Evidence map›Paper›PMID 34574502›Full record

ReviewInternational journal of environmental research and public health2021

Clinical Presentations of Adolescents Aged 16-18 Years in the Adult Emergency Department.

Lara Aurora Brockhus, Martina Bärtsch, Aristomenis K Exadaktylos, Kristina Keitel, Jolanta Klukowska-Rötzler, Martin Müller

Abstract readReview
In one paragraph

Review in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. 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

6 authors.

Lara Aurora BrockhusDepartment of Emergency Medicine, Inselspital, Bern University Hospital, Bern University, 3010 Bern, Switzerland.
Martina BärtschDepartment of Emergency Medicine, Inselspital, Bern University Hospital, Bern University, 3010 Bern, Switzerland.
Aristomenis K ExadaktylosDepartment of Emergency Medicine, Inselspital, Bern University Hospital, Bern University, 3010 Bern, Switzerland.
Kristina KeitelDepartment of Paediatric Emergency Medicine, University Children's Hospital, Inselspital, Bern University, 3010 Bern, Switzerland.
Jolanta Klukowska-RötzlerDepartment of Emergency Medicine, Inselspital, Bern University Hospital, Bern University, 3010 Bern, Switzerland.ORCID 0000-0001-7956-2724
Martin MüllerDepartment of Emergency Medicine, Inselspital, Bern University Hospital, Bern University, 3010 Bern, Switzerland.ORCID 0000-0003-4067-7174

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn many large hospitals in Switzerland, adolescents 16 years and older are treated in adult emergency departments (ED). There have been few publications about this specific patient population, especially in Switzerland. This study aims to provide an overview of emergency presentations of adolescents between 16-18 years of age when compared to adults and focuses on their principle complaints.

methodsWe conducted a single-centre, retrospective, cross-sectional study of all patients aged 16 years and older presenting to the adult ED at the University Hospital (Inselspital) in Bern, Switzerland, from 2013 to 2017. This analysis gives an overview of emergency presentations of adolescents between 16-18 years of age in this time period and compares their consultation characteristics to those of adult patients.

resultsData of a total of 203,817 patients who presented to our adult ED between 2013 and 2017 were analysed. Adolescents account for 2.5% of all emergency presentations. The number of ED presentations in the reviewed time period rose for adults (+2368, 95% CI: 1695, 3041,

conclusionsOur data showed that complaints in adolescent patients under 18 years of age significantly differ from those in older patients. The artificial age cut-off therefore puts this vulnerable population at risk of receiving inadequate diagnostic testing and treatment adapted only for adults. Additional studies are needed on the reasons adolescents and young adults seek ED care, as this could lead to improvements in the care processes for this vulnerable population.

Indexed as

Emergency Service, HospitalAdolescentCross-Sectional StudiesHospitals, UniversityHumansRetrospective StudiesTriageadolescents 16–18 yearscomparison adults and adolescentsED presentation

Identifiers

PMID34574502
PMCPMC8470799

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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.