ArticleThe American journal of emergency medicine2019
Characterizing pediatric high frequency users of California emergency departments.
Article in The American journal of emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06668311 (The Impact of Play Dough and Picture Books on Physiological Parameters, Anxiety, and Fear in 3-6-Year-Old Children During Nebulizer Treatment), which is not on this map. Cited by 10 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.
The Impact of Play Dough and Picture Books on Physiological Parameters, Anxiety, and Fear in 3-6-Year-Old Children During Nebulizer Treatment: a Randomized Controlled Study
Who cites it
10 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
- High frequency emergency department use and heterogeneity of reasons for attendance by children and young people: a retrospective cohort study.BMJ paediatrics open · 2026Article
- One-year emergency department visits for children < 18 years of age, associated factors and frequency of primary general practitioner or pediatrician visits before: a French observational study (2018-19).BMC primary care · 2024Observational
- Age-varying effects of repeated emergency department presentations for children in Canada.Journal of health services research & policy · 2022Article
- Assessment of Temporal Patterns and Patient Factors Associated With Oseltamivir Administration in Children Hospitalized With Influenza, 2007-2020.JAMA network open · 2022Article
- "Could we have predicted this?" The association of a future mental health need in young people with a non-specific complaint and frequent emergency department visits.Journal of the American College of Emergency Physicians open · 2021Article
- Health care provided to recent asylum-seeking and non-asylum-seeking pediatric patients in 2016 and 2017 at a Swiss tertiary hospital - a retrospective study.BMC public health · 2021Article
- Article
- Paediatric Emergencies During the COVID-19 Pandemic.Global pediatric health · 2021Article
- Statistical tools used for analyses of frequent users of emergency department: a scoping review.BMJ open · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveEmergency department (ED) utilization has increased for the last several decades. Despite a focus on adult frequent ED users, little research has examined pediatric frequent ED users. The purpose of this study was to assess pediatric ED utilization in California and to describe those identified as frequent ED users.
methodsThis was a retrospective multi-facility study of ED visits by children 1-17 years of age using statewide data from the California Office of Statewide Health Planning and Development. Patients were classified into utilization groups by the number of ED visits in a one-year period prior to their last visit in 2016: occasional (1-5 visits) vs. frequent (>5 visits). Differences in patient characteristics were compared between occasional and frequent users.
resultsThere were 690,130 patients between 1 and 17 years of age with 1,238,262 visits during the study period. Children with ≥6 visits (2.3%) accounted for 9.3% of all visits. 67% of frequent users had no visits to a pediatric ED. Over 40% (41.4%) of frequent users visited 2 or more hospitals, compared to 7.7% of occasional users. In multivariate analysis, the characteristics with the largest associations with frequent ED use were age, payer, and being admitted/transferred.
conclusionsThe majority of pediatric frequent users do not seek care in pediatric EDs. Age, prior admission, and Medicare/Medicaid appear to have the largest associations with pediatric patient frequent ED utilization.
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