Evidence map›Paper›PMID 29945589›Full record

ArticleBMC pediatrics2018

Emergency department 72-hour revisits among children with chronic diseases: a Saudi Arabian study.

Anwar E Ahmed, Bashayr I ALMuqbil, Manair N Alrajhi, Hend R Almazroa, Doaa A AlBuraikan, Monirah A Albaijan, Maliha Nasim, Majid A Alsalamah, Donna K McClish, Hamdan Al-Jahdali

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2018. 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
1.8field-weighted citation impact, top 14% 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

10 citing papers in PubMed, 16 citations in OpenAlex.

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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

10 authors at 5 institutions in 3 countries.

Anwar E AhmedKing Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia. ahmeda5@vcu.edu.
Bashayr I ALMuqbilKing Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, P.O. Box 22490, Riyadh, 11426, Saudi Arabia.
Manair N AlrajhiKing Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, P.O. Box 22490, Riyadh, 11426, Saudi Arabia.
Hend R AlmazroaKing Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, P.O. Box 22490, Riyadh, 11426, Saudi Arabia.
Doaa A AlBuraikanKing Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, P.O. Box 22490, Riyadh, 11426, Saudi Arabia.
Monirah A AlbaijanKing Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia.
Maliha NasimKing Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia.
Majid A AlsalamahKing Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, P.O. Box 22490, Riyadh, 11426, Saudi Arabia.
Donna K McClishDepartment of Biostatistics, School of Medicine, Virginia Commonwealth University, Box 980032, Richmond, VA, 23298, USA.
Hamdan Al-JahdaliKing Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, P.O. Box 22490, Riyadh, 11426, Saudi Arabia. jahdalih@gmail.com.
King Abdullah International Medical Research Center · SANational Guard Health Affairs · SAKing Saud bin Abdulaziz University for Health Sciences · SAMcGill University · CAVirginia Commonwealth University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmergency Department (ED) revisits have often been used as an indicator of medical care quality. This study aimed to quantify the frequency of ED revisits within 72 h of discharge and identify its factors among children with chronic diseases.

methodsWe designed a retrospective cohort study of children with at least one chronic disease who were also under 18 years of age and had attended and were discharged from the ED at King Abdullah Specialist Children's Hospital (KASCH-RD), Riyadh, Saudi Arabia between April 19, 2015 and July 29, 2017. The outcome measure was the frequency of ED revisits during a period of 72 h after discharge.

resultsThe study included 11,057 ED discharges of children with at least one chronic disease. Their revisit rate was 1211 (11%), with 83 (6.9%) having had a second ED revisit within 72 h of ED discharge. According to ICD-10 codes, the most common causes of ED revisits were respiratory, digestive, genitourinary, symptoms, and external causes. Factors of frequent ED revisits within 72 h were young age, institutional health insurance coverage, year of new health information system (2015), external causes, and genitourinary.

conclusionThe rate of 72-h ED revisits after discharge of children with chronic diseases treated at KASCH-RD was relatively high, and was associated with young age, institutional health insurance coverage, year of a new health information system implementation, and external causes of ED visit. These study findings amplify the need for intervention to reduce the rate of early ED revisits among children with chronic diseases.

Indexed as

AdolescentAge FactorsChildChild, PreschoolChronic DiseaseEmergency Service, HospitalFemaleHumansInsurance CoverageInsurance, HealthMalePatient ReadmissionRetrospective StudiesSaudi ArabiaTime FactorsChildrenChronic diseasesED revisitEmergency departmentSaudi Arabia

Identifiers

PMID29945589
PMCPMC6020430
OpenAlexW2810924560

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.