Evidence map›Paper›PMID 34972220›Full record

ArticlePediatrics2022

Pediatric Discharge From the Emergency Department Against Medical Advice.

Meaghann S Weaver, Haavi Morreim, Lydia H Pecker, Rachel O Alade, David J Alfandre

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 20% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

5 authors at 5 institutions in 1 country.

Meaghann S WeaverDepartment of Pediatrics, University of Nebraska, Omaha, Nebraska.
Haavi MorreimUniversity of Tennessee Health Science Center, College of Medicine, Memphis, Tennessee.
Lydia H PeckerDivision of Hematology, Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
Rachel O AladeDepartment of Pediatrics, University of Pittsburgh, Pittsburg, Pennsylvania.
David J AlfandreVA National Center for Ethics in Health Care, Washington, District of Columbia.
Johns Hopkins Medicine · USNew York University · USPittsburg State University · USUniversity of Nebraska at Omaha · USUniversity of Tennessee Health Science Center · US

Funding

OVARIAN RESERVE IN POST-MENARCHAL FEMALES WITH SICKLE CELL ANEMIAK23HL146841 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI PECKER, LYDIA · 2020 to 2024
$1.2M
NHLBI NIH HHS K23 HL146841
6 · The paper itself

Abstract

In this Ethics Rounds we present a conflict regarding discharge planning for a febrile infant in the emergency department. The physician believes discharge would be unsafe and would constitute a discharge against medical advice. The child's mother believes her son has been through an already extensive and painful evaluation and would prefer to monitor her well-appearing son closely at home with a safety plan and a next-day outpatient visit. Commentators assess this case from the perspective of best interest, harm-benefit, conflict management, and nondiscriminatory care principles and prioritize a high-quality informed consent process. They characterize the formalization of discharge against medical advice as problematic. Pediatricians, a pediatric resident, ethicists, an attorney, and mediator provide a range of perspectives to inform ethically justifiable options and conflict resolution practices.

Indexed as

Patient DischargeDecision Making, SharedEmergency Service, HospitalFever of Unknown OriginHumansInfantMaleRefusal to ParticipateTreatment RefusalUrinalysisUrinary Tract Infections

Identifiers

PMID34972220
PMCPMC9647524
OpenAlexW4200553457

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.