Evidence map›Paper›PMID 31727871›Full record

Observational studyRevista espanola de salud publica2019

[Profile of the child seen in the resuscitation room].

Iris Alonso Sánchez, Cristina Parra Cotanda, María Melé Casas, Victoria Trenchs Sainz de la Maza, Carles Luaces Cubells

Abstract readObservational Study
In one paragraph

Observational study in Revista espanola de salud publica, 2019. 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
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

5 authors.

Iris Alonso SánchezHospital Sant Joan de Déu. Esplugues de Llobregat. Barcelona. España.
Cristina Parra CotandaHospital Sant Joan de Déu. Esplugues de Llobregat. Barcelona. España.
María Melé CasasHospital Sant Joan de Déu. Esplugues de Llobregat. Barcelona. España.
Victoria Trenchs Sainz de la MazaHospital Sant Joan de Déu. Esplugues de Llobregat. Barcelona. España.
Carles Luaces CubellsHospital Sant Joan de Déu. Esplugues de Llobregat. Barcelona. España.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe attention provided to the seriously ill represents a great challenge for health care professionals; familiarity with this profile will allow for the optimal use of resources and will also lead to an improvement in the training of the health professionals. We sought to understand the characteristics of patients seen in the resuscitation room (RR) of a pediatric emergency department (PED), and to determine the risk factors for a poor evolution.

methodsAn observational analytical study was carried out in the PED of a third-level pediatric hospital from September 2016 through August 2017. Included were those patients attended to in the RR; we analyzed their demographic variables, where they were from, how they arrived at the hospital, their reasons for seeking care (medical vs accident), procedures applied, treatments given, diagnoses, and discharge destination. We used logistic regression analysis to determine the independent risk factors for poor evolution.

resultsIncluded were 114 patients. Their median age was 9.9 years (p25-75=4.0-14.7); 65.8% were male. The patients arrived from the street (51.8%) and from home (31.6%); more than two thirds arrived by ambulance (69.3%). Some 42.1% presented with an unstable pediatric assessment triangle (PAT). Some 64.9% were seen for polytrauma (87.8% with stable PAT). Procedures were carried out on 79.8% of the patients. The most frequent diagnoses were polytrauma (64.9%) and convulsive status (14%). The discharge destinations were: home (28.1%), hospital ward (35.1%), intensive care unit (30.7%), and surgery (4.4%); two patients died in the RR. With the univariate study, we identified risk factors for poor outcome: internal medical condition (52.5% vs 21.6%, p=0.001) and age <2 years (55.6% vs 28.1%, p=0.023). In the multivariate study, the medical cause was maintained as an independent risk factor (OR 4 (CI 95% 1.7-9.2), p=0.001).

conclusionsThe profile of the patient seen in the RR is of a school-age child in stable condition, arriving by ambulance for polytrauma. The children seen for internal medical reasons had poorer outcomes.

Indexed as

AdolescentChildChild, PreschoolCritical IllnessEmergency Service, HospitalFemaleHumansInfantIntensive Care UnitsMaleMultivariate AnalysisPatient DischargePediatricsRegression AnalysisResuscitationRisk FactorsAdvanced life supportPediatric emergency departmentPediatric resuscitation roomPolytrauma patientSpain

Identifiers

PMID31727871
PMCPMC11582947

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.