Evidence map›Paper›PMID 29367204›Full record

ArticlePediatrics2018

Cardiac Arrest Survival in Pediatric and General Emergency Departments.

Kenneth A Michelson, Joel D Hudgins, Michael C Monuteaux, Richard G Bachur, Jonathan A Finkelstein

Abstract read
In one paragraph

Article in Pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

27 citing papers in PubMed.

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  16. Projected Saudi Arabian pediatric emergency consultant physician staffing needs for 2021-2030.Journal of the American College of Emergency Physicians open · 2022
    Article
  17. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Kenneth A MichelsonDivisions of Emergency Medicine and kenneth.michelson@childrens.harvard.edu.
Joel D HudginsDivisions of Emergency Medicine and.
Michael C MonuteauxDivisions of Emergency Medicine and.
Richard G BachurDivisions of Emergency Medicine and.
Jonathan A FinkelsteinGeneral Pediatrics, Boston Children's Hospital, Boston, Massachusetts.

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
AHRQ HHS T32 HS000063
6 · The paper itself

Abstract

BACKGROUND AND

objectivesPediatric out-of-hospital cardiac arrest (OHCA) has a low rate of survival to hospital discharge. Understanding whether pediatric emergency departments (EDs) have higher survival than general EDs may help identify ways to improve care for all patients with OHCA. We sought to determine if OHCA survival differs between pediatric and general EDs.

methodsWe used the 2009-2014 Nationwide Emergency Department Sample to study children under 18 with cardiac arrest. We compared pediatric EDs (those with >75% pediatric visits) to general EDs on the outcome of survival to hospital discharge or transfer. We determined unadjusted and adjusted survival, accounting for age, region, and injury severity. Analyses were stratified by nontraumatic versus traumatic cause.

resultsThe incidences of nontraumatic and traumatic OHCA were 7.91 (95% confidence interval [CI]: 7.52-8.30) and 2.67 (95% CI: 2.49-2.85) per 100 000 person years. In nontraumatic OHCA, unadjusted survival was higher in pediatric EDs than general EDs (33.8% vs 18.9%,

conclusionsIn a nationally representative sample, survival from nontraumatic OHCA was higher in pediatric EDs than general EDs. Survival did not differ in traumatic OHCA. Identifying the features of pediatric ED OHCA care leading to higher survival could be translated into improved survival for children nationally.

Indexed as

AdolescentCardiopulmonary ResuscitationChildChild, PreschoolEmergency Service, HospitalFemaleHospitals, PediatricHumansInfantMaleOut-of-Hospital Cardiac ArrestSurvival RateUnited States

Identifiers

PMID29367204
PMCPMC5810601

What OpenQuestion holds

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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.