Evidence map›Paper›PMID 32815539›Full record

ArticleJournal of pediatric psychology2020

The Role of Caregiver-Reported Risks in Predicting Adverse Pediatric Outcomes.

Louise E Vaz, David V Wagner, Rebecca M Jungbauer, Katrina L Ramsey, Celeste Jenisch, Natalie Koskela-Staples, Steven Everist, Jared P Austin, Michael A Harris, Katharine E Zuckerman

Abstract read
In one paragraph

Article in Journal of pediatric psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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

10 authors.

Louise E VazDepartment of Pediatrics, Doernbecher Children's Hospital.
David V WagnerDepartment of Pediatrics, Doernbecher Children's Hospital.
Rebecca M JungbauerPacific Northwest Evidence-Based Practice Center, Oregon Health & Science University.
Katrina L RamseyBiostatistics and Design Program, Oregon Health & Science University.
Celeste JenischDepartment of Pediatrics, Doernbecher Children's Hospital.
Natalie Koskela-StaplesDepartment of Clinical & Health Psychology, University of Florida.
Steven EveristDepartment of Pediatrics, Doernbecher Children's Hospital.
Jared P AustinDepartment of Pediatrics, Doernbecher Children's Hospital.
Michael A HarrisDepartment of Pediatrics, Doernbecher Children's Hospital.
Katharine E ZuckermanDepartment of Pediatrics, Doernbecher Children's Hospital.

Funding

Oregon Clinical and Translational Research Institute - The National COVID Cohort Collaborative (N3C)UL1TR002369 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI Cynthia D Morris, Christopher G. Slatore · 2017 to 2026
$78.4M
EXITO: Enhancing Cross-disciplinary Infrastructure and Training at OregonUL1GM118964 · NIGMS · PORTLAND STATE UNIVERSITY · PI KELLER, THOMAS E · 2015 to 2023
$18.0M
EXITO: Enhancing Cross-disciplinary Infrastructure and Training at OregonRL5GM118963 · NIGMS · PORTLAND STATE UNIVERSITY · PI KELLER, THOMAS E · 2015 to 2023
$11.9M
EXITO: Enhancing Cross-disciplinary Infrastructure and Training at OregonTL4GM118965 · NIGMS · PORTLAND STATE UNIVERSITY · PI KELLER, THOMAS E · 2015 to 2022
$10.1M
NCATS NIH HHS UL1 TR002369NIGMS NIH HHS RL5 GM118963NIGMS NIH HHS TL4 GM118965NIGMS NIH HHS UL1 GM118964
6 · The paper itself

Abstract

objectiveCertain social risk factors (e.g., housing instability, food insecurity) have been shown to directly and indirectly influence pediatric health outcomes; however, there is limited understanding of which social factors are most salient for children admitted to the hospital. This study examines how caregiver-reported social and medical characteristics of children experiencing an inpatient admission are associated with the presence of future health complications.

methodsCaregivers of children experiencing an inpatient admission (N = 249) completed a predischarge questionnaire designed to capture medical and social risk factors across systems (e.g., patient, caregiver, family, community, healthcare environment). Electronic health record (EHR) data were reviewed for child demographic data, chronic disease status, and subsequent emergency department visits or readmissions (i.e., acute events) 90 days postindex hospitalization. Associations between risk factors and event presence were estimated using odds ratios (ORs) and confidence intervals (CI), both unadjusted and adjusted OR (aOR) for chronic disease and age.

resultsThirty-three percent (N = 82) of children experienced at least one event. After accounting for child age and chronic disease status, caregiver perceptions of child's health being generally "poor" or "not good" prior to discharge (aOR = 4.7, 95% CI = 2.3, 9.7), having high care coordination needs (aOR = 3.2, 95% CI = 1.6, 6.1), and experiencing difficulty accessing care coordination (aOR = 2.5, 95% CI = 1.4, 4.7) were significantly associated with return events.

conclusionsCaregiver report of risks may provide valuable information above and beyond EHR records to both determine risk of future health problems and inform intervention development.

Indexed as

CaregiversHospitalizationChildChronic DiseaseEmergency Service, HospitalHumansRisk Factorschronic illnessdisparitieshealthcare services

Identifiers

PMID32815539
PMCPMC8312731

What OpenQuestion holds

Textmetadata
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.