ArticlePloS one2021
Pediatric high users of Canadian hospitals and emergency departments.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 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.
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.
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Who cites it
7 citing papers in PubMed.
- Article
- Creating an Inclusive Definition for High Users of Inpatient Hospital Systems That Considers Different Levels of Rurality.International journal of environmental research and public health · 2025Article
- One-year emergency department visits for children < 18 years of age, associated factors and frequency of primary general practitioner or pediatrician visits before: a French observational study (2018-19).BMC primary care · 2024Observational
- Factors associated with hospital admission and 30-day readmission for children less than 18 years of age in 2018 in France: a one-year nationwide observational study.BMC health services research · 2023Observational
- Characteristics of High-Resource Health System Users in Rural and Remote Regions: A Scoping Review.International journal of environmental research and public health · 2023Article
- Maternal Emergency Department Use Before Pregnancy and Infant Emergency Department Use After Birth.JAMA network open · 2023Article
- Prevalence of Adolescents' Persistent High Utilization of Outpatient Healthcare Services and ICD-10 Diagnoses: A Retrospective 4-Year Population-Based Register Study.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
introductionFew studies have examined the most frequent pediatric users of hospital services. Our objective was to determine the clinical diagnoses, demographic characteristics, and medical severity of high-use pediatric patients in Canada.
methodsWe conducted a retrospective analysis of patients <18 years of age who either were admitted to hospital or visited an emergency department (ED) using the Canadian Institute for Health Information's (CIHI) Dynamic Cohort of Complex, High System Users. The analysis of hospital admission data excluded Quebec and Manitoba. ED data was only available for Alberta and Ontario.
results121 104 patients were identified as the most frequent hospital users and 459 998 patients as the most frequent ED users. High users were more likely to reside in a rural community, to be in a lower income quintile, and face more deprivation. The most frequent conditions for hospitalization for high use patients were disorders related to length of prematurity and fetal growth, respiratory and cardiovascular disorders specific to the perinatal period, and haemorrhagic and haematological disorders of fetus and newborn. For the most frequent ED users, the most common clinical diagnoses were acute upper respiratory infections, injuries to the head, and diseases of the middle ear and mastoid.
conclusionPediatric high users by frequency of hospital and ED services are a distinct population. Better understanding their characteristics will allow for more appropriate planning of children's health services and help identify areas for effective preventive or quality improvement initiatives.
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