use of Telemedicine Visits for Pediatric Acute Respiratory Tract Infections, 2018-2019.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2023
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Kristin N RayDepartment of Pediatrics, University of Pittsburgh School of Medicine, Children's Hospital of Pittsburgh, Pittsburgh, PA. Electronic address: Kristin.Ray@chp.edu.
Lenora M OlsonNational Emergency Medical Services for Children Data Analysis Resource Center, Salt Lake City, UT; Department of Pediatrics, University of Utah, Salt Lake City, UT.
Elizabeth A EdgertonEmergency Medical Services for Children and Injury Prevention, Maternal and Child Health Bureau, Health Resources and Services Administration, Rockville, MD.
Michael ElyNational Emergency Medical Services for Children Data Analysis Resource Center, Salt Lake City, UT; Department of Pediatrics, University of Utah, Salt Lake City, UT.
Marianne Gausche-HillDepartment of Emergency Medicine and Los Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, Torrance, CA; Department of Emergency Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA; Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA; Los Angeles County Emergency Medical Services Agency, Santa Fe Springs, CA.
Patricia SchmuhlNational Emergency Medical Services for Children Data Analysis Resource Center, Salt Lake City, UT; Department of Pediatrics, University of Utah, Salt Lake City, UT.
David J WallaceDepartment of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA; Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Jeremy M KahnDepartment of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA; Department of Health Policy and Management, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA.

Funding

Patient-Centered Outcomes Research (PCOR) Scholars ProgramK12HS022989 · AHRQ · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KAPOOR, WISHWA N · 2014 to 2018
$3.9M
Understanding Regional Critical Care Delivery in Acute Respiratory FailureK08HL122478 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WALLACE, DAVID JOHN · 2015 to 2018
$606k
AHRQ HHS K12 HS022989NHLBI NIH HHS K08 HL122478
6 · The paper itself

Abstract

objectiveTo determine the geographic accessibility of emergency departments (EDs) with high pediatric readiness by assessing the percentage of US children living within a 30-minute drive time of an ED with high pediatric readiness, as defined by collaboratively developed published guidelines. STUDY

designIn this cross-sectional analysis, we examined geographic access to an ED with high pediatric readiness among US children. Pediatric readiness was assessed using the weighted pediatric readiness score (WPRS) of US hospitals based on the 2013 National Pediatric Readiness Project (NPRP) survey. A WPRS of 100 indicates that the ED meets the essential guidelines for pediatric readiness. Using estimated drive time from ZIP code centroids, we determined the proportions of US children living within a 30-minute drive time of an ED with a WPRS of 100 (maximum), 94.3 (90th percentile), and 83.6 (75th percentile).

resultsAlthough 93.7% of children could travel to any ED within 30 minutes, only 33.7% of children could travel to an ED with a WPRS of 100, 55.3% could travel to an ED with a WPRS at or above the 90th percentile, and 70.2% could travel to an ED with a WPRS at or above the 75th percentile. Among children within a 30-minute drive of an ED with the maximum WPRS, 90.9% lived closer to at least 1 alternative ED with a WPRS below the maximum. Access varied across census divisions, ranging from 14.9% of children in the East South Center to 56.2% in the Mid-Atlantic for EDs scoring a maximum WPRS.

conclusionA significant proportion of US children do not have timely access to EDs with high pediatric readiness.

Indexed as

AdolescentAutomobile DrivingCensusesChildChild, PreschoolCross-Sectional StudiesEmergency Service, HospitalHealth Services AccessibilityHealth SurveysHumansInfantTime FactorsTravelUnited Statesaccessemergency departmentgeographic accesspediatric-ready

Identifiers

PMID29336799
PMCPMC5826844

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.