Evidence map›Paper›PMID 29450284›Full record

ArticleBMJ open quality2017

Reducing hospital admissions of healthy children with functional constipation: a quality initiative.

Mark Deneau, Ramakrishna Mutyala, David Sandweiss, Janet Harnsberger, Raghu Varier, John F Pohl, Lauren Allen, Callie Thackeray, Sarah Zobell, Christopher Maloney

Open access · goldAbstract read
In one paragraph

Article in BMJ open quality, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 31% of its field
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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
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

10 authors at 2 institutions in 1 country.

Mark DeneauDivision of Pediatric Gastroenterology, University of Utah, Salt Lake City, Utah, USA.
Ramakrishna MutyalaDivision of Pediatric Gastroenterology, University of Utah, Salt Lake City, Utah, USA.
David SandweissDivision of Pediatric Emergency Medicine, University of Utah, Salt Lake City, Utah, USA.
Janet HarnsbergerDivision of Pediatric Gastroenterology, University of Utah, Salt Lake City, Utah, USA.
Raghu VarierNorthwest Pediatric Gastroenterology LLC, Portland, Oregon, USA.
John F PohlDivision of Pediatric Gastroenterology, University of Utah, Salt Lake City, Utah, USA.
Lauren AllenContinuous Improvement, Primary Children's Hospital, Salt Lake City, Utah, USA.
Callie ThackerayContinuous Improvement, Primary Children's Hospital, Salt Lake City, Utah, USA.
Sarah ZobellDivision of Pediatric Surgery, University of Utah, Salt Lake City, Utah, USA.
Christopher MaloneyDivision of Pediatric Inpatient Medicine, University of Utah, Salt Lake City, Utah, USA.
University of Utah · USPrimary Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Functional constipation (FC) is a common medical problem in children, with minimal risk of long-term complications. We determined that a large number of children were being admitted to our children's hospital for FC in which there was no neurological or anatomical cause. Our hospital experienced a patient complication in which a patient died after inpatient treatment of FC. Subsequently, we developed a standardised approach to determine when paediatric patients needed hospitalisation for FC, as well as to develop a regimented outpatient therapeutic approach for such children to prevent hospitalisation. Our quality improvement initiative resulted in a large decrease in the number of children with FC admitted into the hospital as well as a decrease in the number of children needing faecal disimpaction in the operating room. Our quality improvement process can be used to decrease hospitalisations, decrease healthcare costs and improve patient care for paediatric FC.

Indexed as

constipationfunctionalhospitalizationpediatricquality

Identifiers

PMID29450284
PMCPMC5699119
OpenAlexW2761835328

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.