Evidence map›Paper›PMID 33468598›Full record

Trial reportPediatrics2021

Patterns and Predictors of Professional Interpreter Use in the Pediatric Emergency Department.

K Casey Lion, Jesse Gritton, Jack Scannell, Julie C Brown, Beth E Ebel, Eileen J Klein, Rita Mangione-Smith

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
13.6field-weighted citation impact, top 1% 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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Linguistic Barriers in U.S. Neuropsychological Assessment: A State-of-the-Art Review.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2026
    Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Language barriers and pain disparities in pediatric emergency settings: A call for action.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Characterizing Spanish-speaking patients' patient-centered care experiences in the emergency department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
  15. Article
  16. Article
  17. Management of race, ethnicity, and language data in the pediatric emergency department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

K Casey LionDepartment of Pediatrics and casey.lion@seattlechildrens.org.
Jesse GrittonCenter for Child Health, Behavior and Development and.
Jack ScannellCenter for Child Health, Behavior and Development and.
Julie C BrownDepartment of Pediatrics and.
Beth E EbelDepartment of Pediatrics and.
Eileen J KleinDepartment of Pediatrics and.
Rita Mangione-SmithDepartment of Pediatrics and.
Seattle Children's Hospital · USHarborview Injury Prevention and Research Center · US

Funding

Targeted Inpatient Navigation to Improve Care for Minority Children and FamiliesK23HD078507 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI LION, KATHERINE CASEY · 2014 to 2018
$692k
NICHD NIH HHS K23 HD078507
6 · The paper itself

Abstract

BACKGROUND AND

objectivesProfessional interpretation for patients with limited English proficiency remains underused. Understanding predictors of use is crucial for intervention. We sought to identify factors associated with professional interpreter use during pediatric emergency department (ED) visits.

methodsWe video recorded ED visits for a subset of participants (

resultsWe analyzed 312 communication events from 50 ED visits (28 telephone arm, 22 video arm). Professional interpretation was used for 36% of communications overall, most often for detailed histories (89%) and least often for procedures (11%) and medication administrations (8%). Speaker type, communication content, and duration were all significantly associated with professional interpreter use. Assignment to video interpretation was associated with significantly increased use of professional interpretation for communication with providers (adjusted odds ratio 2.7; 95% confidence interval: 1.1-7.0).

conclusionsProfessional interpreter use was inconsistent over the course of an ED visit, even for patients enrolled in an interpretation study. Assignment to video rather than telephone interpretation led to greater use of professional interpretation among physicians and nurse practitioners but not nurses and other staff.

Indexed as

Limited English ProficiencyTranslatingAllied Health PersonnelChildCommunication BarriersEmergency Service, HospitalFemaleForecastingHospitals, PediatricHumansInterviews as TopicMaleNurse PractitionersPhysiciansVideo Recording

Identifiers

PMID33468598
PMCPMC7906072
OpenAlexW3123788799

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.