Evidence map›Paper›PMID 29934386›Full record

ArticleBMJ open2018

Emergency admissions and long-term conditions during transition from paediatric to adult care: a cross-sectional study using Hospital Episode Statistics data.

Linda Petronella Martina Maria Wijlaars, Pia Hardelid, Astrid Guttmann, Ruth Gilbert

Open access · goldAbstract readComparative StudyMulticenter Study
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Observational
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  6. Continuity of care in diverse ethnic groups: a general practice record study in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
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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 at 3 institutions in 2 countries.

Linda Petronella Martina Maria WijlaarsPopulation, Policy and Practice/Children's Policy Research Unit, University College London Great Ormond Street Institute of Child Health, London, UK.ORCID 0000-0003-1222-2922
Pia HardelidPopulation, Policy and Practice/Children's Policy Research Unit, University College London Great Ormond Street Institute of Child Health, London, UK.
Astrid GuttmannHealth System Planning & Evaluation Research Program, Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.
Ruth GilbertPopulation, Policy and Practice/Children's Policy Research Unit, University College London Great Ormond Street Institute of Child Health, London, UK.
Health Data Research UK · GBInstitute for Clinical Evaluative Sciences · CAUniversity College London · GB

Funding

Department of Health 109/0001Department of Health PDF-2013-06-004Medical Research Council MR/ K006584/1Medical Research Council MR/K006584/1
6 · The paper itself

Abstract

objectiveTo determine whether changes in emergency admission rates during transition from paediatric to adult hospital services differed in children and young people (CYP) with and without underlying long-term conditions (LTCs).

designCross-sectional study.

settingEmergency admissions between 2009 and 2011 recorded in the Hospital Episode Statistics Admitted Patient Care data in England.

participants763 199 CYP aged 10-24 years with and without underlying LTCs (LTCs were defined using the International Classification of Diseases, 10th Revision codes recorded in the past 5 years). PRIMARY AND SECONDARY OUTCOME MEASURES: We calculated emergency admission rates before (10-15 years) and after transition (19-24 years), stratified by gender, LTC and primary diagnosis. We used negative binomial regression to estimate adjusted incidence rate ratios (IRRs).

resultsWe included 1 109 978 emergency admissions, of which 63.2% were in children with LTCs. The emergency admission rate increased across the age of transition for all CYP, more so for those with LTCs (IRR

conclusionsThe increased rates and duration of emergency admissions and predominance of non-specific admission diagnoses during transition in CYP with underlying LTCs may reflect unmet physical or mental health needs.

Indexed as

Transition to Adult CareAdolescentChildChronic DiseaseCross-Sectional StudiesEmergency Service, HospitalEnglandFemaleHealth Services Needs and DemandHumansLength of StayMaleRegression AnalysisYoung Adultadministrative hospital datachronic conditionsemergency admissionsmental healthpaediatricstransition from paediatric to adult care

Identifiers

PMID29934386
PMCPMC6020943
OpenAlexW2809140526

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.