Evidence map›Paper›PMID 32357879›Full record

ArticleInternational journal for equity in health2020

Preventable admissions and emergency-department-visits in pediatric asylum-seeking and non-asylum-seeking patients.

Julia Brandenberger, Kayvan Bozorgmehr, Florian Vogt, Thorkild Tylleskär, Nicole Ritz

Open access · goldAbstract readComparative Study
In one paragraph

Article in International journal for equity in health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 12% of its field
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

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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

5 authors at 5 institutions in 4 countries.

Julia BrandenbergerUniversity of Basel Children's Hospital, Migrant Health Service, Basel, Switzerland. Julia.brandenberger@ukbb.ch.
Kayvan BozorgmehrDepartment of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.
Florian VogtUnit of NTDs, Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Thorkild TylleskärCentre for International Health, University of Bergen, Bergen, Norway.
Nicole RitzUniversity of Basel Children's Hospital, Migrant Health Service, Basel, Switzerland.
Instituut voor Tropische Geneeskunde · BEUniversity Children’s Hospital Basel · CHUniversity Hospital Heidelberg · DEUniversity of Basel · CHUniversity of Bergen · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMigrant health has become an essential part of public health. According to the World Health Organization, many health systems in Europe have not yet adapted adequately to the needs of asylum-seekers, which might result in untimely and inefficient health care for asylum-seeking patients. The aim of this study was to assess the number of preventable hospital admissions and emergency department visits in asylum-seeking and non-asylum-seeking pediatric patients.

methodsThis is a retrospective, hospital-based study. The study was done at the University Children's Hospital Basel in Switzerland. Patients admitted or presenting to the emergency department were included and split into the groups of asylum-seeking and non-asylum-seeking patients. All admissions and emergency-department visits were extracted from the administrative electronic health records from 1st Jan 2016-31st Dec 2017. The main outcome was the proportion of admissions due to ambulatory-care-sensitive conditions (which refer to conditions for which admission can be prevented by early interventions in primary care) in asylum-seeking and non-asylum-seeking patients. Ambulatory-care-sensitive conditions were defined by a validated list of ICD-10 codes. The secondary objective was to assess the number of preventable emergency-department visits by asylum-seeking patients defined as proportion of visits with a non-urgent triage score.

resultsA total of 75'199 hospital visits were included, of which 63'405 were emergency department visits and 11'794 were admissions. Ambulatory-care-sensitive conditions accounted for 12.1% (18/149) of asylum-seeking and 10.9% (1270/11645) of non-asylum seeking patients' admissions. Among the emergency department visits by asylum-seeking patients, non-urgent conditions accounted for 82.2% (244/297).

conclusionsAdmissions due to ambulatory-care-sensitive conditions are comparable in asylum-seeking and non-asylum-seeking children, suggesting few delayed presentations to ambulatory care facilities. Strategies to prevent non-urgent visits at pediatric emergency department facilities are needed.

Indexed as

AdolescentChildChild, PreschoolEmergency Service, HospitalFemaleHospitalizationHospitals, PediatricHumansInfantInfant, NewbornMalePatient AdmissionRefugeesRetrospective StudiesSwitzerlandTransients and MigrantsAmbulatory-care-sensitive conditionsEmergency departmentEquitable access to health careHealth care deliveryImmigrant childrenMigrant healthRefugee healthUse of health care

Identifiers

PMID32357879
PMCPMC7193367
OpenAlexW3022433946

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.