ArticleThe Journal of pediatrics2022
Social Risk Factors Influence Pediatric Emergency Department Utilization and Hospitalizations.
Article in The Journal of pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
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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.
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.
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Who cites it
21 citing papers in PubMed, 30 citations in OpenAlex.
- Association of Social Drivers of Health With Hospitalizations for Pediatric Asthma.Pediatric pulmonology · 2026Article
- The Impact of Socioeconomic Inequities and Small-Area Deprivation on Child Inpatient Care: Evidence from a Quantitative Study in a Vulnerable Suburban Setting.International journal of environmental research and public health · 2026Article
- Sibling count and family employment status shape injury patterns and emergency department resource use in pediatric trauma.BMC emergency medicine · 2026Observational
- Characteristics of Adolescents With Elevated Suicide Risk Presenting to the ED With Physical Health Complaints.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- Factors associated with avoidable non-urgent emergency department visits in South Tyrol (Italy): a multicentre cross-sectional study.BMC emergency medicine · 2026Article
- Relationship Between Household Social Risk and Symptoms of Depression and Anxiety in Adolescents: A Retrospective Cohort Study.Clinical pediatrics · 2026Article
- Article
- An AI-Based Chatbot to Support Health-Related Social Needs among Pediatric Primary Care Population: Protocol for a Pilot Randomized Controlled Trial.medRxiv : the preprint server for health sciences · 2025Article
- Prenatal homelessness, food insecurity, and unemployment and adverse infant outcomes in a California cohort, 2007-2020.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Association Between the Child Opportunity Index and Individual Level Social Risks.Journal of pediatrics. Clinical practice · 2025Article
- The Role of Socioeconomic Determinants in Children's Health.Portuguese journal of public health · 2025Article
- Association between Unmet Social Need and Ambulatory Quality of Care for US Children.Academic pediatrics · 2025Article
- Food and Housing Insecurity, Resource Allocation, and Follow-up in a Pediatric Emergency Department.The western journal of emergency medicine · 2025Article
- Evaluating associations between social risks and health care utilization in patients with chronic low back pain.Pain reports · 2024Article
- Patterns of Social Needs Predict Quality-of-Life and Healthcare Utilization Outcomes in Patients from a Large Hospital System.Journal of general internal medicine · 2024Observational
- Predicting food insecurity in a pediatric population using the electronic health record.Journal of clinical and translational science · 2024Article
- Food and Nutrition Security Among Households With Children in North Carolina: Challenges, Opportunities, and Potential Policy Solutions.North Carolina medical journal · 2023Article
- Diet and Food and Nutrition Insecurity and Cardiometabolic Disease.Circulation research · 2023Review
- Interactive association of chronic illness and food insecurity with emergency department utilization among school-age children in the United States: A cross-sectional study.Health science reports · 2023Article
- Pediatric Eye-Related Emergency Department Visits and Pediatric Eye Provider Location and Density.Ophthalmology scienceArticle
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo characterize the association of children's social risk factors with total number of emergency department (ED) visits or hospitalization and time to first subsequent ED or hospitalization. STUDY
designThis was a retrospective cohort study of patients seen at a general pediatric clinic between 2017 and 2021 with documented ≥1 social risk factors screened per visit. Negative binomial or Poisson regression modeled ED utilization and hospitalizations as functions of the total number of risk factors or each unique risk factor. Time-varying Cox models were used to evaluate differences between those who screened positive and those who screened negative, controlling for demographic and clinical covariates.
resultsOverall, 4674 patients (mean age, 6.6 years; 49% female; 64% Hispanic; 21% Black) were evaluated across a total of 20 927 visits. Children with risk factors had higher rates of attention-deficit hyperactivity disorder, failure to gain weight, asthma, and prematurity compared with children with no risk (all P < .01). Adjusted models show a positive association between increased total number of factors and ED utilization (incidence rate ratio [IRR], 1.18; 95% CI, 1.12-1.23) and hospitalizations (IRR, 1.36; 95% CI, 1.26-1.47). There were no associations between a positive screen and time to first ED visit (hazard ratio [HR], 0.95; 95% CI, 0.85-1.06; P = .36) or hospitalization (HR, 1.15; 95% CI, 0.84-1.59; P = .40).
conclusionsSocial risk factors were associated with increased ED utilization and hospitalizations at the patient level but were not significantly associated with time to subsequent acute care use. Future research should evaluate the effect of focused interventions on health care utilization, such as those addressing food insecurity and transportation challenges.
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Registered trials
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.