ArticleCJEM2021
Virtual care in the pediatric emergency department: a new way of doing business?
Article in CJEM, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Emergency department crowding in the modern era: a systematic review (2018-2025).Clinical and experimental emergency medicine · 2026Pooled it
- Patient-reported experiences and outcomes of virtual care during COVID-19: a systematic review.Journal of patient-reported outcomes · 2023Pooled it
- Virtual Care Provision and Emergency Department Use Among Children and Youth.JAMA network open · 2025Article
- Disparities in use of a virtual pediatric emergency department in Ottawa, Canada.Paediatrics & child health · 2025Article
- Relieving the pediatric emergency department by referring low triaged patients using the Manchester Triage System.European journal of pediatrics · 2025Article
- Practitioners' perspectives on implementation of acute virtual wards: A scoping review.PLOS digital health · 2025Article
- Evaluating the satisfaction of patients utilising the virtual emergency department service in southeast region of Melbourne.Emergency medicine Australasia : EMA · 2025Article
- Synchronous virtual care in children's health care: a scoping review.Frontiers in pediatrics · 2025Review
- Optimized pediatric emergency nursing and Its effects on successful resuscitation and adverse reactions in children.Frontiers in pediatrics · 2025Article
- A mixed-methods exploration of the Real-Time Virtual Support pathway Child Health Advice in Real-Time Electronically in Northwestern BC.Paediatrics & child health · 2024Article
- Review
- Article
- Evaluation of an automated matching system of children and families to virtual mental health resources during COVID-19.Child and adolescent psychiatry and mental health · 2024Article
- Pediatric capacity crisis: A framework and strategies to prepare for a pediatric surge.Journal of the American College of Emergency Physicians open · 2024Article
- Article
- Age and sex-related comparison of referral-based telemedicine service utilization during the COVID-19 pandemic in Ontario: a retrospective analysis.BMC health services research · 2023Article
- The Implementation of a Virtual Emergency Department: Multimethods Study Guided by the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) Framework.JMIR formative research · 2023Article
- Differences in Telemedicine, Emergency Department, and Hospital Utilization Among Nonelderly Adults with Limited English Proficiency Post-COVID-19 Pandemic: a Cross-Sectional Analysis.Journal of general internal medicine · 2023Article
- Critical evaluation of novel health system interventions is essential.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- Virtual First Emergency Medicine Visits: The Future of Convenient and Efficient Emergency Care.Journal of medical Internet research · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo understand the feasibility, utilization rate, and satisfaction of the first Virtual Pediatric ED (V-PED) in Canada.
methodsWe conducted a prospective cohort study examining the feasibility and impact of virtual care as an adjunct to in-person emergency care at a tertiary pediatric hospital from May to July 2020. Children (< 18 years) from Ontario and Quebec seeking V-PED care were included. A secure, encrypted, video platform within the hospital's electronic medical record was used. Caregivers self-determined appropriateness of V-PED using a standardized online triage questionnaire to request their appointment. The V-PED is directly launched from the patient's chart and the family joins the portal via hyperlink. Outcome measures included the number of V-PED visits, hospital admission rates, and caregiver satisfaction using a 10-item voluntary post-visit online survey.
resultsA total of 1036 V-PED visits were seen of which 176 (17.0%) were referred for further in-person ED assessment, and 8 (0.8%) required hospital admission. Of the 107 completing patient experience surveys (10% response), most respondents (69%) endorsed they "very likely" or "definitely" would have presented in-person to the ED if V-PED were unavailable. Overall satisfaction was rated as excellent (9 or 10 out of 10) in 87% of respondents.
conclusionOur novel V-PED is feasible, has high caregiver satisfaction, and can reduce the burden of in-person ED visits. Future work must ensure the safety of emergency virtual care and examine how to increase capacity and integrate V-PED within traditional emergency medicine.
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Registered trials
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.