Evidence map›Paper›PMID 32140333›Full record

ArticleCureus2020

Pediatric Secondary Transfer Percentages: A Retrospective Observational Study.

Yves Leroux, Jolene Cook, Judah Goldstein, Steve Doucette, Corinne DeMone, Alix Carter, Katrina F Hurley

Abstract read
In one paragraph

Article in Cureus, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Yves LerouxEmergency Medicine, Dalhousie University, Halifax, CAN.
Jolene CookEmergency Medicine, Dalhousie University, Halifax, CAN.
Judah GoldsteinEmergency Medicine, Dalhousie University, Halifax, CAN.
Steve DoucetteResearch Methods Unit, Nova Scotia Health Authority, Halifax, CAN.
Corinne DeMoneEmergency Medicine, Nova Scotia Health Authority, Halifax, CAN.
Alix CarterDivision of Emergency Medical Services, Dalhousie University, Halifax, CAN.
Katrina F HurleyEmergency Department, IWK Health Centre, Halifax, CAN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCertain adult conditions treated by paramedics, such as myocardial infarction or stroke, have better outcomes if transported to a specialty centre, bypassing local generalist facilities when necessary. Little evidence exists to inform guidelines to identify pediatric patients who would benefit from direct transport to a pediatric centre. This study describes the characteristics of children brought to community emergency departments (ED) who subsequently required transfer to pediatric specialty care.

methodsA retrospective observational cohort study was performed in a metropolitan area with one tertiary pediatric specialty centre and four community EDs. The patient care record database was queried for patients under 16 years old transported by paramedics to a community ED during a five-year period. Secondary transfer to the pediatric specialty centre within 24 hours was identified. The primary outcome was percentage of transfers to specialty care. Descriptive statistics were used to characterize the whole group as well as stratified by age category, chief complaint and Canadian Triage Acuity Scale (CTAS).

resultsA total of 872 pediatric patients were transported to community EDs with 95 (10.9%) requiring secondary transfer to the pediatric specialty centre. CTAS 1 and 2 were associated with increased secondary transfer (p<0.001). There were also differences in transfer proportion by chief complaint. There was no association between age or gender and transfer to pediatric specialty care.

conclusionsThis retrospective study shows an association between acuity and certain chief complaints and percentage of secondary transfer to pediatric specialty care.

Indexed as

emergency medical servicespatient transferpediatricstransportation of patients

Identifiers

PMID32140333
PMCPMC7039349

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LicenceCC BY
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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.