Evidence map›Paper›PMID 31197576›Full record

ArticleIrish journal of medical science2020

National rotavirus vaccination programme implementation and gastroenteritis presentations: the paediatric emergency medicine perspective.

John Coveney, Michael Barrett, Patrick Fitzpatrick, Nandini Kandamany, Roisin Mcnamara, Stanley Koe, Ikechukwu Okafor

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Article in Irish journal of medical science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
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1citing papers in PubMed
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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

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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

1 citing paper in PubMed.

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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

7 authors.

John CoveneyEmergency Department, Temple Street Children's University Hospital, Dublin, Ireland. johncoveney@gmail.com.
Michael BarrettEmergency Department, Our Lady's Children's Hospital Crumlin, Dublin, Ireland.
Patrick FitzpatrickEmergency Department, Temple Street Children's University Hospital, Dublin, Ireland.
Nandini KandamanyEmergency Department, Temple Street Children's University Hospital, Dublin, Ireland.
Roisin McnamaraEmergency Department, Temple Street Children's University Hospital, Dublin, Ireland.
Stanley KoeEmergency Department, Incorporating the National Children's Hospital, Tallaght University Hospital, Dublin, Ireland.
Ikechukwu OkaforEmergency Department, Temple Street Children's University Hospital, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThroughout the developed world, the introduction of rotavirus vaccination has led to reductions in the incidence and severity of acute gastroenteritis (AGE) in young children and consequently to reductions in paediatric emergency department (PED) attendances with AGE. Rotavirus vaccination was added to the Irish National Immunisation Schedule in November 2016.

aimsTo assess the impact of vaccine introduction on citywide PED attendances and hospital admissions with all-cause AGE during rotavirus season.

methodsIn an observational study, a retrospective search was performed of electronic records in three independent PEDs in Dublin. Weekly presentations and admissions with AGE in the first 30 weeks (gastroenteritis season) of the years 2012-2018 were counted and stratified by age.

resultsMedian weekly presentations in 2017-2018, 126 (interquartile range (IQR) 103-165) were significantly lower than in 2012-2016, 160 (IQR 128-214) (p < 0.001). A reduction in presentations was seen across the three hospitals and in those aged less than 5 years. In one PED, median admissions in 2017-2018 were 10 (IQR 7-13) in comparison with nine (IQR 7-13) in 2012-2016, (p = 0.463). The emergency department AGE presentations to hospital ward admission rate was 6.7:1.

conclusionA reduction in PED presentations with AGE is demonstrated post-rotavirus vaccine introduction into the Irish National Immunisation Schedule. No significant change in paediatric hospital admissions was demonstrated.

Indexed as

AdolescentChildChild, PreschoolFemaleGastroenteritisHumansInfantInfant, NewbornMalePediatric Emergency MedicineRetrospective StudiesRotavirusRotavirus InfectionsRotavirus VaccinesRotavirus VaccinesAcute gastroenteritisPaediatric emergency medicineRotavirusRotavirus vaccination

Identifiers

PMID31197576

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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.