Evidence map›Paper›PMID 29346238›Full record

ArticlePediatric emergency care2020

Trends in Severe Pediatric Emergency Conditions in a National Cohort, 2008 to 2014.

Kenneth A Michelson, Joel D Hudgins, Laura G Burke, Todd W Lyons, Michael C Monuteaux, Richard G Bachur, Jonathan A Finkelstein

Abstract read
In one paragraph

Article in Pediatric emergency care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Trial
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  10. What is new in anaphylaxis?Acta bio-medica : Atenei Parmensis · 2020
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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

7 authors.

Kenneth A MichelsonFrom the Division of Emergency Medicine, Boston Children's Hospital.
Joel D HudginsFrom the Division of Emergency Medicine, Boston Children's Hospital.
Laura G BurkeDepartment of Emergency Medicine, Beth Israel Deaconess Medical Center.
Todd W LyonsFrom the Division of Emergency Medicine, Boston Children's Hospital.
Michael C MonuteauxFrom the Division of Emergency Medicine, Boston Children's Hospital.
Richard G BachurFrom the Division of Emergency Medicine, Boston Children's Hospital.
Jonathan A FinkelsteinDivision of General Pediatrics, Boston Children's Hospital, Boston, MA.

Funding

Training in Child Health Services Research and Implementation ScienceT32HS000063 · AHRQ · CHILDREN'S HOSPITAL BOSTON · PI GARABEDIAN, LAURA FADEN, WALSH, KATHLEEN ELIZABETH · 1994 to 2024
$7.6M
RESEARCH TRAINING IN PEDIATRIC EMERGENCY MEDICINET32HD040128 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI Kenneth D. Mandl · 2001 to 2026
$5.0M
AHRQ HHS T32 HS000063NICHD NIH HHS T32 HD040128
6 · The paper itself

Abstract

objectiveThe objective of this study was to determine the incidence and recent trends in serious pediatric emergency conditions.

methodsWe conducted a cross-sectional study of the Nationwide Emergency Department Sample from 2008 through 2014, and included patients with age below 18 years with a serious condition, defined as each diagnosis group in the diagnosis grouping system with a severity classification system score of 5. We calculated national incidences for each serious condition using annualized weighted condition counts divided by annual United States census child population counts. We determined the highest-incidence serious conditions over the study period and calculated percentage changes between 2008 and 2014 for each serious condition using a Poisson model.

resultsThe 2008 incidence of serious conditions across the national child population was 1721 visits per million person-years (95% confidence interval, 1485-1957). This incidence increased to 2020 visits per million person-years (95% confidence interval, 1661-2379) in 2014. The most common serious conditions were serious respiratory diseases, septicemia, and serious neurologic diseases. Anaphylaxis was the condition with the largest change, increasing by 147%, from 101 to 249 visits per million person-years.

conclusionsThe most common serious condition in children presenting to United States emergency departments is serious respiratory disease. Anaphylaxis is the fastest increasing serious condition. Additional research attention to these diagnoses is warranted.

Indexed as

Emergency Service, HospitalAdolescentAnaphylaxisChildChild, PreschoolCross-Sectional StudiesFemaleHospital ChargesHospitalizationHumansIncidenceInfantMaleRespiratory Tract DiseasesRetrospective StudiesSeverity of Illness Index

Identifiers

PMID29346238
PMCPMC6047924

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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.