Evidence map›Paper›PMID 35667622›Full record

ArticleAcademic pediatrics

Mental Health Emergency Department Visits by Children Before and During the COVID-19 Pandemic.

Lavanya G Shankar, Michele Habich, Marc Rosenman, Jennifer Arzu, George Lales, Jennifer A Hoffmann

Abstract read
In one paragraph

Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  20. Review of pediatric emergency care and the COVID-19 pandemic.Journal of the American College of Emergency Physicians open · 2023
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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.

Lavanya G ShankarDivision of Hospital Medicine Outreach (LG Shankar), Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Ill; Department of Pediatrics (LG Shankar), Northwestern Medicine Central DuPage Hospital, Winfield, Ill. Electronic address: lshankar@luriechildrens.org.
Michele HabichDepartment of Professional Practice (M Habich), Northwestern Medicine Central DuPage Hospital, Winfield, Ill.
Marc RosenmanAnn & Robert H. Lurie Children's Hospital of Chicago (M Rosenman), Chicago, Ill; Northwestern University Feinberg School of Medicine (M Rosenman, JA Hoffmann), Chicago, Ill.
Jennifer ArzuDepartment of Preventive Medicine (J Arzu), Northwestern University Feinberg School of Medicine, Chicago, Ill.
George LalesAnn & Robert H. Lurie Children's Hospital of Chicago (G Lales and JA Hoffmann), Chicago, Ill.
Jennifer A HoffmannNorthwestern University Feinberg School of Medicine (M Rosenman, JA Hoffmann), Chicago, Ill; Ann & Robert H. Lurie Children's Hospital of Chicago (G Lales and JA Hoffmann), Chicago, Ill.

Funding

PA-20-072: Supplement to A Chicago Center of Excellence in Learning Health Systems Research Training (ACCELERAT)K12HS026385 · AHRQ · NORTHWESTERN UNIVERSITY AT CHICAGO · PI FRANKLIN, PATRICIA D, KHO, ABEL N. · 2018 to 2022
$3.4M
AHRQ HHS K12 HS026385
6 · The paper itself

Abstract

objectivesTo describe pediatric mental health emergency department (ED) visit rates and visit characteristics before and during the COVID-19 pandemic.

methodsWe conducted a cross-sectional study of ED visits by children 5-17 years old with a primary mental health diagnosis from March 2018 to February 2021 at a 10-hospital health system and a children's hospital in the Chicago area. We compared demographic and clinical characteristics of children with mental health ED visits before and during the pandemic. We conducted an interrupted time series analysis to determine changes in visit rates.

resultsWe identified 8,127 pediatric mental health ED visits (58.5% female, 54.3% White, Not Hispanic/Latino and 42.4% age 13-15). During the pandemic, visits for suicide or self-injury increased 6.69% (95% CI 4.73, 8.65), and visits for disruptive, impulse control, conduct disorders increased 1.94% (95% CI 0.85, 3.03). Mental health ED visits by children with existing mental health diagnoses increased 2.29% (95% CI 0.34, 4.25). Mental health ED visits that resulted in medical admission increased 4.32% (95% CI 3.11, 5.53). The proportion of mental health ED visits at community hospitals increased by 5.49% (95% CI 3.31, 7.67). Mental health ED visit rates increased at the onset of the pandemic (adjusted incidence rate ratio [aIRR] 1.27, 95% CI 1.06, 1.50), followed by a monthly increase thereafter (aIRR 1.04, 95% CI 1.02, 1.06).

conclusionMental health ED visit rates by children increased during the COVID-19 pandemic. Changes in mental health ED visit characteristics during the pandemic may inform interventions to improve children's mental health.

Indexed as

COVID-19PandemicsAdolescentChildChild, PreschoolCross-Sectional StudiesEmergency Service, HospitalFemaleHumansMaleMental HealthRetrospective StudiesadolescentchildCOVID-19emergency servicehospitalmental health

Identifiers

PMID35667622
PMCPMC9164513

What OpenQuestion holds

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Registered trials

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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.