ArticlePediatrics2019
Emergency Department Pediatric Readiness and Mortality in Critically Ill Children.
Article in Pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 74 papers, 2 of them syntheses that pooled it.
What it found
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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
74 citing papers in PubMed, 2 syntheses or guidelines pooled it, 186 citations in OpenAlex.
- Mortality predictors in pediatric emergency department presentations: a systematic review and meta-analysis.BMC emergency medicine · 2025Pooled it
- Consensus-driven model to establish paediatric emergency care measures for low-volume emergency departments.BMJ open quality · 2022Guideline
- Impact of Tele-Emergency Consultations on Pediatric Interfacility Transfers: A Cluster-Randomized Crossover Trial.JAMA network open · 2023Trial
- A Qualitative Needs Assessment for Pediatric Care Partnerships in Community Emergency Departments.Journal of the American College of Emergency Physicians open · 2026Article
- Article
- Child Opportunity Index Levels and Disparities in Access to Pediatric-ready Emergency Departments.The western journal of emergency medicine · 2026Article
- School-Based Caries Prevention Programs and Recruitment of High-Risk Pediatric Medicaid Populations.JAMA network open · 2026Article
- Car Seat Tolerance Screening for Infants with Critical Congenital Heart Disease.Pediatric cardiology · 2026Article
- Analysis of Pediatric Cervical Spine Injury Evaluation Workflow in the Emergency Department.Journal of the American College of Emergency Physicians open · 2026Article
- Measuring Pediatric Disaster Readiness of United States Emergency Departments.Journal of the American College of Emergency Physicians open · 2026Article
- Impact of hospital sepsis case volume on mortality in sepsis patients: a meta-analysis.Frontiers in medicine · 2026Review
- Development of an Atlas for US Pediatric Acute Care.JAMA pediatrics · 2026Article
- Changes in Access to High Pediatric Readiness Emergency Care in the United States from 2013 to 2021.The Journal of pediatrics · 2026Article
- Level of Emergency Preparedness and Associated Barriers at the Accident and Emergency Ward of a LMIC Hospital: A Cross-Sectional Assessment Using the WHO HEAT Tool.Open access emergency medicine : OAEM · 2026Article
- The Impact of Emergency Care Planning for Children With Medical Complexity: Nora's Story.Pediatrics · 2025Article
- Paediatric resuscitation in regional Queensland: A simulation informed biopsy of current system challenges.Emergency medicine Australasia : EMA · 2025Article
- Critical interventions, diagnosis, and mortality in children treated by a physician-manned mobile emergency care unit.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- A novel tool for assessing pediatric emergency care in low- and middle-income countries: a pilot study.International journal of emergency medicine · 2025Article
- Association between hospital case volume and mortality in pediatric sepsis: A retrospective observational study using a Japanese nationwide inpatient database.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2025Article
- Pediatric Emergency Care Coordinator Presence and Pediatric Care Quality Measures.JAMA network open · 2024Article
14 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
- Erratum issued
Authors and funding
7 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundEmergency departments (EDs) vary in their level of readiness to care for pediatric emergencies. We evaluated the effect of ED pediatric readiness on the mortality of critically ill children.
methodsWe conducted a retrospective cohort study in Florida, Iowa, Massachusetts, Nebraska, and New York, focusing on patients aged 0 to 18 years with critical illness, defined as requiring intensive care admission or experiencing death during the encounter. We used ED and inpatient administrative data from the Agency for Healthcare Research and Quality's Healthcare Cost and Utilization Project linked to hospital-specific data from the 2013 National Pediatric Readiness Project. The relationship between hospital-specific pediatric readiness and encounter mortality in the entire cohort and in condition-specific subgroups was evaluated by using multivariable logistic regression and fractional polynomials.
resultsWe studied 20 483 critically ill children presenting to 426 hospitals. The median weighted pediatric readiness score was 74.8 (interquartile range: 59.3-88.0; range: 29.6-100). Unadjusted in-hospital mortality decreased with increasing readiness score (mortality by lowest to highest readiness quartile: 11.1%, 5.4%, 4.9%, and 3.4%;
conclusionsPresentation to hospitals with a high pediatric readiness score is associated with decreased mortality. Efforts to increase ED readiness for pediatric emergencies may improve patient outcomes.
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Registered trials
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.