Evidence map›Paper›PMID 35577541›Full record

ArticleArchives of disease in childhood2022

Changes in adolescents' planned hospital care during the COVID-19 pandemic: analysis of linked administrative data.

Louise Mc Grath-Lone, David Etoori, Ruth Gilbert, Katie L Harron, Jenny Woodman, Ruth Blackburn

Abstract read
In one paragraph

Article in Archives of disease in childhood, 2022. 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
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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.

Louise Mc Grath-LoneInstitute of Health Informatics, University College London, London, UK l.mcgrath-lone@ucl.ac.uk.ORCID http://orcid.org/0000-0003-0867-6673
David EtooriInstitute of Health Informatics, University College London, London, UK.ORCID http://orcid.org/0000-0002-2807-6272
Ruth GilbertInstitute of Health Informatics, University College London, London, UK.
Katie L HarronUCL Great Ormond Street Institute of Child Health, London, UK.ORCID http://orcid.org/0000-0002-3418-2856
Jenny WoodmanSocial Research Institute, University College London, London, UK.ORCID http://orcid.org/0000-0002-9403-4177
Ruth BlackburnInstitute of Health Informatics, University College London, London, UK.ORCID http://orcid.org/0000-0002-3491-7381

Funding

Medical Research Council MR/S003797/1
6 · The paper itself

Abstract

objectiveTo describe changes in planned hospital care during the pandemic for vulnerable adolescents receiving children's social care (CSC) services or special educational needs (SEN) support, relative to their peers.

designObservational cohort in the Education and Child Health Insights from Linked Data database (linked de-identified administrative health, education and social care records of all children in England). STUDY POPULATION: All secondary school pupils in years 7-11 in academic year 2019/2020 (N=3 030 235). MAIN EXPOSURE: Receiving SEN support or CSC services. MAIN OUTCOMES: Changes in outpatient attendances and planned hospital admissions during the first 9 months of the pandemic (23 March-31 December 2020), estimated by comparing predicted with observed numbers and rates per 1000 child-years.

resultsA fifth of pupils (20.5%) received some form of statutory support: 14.2% received SEN support only, 3.6% received CSC services only and 2.7% received both. Decreases in planned hospital care were greater for these vulnerable adolescents than their peers: -290 vs -225 per 1000 child-years for outpatient attendances and -36 vs -16 per 1000 child-years for planned admissions. Overall, 21% of adolescents who were vulnerable disproportionately bore 25% of the decrease in outpatient attendances and 37% of the decrease in planned hospital admissions. Vulnerable adolescents were less likely than their peers to have face-to-face outpatient care.

conclusionThese findings indicate that socially vulnerable groups of children have high health needs, which may need to be prioritised to ensure equitable provision, including for catch-up of planned care postpandemic.

Indexed as

Adolescent HealthChild Health ServicesCovid-19Social work

Identifiers

PMID35577541
PMCPMC9157329

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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.