Evidence map›Paper›PMID 34711634›Full record

Observational studyEmergency medicine journal : EMJ2022

Non-urgent emergency department attendances in children: a retrospective observational analysis.

Rebecca M Simpson, Colin O'Keeffe, Richard M Jacques, Tony Stone, Abu Hassan, Suzanne M Mason

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Emergency medicine journal : EMJ, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

14 citing papers in PubMed, 23 citations in OpenAlex.

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  14. Creating a Real-World Linked Research Platform for Analyzing the Urgent and Emergency Care System.Medical decision making : an international journal of the Society for Medical Decision Making · 2022
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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 at 2 institutions in 1 country.

Rebecca M SimpsonSchool of Health and Related Research, The University of Sheffield, Sheffield, UK r.simpson@sheffield.ac.uk.ORCID http://orcid.org/0000-0003-1677-5938
Colin O'KeeffeSchool of Health and Related Research, The University of Sheffield, Sheffield, UK.ORCID http://orcid.org/0000-0002-4484-7401
Richard M JacquesSchool of Health and Related Research, The University of Sheffield, Sheffield, UK.ORCID http://orcid.org/0000-0001-6710-5403
Tony StoneSchool of Health and Related Research, The University of Sheffield, Sheffield, UK.
Abu HassanEmergency Department, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Suzanne M MasonSchool of Health and Related Research, The University of Sheffield, Sheffield, UK.ORCID http://orcid.org/0000-0002-1701-0577
University of Sheffield · GBLeeds Teaching Hospitals NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA significant proportion of ED attendances in children may be non-urgent attendances (NUAs), which could be better managed elsewhere. This study aimed to quantify NUAs and urgent attendances (UAs) in children to ED and determine which children present in this way and when.

methodsDataset extracted from the CUREd research database containing linked data on the provision of care in Yorkshire and Humber. Analysis focused on children's ED attendances (April 2014-March 2017). Summary statistics and odds ratios (OR) comparing NUAs and UAs were examined by: age, mode and time of arrival and deprivation alongside comparing summary statistics for waiting, treatment and total department times.

resultsNUAs were more likely in younger children: OR for NUA in children aged 1-4 years, 0.82 (95% CI: 0.80 to 0.83), age 15 years, 0.39 (95% CI: 0.38 to 0.40), when compared with those under 1 year. NUAs were more likely to arrive out of hours (OOHs) compared with in hours: OR 1.19 (95% CI 1.18 to 1.20), and OOHs arrivals were less common in older children compared with those under 1 year: age 1-4 years, 0.87 (95% CI: 0.84 to 0.89) age 15 years, 0.66 (95% CI: 0.63 to 0.69). NUAs also spent less total time in the ED, with a median (IQR) of 98 min (60-147) compared with 127 min (80-185) for UAs.

conclusionA substantial proportion of ED attendances in children are NUAs. Our data suggest there are particular groups of children for whom targeted interventions would be most beneficial. Children under 5 years would be such a group, particularly in providing accessible, timely care outside of usual community care opening hours.

Indexed as

Emergency Service, HospitalAdolescentChildChild, PreschoolDatabases, FactualHumansInfantOdds RatioRetrospective Studiesemergency care systemsemergency departmentspaediatricsstatistics

Identifiers

PMID34711634
PMCPMC8717488
OpenAlexW3210844650

What OpenQuestion holds

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LicenceCC BY-NC
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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.