Evidence map›Paper›PMID 35049201›Full record

ArticleMedicine2021

Effectiveness of the implementation of pediatric intussusception clinical pathway: A pre- and postintervention trial.

So Hyun Paek, Do Kyun Kim, Young Ho Kwak, Jae Yun Jung, Seuk Lee, Joong Wan Park

Abstract read
In one paragraph

Article in Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
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  3. Review
  4. Review
  5. Article
  6. 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.

So Hyun PaekDepartment of Emergency Medicine, CHA Bundang Medical Center, Gyeonggi-do, Republic of Korea.ORCID 0000-0003-1412-7347
Do Kyun KimDepartment of Emergency Medicine, Seoul National University Hospital, Seoul, Republic of Korea.ORCID 0000-0002-6144-302
Young Ho KwakDepartment of Emergency Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Jae Yun JungDepartment of Emergency Medicine, Seoul National University Hospital, Seoul, Republic of Korea.ORCID 0000-0003-2994-6900
Seuk LeeDepartment of Emergency Medicine, Samsung Medical Center, Seoul, Republic of Korea.ORCID 0000-0003-4201-2272
Joong Wan ParkDepartment of Emergency Medicine, Seoul National University Hospital, Seoul, Republic of Korea.ORCID 0000-0002-9702-170

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractIntussusception is common among children at the pediatric emergency department (ED) with acute abdomen. Diagnosis and treatment delay remain a challenge. This study aimed to evaluate the impact of intussusception clinical pathways (CPs) implementation, including bedside point-of-care ultrasonography, on patient management in a pediatric ED.In January 2017, an intussusception management protocol was implemented for children with symptoms of intussusception. We retrospectively examined the charts of patients diagnosed with intussusception during the preprotocol (January 2015 to December 2016) and postprotocol (January 2017 to January 2019) periods and compared their outcomes.A total of 106 and 108 patients were included in the preprotocol and postprotocol groups, respectively. After CP implementation, the median door-to-ultrasonography time decreased from 66.5 (range: 13, 761) to 54 (20, 191) minutes; meanwhile, door-to-reduction time decreased from 121.5 (37, 1077) to 80.5 (40, 285) minutes; the median ED length of stay decreased from 440 to 303.5  minutes; and finally, admission rate increased from 18.9% to 40.7% (P < .01). There was no between-group difference in the rates of complications, readmission, emergency surgery, or reduction failure.The implementation of an intussusception CP decreased time-to-diagnosis, time-to-treatment, and ED length of stay estimates among children screened using point-of-care ultrasonography. The present findings suggest that the implementation of an intussusception CP may improve the efficiency of time and resource use.

Indexed as

IntussusceptionCritical PathwaysEmergency Service, HospitalFemaleHumansInfantMaleRetrospective StudiesSeoulUltrasonography

Identifiers

PMID35049201
PMCPMC9191323

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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.