ArticlePediatrics2020
Trends in Regionalization of Emergency Care for Common Pediatric Conditions.
Article in Pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
What it found
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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.
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.
Who cites it
32 citing papers in PubMed, 64 citations in OpenAlex.
- Pediatric Orthopaedic Transfers to a Level I Trauma Center: After-Hours Burden and Resident Preparedness.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- A Qualitative Needs Assessment for Pediatric Care Partnerships in Community Emergency Departments.Journal of the American College of Emergency Physicians open · 2026Article
- Trends in Regionalization of Pediatric Inpatient and Critical Care by Medical Complexity.Hospital pediatrics · 2026Article
- Variation in Emergency Department Experience With Pediatric Critical Illness.Annals of emergency medicine · 2026Article
- State and Regional Variation in Access to Pediatric Extracorporeal Membrane Oxygenation.The Journal of pediatrics · 2026Article
- Geographic access to pediatric ECMO and ECPR: a geospatial study of transport networks and disparities.Resuscitation plus · 2026Article
- Pediatric Capabilities in US Hospitals: 2003-2022.Pediatrics · 2026Article
- Development of an Atlas for US Pediatric Acute Care.JAMA pediatrics · 2026Article
- Rural-Urban Differences in Emergency Department Choice for Children With Medical Complexity, 2012-2017.Pediatric emergency care · 2025Article
- Identifying Inpatient Pediatric Services Across National Datasets.JAMA network open · 2025Article
- Rural-Urban Differences in Patient-Sharing by Clinicians Caring for Children with Medical Complexity: Network Analysis of the Pediatric Workforce in Three States.The Journal of pediatrics · 2025Article
- Evaluating Avoidable Transfers of Pediatric Forearm Fractures to the Emergency Department.Cureus · 2025Article
- Tools for Improving Access to Subspecialty Care Among Rural Children.Pediatric clinics of North America · 2025Review
- Pediatric Emergency Care Coordinator Presence and Pediatric Care Quality Measures.JAMA network open · 2024Article
- A National Analysis of General Pediatric Inpatient Unit Closures and Openings, 2011-2018.Hospital pediatrics · 2024Article
- Rural-Urban Disparities in Hospital Services and Outcomes for Children With Medical Complexity.JAMA network open · 2024Article
- Defining Levels of US Hospitals' Pediatric Capabilities.JAMA network open · 2024Article
- Article
- "Right now, it's kind of haphazard"-Pediatric emergency care coordinators and quality of emergency care for children: A qualitative study.Journal of the American College of Emergency Physicians open · 2024Article
- Respiratory Support Practices for Bronchiolitis in the Pediatric Intensive Care Unit.JAMA network open · 2024Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundFor children who cannot be discharged from the emergency department, definitive care has become less frequent at most hospitals. It is uncertain whether this is true for common conditions that do not require specialty care. We sought to determine how the likelihood of definitive care has changed for 3 common pediatric conditions: asthma, croup, and gastroenteritis.
methodsWe used the Nationwide Emergency Department Sample database to study children <18 years old presenting to emergency departments in the United States from 2008 to 2016 with a primary diagnosis of asthma, croup, or gastroenteritis, excluding critically ill patients. The primary outcome was referral rate: the number of patients transferred among all patients who could not be discharged. Analyses were stratified by quartile of annual pediatric volume. We used logistic regression to determine if changes over time in demographics or comorbidities could account for referral rate changes.
resultsReferral rates increased for each condition in all volume quartiles. Referral rates were greatest in the lowest pediatric volume quartile. Referral rates in the lowest pediatric volume quartile increased for asthma (13.6% per year; 95% confidence interval [CI] 5.6%-22.2%), croup (14.8% per year; 95% CI 2.6%-28.3%), and gastroenteritis (16.4% per year; 95% CI 3.5%-31.0%). Changes over time in patient age, sex, comorbidities, weekend presentation, payer mix, urban-rural location of presentation, or area income did not account for these findings.
conclusionsIncreasing referral rates over time suggest decreasing provision of definitive care and regionalization of inpatient care for 3 common, generally straightforward conditions.
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What OpenQuestion holds
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.