ArticleThe Journal of pediatrics2021
Hospitalization Outcomes for Rural Children with Mental Health Conditions.
Article in The Journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 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.
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Who cites it
4 citing papers in PubMed.
- Change in Travel Distance for Pediatric Mental Health Admissions in Illinois, 2016 to 2024.Academic pediatrics · 2026Article
- Association of emergency department characteristics with presence of recommended pediatric-specific behavioral health policies.Journal of the American College of Emergency Physicians open · 2024Article
- Supporting Youths During Mental Health Boarding: It's About Time.The Journal of pediatrics · 2023Article
- Emergency Department Visits for Suicidal Ideation and Self-Harm in Rural and Urban Youths.The Journal of pediatrics · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo identify where rural children with mental health conditions are hospitalized and to determine differences in outcomes based on location of hospitalization. STUDY
designThis is a retrospective cohort analysis of US rural children aged 0-18 years with a mental health hospitalization between January 1, 2014, and November 30, 2014, using the 2014 Agency for Healthcare Research and Quality's Nationwide Readmissions Database. Hospitalizations for rural children were categorized by children's hospitals, metropolitan non-children's hospitals, or rural hospitals. Associations between hospital location and outcomes were assessed with logistic (readmission) and negative binomial regression (length of stay [LOS]) models. Classification and regression trees (CART) were used to describe the characteristics of most common hospitalizations at a rural hospital.
resultsOf 21 666 mental health hospitalizations of rural children, 20.6% were at rural hospitals. After adjustment for clinical and demographic characteristics, LOS was higher at metropolitan non-children's and children's hospitals compared with rural hospitals (LOS: adjusted rate ratio [aRR], 1.35 [95% CI 1.29-1.41] and 1.33 [95% CI, 1.25-1.41]; P < .01 for all). The 30-day readmission was lower at metropolitan non-children's and children's hospitals compared with rural hospitals (aOR, 0.73 [95% CI, 0.63-0.84] and 0.59 [95% CI, 0.48-0.71]; P < .001 for all). Adolescent males living in poverty with externalizing behavior disorder had the highest percentage of hospitalization at rural hospitals (69.4%).
conclusionsAlthough hospitalizations at children's and metropolitan non-children's hospitals were longer, patient outcomes were more favorable.
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