Evidence map›Paper›PMID 30659777›Full record

ArticlePediatric obesity2019

Are children with clinical obesity at increased risk of inpatient hospital admissions? An analysis using linked electronic health records in the UK millennium cohort study.

Lucy J Griffiths, Mario Cortina-Borja, Amrita Bandyopadhyay, Karen Tingay, Bianca L De Stavola, Helen Bedford, Ashley Akbari, Nicola Firman, Ronan A Lyons, Carol Dezateux

Abstract read
In one paragraph

Article in Pediatric obesity, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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.

Lucy J GriffithsHealth Data Research UK, Wales and Northern Ireland, Swansea University Medical School, Swansea, UK.ORCID 0000-0001-9230-624X
Mario Cortina-BorjaClinical Epidemiology, Nutrition and Biostatistics, UCL Great Ormond Street Institute of Child Health, London, UK.ORCID 0000-0003-0627-2624
Amrita BandyopadhyayNational Centre for Population Health and Wellbeing Research, Swansea University Medical School, Swansea, UK.
Karen TingayAdministrative Data Research Centre Wales, Swansea University Medical School, Swansea, UK.ORCID 0000-0002-0257-9365
Bianca L De StavolaClinical Epidemiology, Nutrition and Biostatistics, UCL Great Ormond Street Institute of Child Health, London, UK.ORCID 0000-0001-7853-0528
Helen BedfordLife Course Epidemiology and Biostatistics, UCL Great Ormond Street Institute of Child Health, London, UK.ORCID 0000-0003-0908-1380
Ashley AkbariHealth Data Research UK, Wales and Northern Ireland, Swansea University Medical School, Swansea, UK.ORCID 0000-0003-0814-0801
Nicola FirmanLife Course Epidemiology and Biostatistics, UCL Great Ormond Street Institute of Child Health, London, UK.ORCID 0000-0001-5213-5044
Ronan A LyonsHealth Data Research UK, Wales and Northern Ireland, Swansea University Medical School, Swansea, UK.ORCID 0000-0001-5225-000X
Carol DezateuxLife Course Epidemiology and Biostatistics, UCL Great Ormond Street Institute of Child Health, London, UK.ORCID 0000-0001-9787-6276

Funding

British Heart FoundationChief Scientist OfficeMedical Research CouncilWellcome Trust 087389/B/08/Z
6 · The paper itself

Abstract

backgroundFew studies have examined health service utilization of children with overweight or obesity by using linked electronic health records (EHRs). OBJECTIVE/

methodsWe analysed EHRs from 3269 children (1678 boys; 51.3% [weighted]) participating in the Millennium Cohort Study, living in Wales or Scotland at age seven whose parents consented to record linkage. We used height and weight measurements at age five to categorize children as obese (>98th centile) or overweight (>91st centile) (UK1990 clinical reference standards) and linked to hospital admissions, up to age 14 years, in the Patient Episode Database for Wales and Scottish Morbidity Records. Negative binomial regression models compared rates of inpatient admissions by weight status at age five.

resultsAt age five, 11.5% and 6.7% of children were overweight or obese, respectively; 1221 (38%) children were subsequently admitted to hospital at least once. Admissions were not increased among children with overweight or obesity (adjusted rate ratio [RR], 95% confidence interval [CI]: 0.87, 0.68-1.10 and 1.16, 0.87-1.54, respectively).

conclusionsIn this nationally representative cohort of children in Wales and Scotland, those with overweight or obesity at entry to primary school did not have increased rates of hospital admissions in later childhood and early adolescence.

Indexed as

Electronic Health RecordsAdolescentChildChild, PreschoolCohort StudiesFemaleHumansInfantInpatientsMaleObesityOverweightPatient AdmissionUnited Kingdomcohort studyhealth service utilizationobesityrecord linkage

Identifiers

PMID30659777
PMCPMC6563186

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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.