Evidence map›Paper›PMID 31447906›Full record

ArticleJournal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent2019

Trends and Predictors of Repeat Mental Health Visits to a Pediatric Emergency Department in Hamilton, Ontario.

Tea Rosic, Laura Duncan, Li Wang, Mohamed Eltorki, Michael Boyle, Roberto Sassi, Kathryn Bennett, Lawna Brotherston, Paulo Pires, Olabode Akintan and 1 more

Abstract read
In one paragraph

Article in Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

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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

11 authors.

Tea RosicDepartment of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Laura DuncanDepartment of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Li WangDepartment of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Mohamed EltorkiDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
Michael BoyleDepartment of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Roberto SassiDepartment of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Kathryn BennettDepartment of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Lawna BrotherstonChild and Youth Mental Health Program, McMaster Children's Hospital, Hamilton, Ontario, Canada.
Paulo PiresDepartment of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Olabode AkintanDepartment of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Ellen LipmanDepartment of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFrom 2007-2017, pediatric emergency department (ED) visits for mental health concerns increased by 66% in Canada, with repeat visits accounting for a significant proportion of all visits. Our objective was to examine patient and visit characteristics associated with repeat visits to a tertiary care pediatric ED for mental health concerns.

methodData were obtained from the administrative records of McMaster Children's Hospital ED for mental health-related visits from February 2013-December 2017. Data on 9,018 ED visits made by 4,976 unique patients were included in this study. Logistic regression analysis was used to examine characteristics associated with repeat visit within six months of index presentation.

results22% (n=1,088) of individuals returned to the ED for a mental health concern within six months following their index visit. A repeat visit within six months was associated with female sex (OR=1.19,

conclusionsWe found that approximately one in five patients presenting to the ED for a mental health concern have a repeat visit within six months, consistent with previous studies. This study provides support for previously identified risk factors for repeat visits and offers information on interactions between patient sex and diagnosis.

Indexed as

child and adolescentemergency roommental healthreturn visit

Identifiers

PMID31447906
PMCPMC6691794

What OpenQuestion holds

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Registered trials

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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.