ArticleInjury epidemiology2018
Association between emergency department utilization and the risk of child maltreatment in young children.
Article in Injury epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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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.
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.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Characteristics of frequently attending children in hospital emergency departments: a systematic review.BMJ open · 2021Pooled it
- Promoting Long-Term Parent and Caregiver Mental Health Through Universal Postnatal Nurse Home Visiting: Intervention Effects and Mechanisms of Action.Prevention science : the official journal of the Society for Prevention Research · 2025Trial
- Do children evaluated for maltreatment have higher subsequent emergency department and inpatient care utilization compared to a general pediatric sample?Child abuse & neglect · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundThis study aims to assess the association between emergency department (ED) utilization and the risk of child maltreatment.
methodsUsing ED discharge data from the California's Office of Statewide Health Planning (OSHPD) and Development for 2008-2013, we performed a nested case-control study to examine the relationship between the frequency of ED visits and child maltreatment diagnosis under 4 years of age among children born in California between 2008 and 2009 who visited the ED.
resultsThe study sample consisted of 3772 children diagnosed with child maltreatment (cases) and 7544 children selected by incidence density sampling (controls). After adjustment for demographic characteristics, the estimated odds ratios of child maltreatment were 1.72 (95% CI:1.55-1.90) for those with two to three ED visits and 3.03 (95% CI: 2.69-3.41) for those with four or more ED visits, compared to children with one visit. Race/ethnicity, insurance status, and location of residence were also significantly associated with the risk of child maltreatment.
conclusionsYoung children with higher frequency of ED visits are at significantly increased risk of being victims of child maltreatment. ED utilization patterns and other established risk markers may assist healthcare professionals in identifying and treating victims of child maltreatment.
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