Evidence map›Paper›PMID 33394945›Full record

ArticlePediatric emergency care2021

A National US Survey of Pediatric Emergency Department Coronavirus Pandemic Preparedness.

Marc A Auerbach, Kamal Abulebda, Anna Mary Bona, Lauren Falvo, Patrick G Hughes, Michael Wagner, Paul R Barach, Rami A Ahmed

Abstract readMulticenter Study
In one paragraph

Article in Pediatric emergency care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Measuring Pediatric Disaster Readiness of United States Emergency Departments.Journal of the American College of Emergency Physicians open · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Review
  8. Supporting the Quadruple Aim Using Simulation and Human Factors During COVID-19 Care.American journal of medical quality : the official journal of the American College of Medical Quality
    Article
  9. Improved FMEA Methods for Proactive Health Care Risk Assessment of the Effectiveness and Efficiency of COVID-19 Remote Patient Telemonitoring.American journal of medical quality : the official journal of the American College of Medical Quality
    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

8 authors.

Marc A AuerbachFrom the Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT.
Kamal AbulebdaDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Indiana University School of Medicine and Riley Hospital for Children at Indiana University Health.
Anna Mary BonaDepartment of Emergency Medicine, School of Medicine, Indiana University, Indianapolis, IN.
Lauren FalvoDepartment of Emergency Medicine, School of Medicine, Indiana University, Indianapolis, IN.
Patrick G HughesFlorida Atlantic University Schmidt College of Medicine, Boca Raton, FL.
Michael WagnerDivision of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.
Paul R Barach
Rami A AhmedDepartment of Emergency Medicine, School of Medicine, Indiana University, Indianapolis, IN.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

objectiveWe aim to describe the current coronavirus disease 2019 (COVID-19) preparedness efforts among a diverse set of pediatric emergency departments (PEDs) within the United States.

methodsWe conducted a prospective multicenter survey of PED medical director(s) from selected children's hospitals recruited through a long established national research network. The questionnaire was developed by physicians with expertise in pediatric emergency medicine, disaster readiness, human factors, and survey development. Thirty-five children's hospitals were identified for recruitment through an established national research network.

resultsWe report on survey responses from 25 (71%) of 35 PEDs, of which 64% were located within academic children's hospitals. All PEDs witnessed decreases in non-COVID-19 patients, 60% had COVID-19-dedicated units, and 32% changed their unit pediatric patient age to include adult patients. All PEDs implemented changes to their staffing model, with the most common change impacting their physician staffing (80%) and triaging model (76%). All PEDs conducted training for appropriate donning and doffing of personal protective equipment (PPE), and 62% reported shortages in PPE. The majority implemented changes in the airway management protocols (84%) and cardiac arrest management in COVID patients (76%). The most common training modalities were video/teleconference (84%) and simulation-based training (72%). The most common learning objectives were team dynamics (60%), and PPE and individual procedural skills (56%).

conclusionsThis national survey provides insight into PED preparedness efforts, training innovations, and practice changes implemented during the start of COVID-19 pandemic. Pediatric emergency departments implemented broad strategies including modifications to staffing, workflow, and clinical practice while using video/teleconference and simulation as preferred training modalities. Further research is needed to advance the level of preparedness and support deep learning about which preparedness actions were effective for future pandemics.

Indexed as

Disaster PlanningHealth Care SurveysPandemicsSARS-CoV-2ChildCOVID-19Cross-Sectional StudiesEducation, DistanceEmergency Service, HospitalHospitals, PediatricHumansPersonal Protective EquipmentPersonnel, HospitalProspective StudiesSimulation TrainingTelecommunications

Identifiers

PMID33394945
PMCPMC7780930

What OpenQuestion holds

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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.