Evidence map›Paper›PMID 35867669›Full record

ArticlePloS one2022

Hospital length of stay among children with and without congenital anomalies across 11 European regions-A population-based data linkage study.

Stine Kjaer Urhoj, Joachim Tan, Joan K Morris, Joanne Given, Gianni Astolfi, Silvia Baldacci, Ingeborg Barisic, Joanna Brigden, Clara Cavero-Carbonell, Hannah Evans and 13 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
8.3field-weighted citation impact, top 2% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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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

23 authors at 13 institutions in 7 countries.

Stine Kjaer UrhojDepartment of Paediatrics and Adolescent Medicine, Lillebaelt Hospital, University Hospital of Southern Denmark, Kolding, Denmark.
Joachim TanPopulation Health Research Institute, St George's, University of London, London, United Kingdom.
Joan K MorrisPopulation Health Research Institute, St George's, University of London, London, United Kingdom.ORCID 0000-0002-7164-612X
Joanne GivenFaculty of Life and Health Sciences, Ulster University, Northern Ireland, United Kingdom.
Gianni AstolfiDept. of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy.
Silvia BaldacciUnit of Epidemiology of Rare diseases and Congenital anomalies, Institute of Clinical Physiology, National Research Council, Pisa, Italy.
Ingeborg BarisicChildren's Hospital Zagreb, Centre of Excellence for Reproductive and Regenerative Medicine, Medical School University of Zagreb, Zagreb, Croatia.
Joanna BrigdenPopulation Health Research Institute, St George's, University of London, London, United Kingdom.
Clara Cavero-CarbonellRare Diseases Research Unit, Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (UVEG-FISABIO), Valencia, Spain.
Hannah EvansPopulation Health Research Institute, St George's, University of London, London, United Kingdom.
Mika GisslerFinnish Institute for Health and Welfare, Information Services Department, Helsinki, Finland.
Anna HeinoFinnish Institute for Health and Welfare, Information Services Department, Helsinki, Finland.
Sue JordanFaculty of Medicine, Health and Life Sciences, Swansea University, Wales, United Kingdom.
Renée LutkeDepartment of Genetics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Ljubica OdakChildren's Hospital Zagreb, Centre of Excellence for Reproductive and Regenerative Medicine, Medical School University of Zagreb, Zagreb, Croatia.
Aurora PucciniTerritorial Assistance Service-Drug and Medical Device Area, Emilia Romagna Health Department, Bologna, Italy.
Michele SantoroUnit of Epidemiology of Rare diseases and Congenital anomalies, Institute of Clinical Physiology, National Research Council, Pisa, Italy.
Ieuan ScanlonFaculty of Medicine, Health and Life Sciences, Swansea University, Wales, United Kingdom.
Hermien E K de WalleDepartment of Genetics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Diana WellesleyClinical Genetics, Princess Anne Hospital, University of Southampton and Wessex Clinical Genetics Service, Southampton, United Kingdom.
Óscar ZurriagaDepartment of Preventive Medicine and Public Health, Rare Diseases Research Unit UVEG-FISABIO Valencia and Spanish Consortium for Biomedical Research in Epidemiology and Public Health, University of Valencia (Spain) and Valencia Region (Spain) Health Authority (Conselleria de Sanitat Universal I Salut Pública), Valencia, Spain.ORCID 0000-0001-7279-432X
Maria LoaneFaculty of Life and Health Sciences, Ulster University, Northern Ireland, United Kingdom.
Ester GarneDepartment of Paediatrics and Adolescent Medicine, Lillebaelt Hospital, University Hospital of Southern Denmark, Kolding, Denmark.ORCID 0000-0003-0430-2594
St George's, University of London · GBFinnish Institute for Health and Welfare · FIIstituto di Fisiologia Clinica · ITLillebaelt Hospital · DKSwansea University · GBUniversity Medical Center Groningen · NLUniversity of Ulster · GBUniversity of Zagreb · HRAzienda Unità Sanitaria Locale Della Romagna · ITFundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana · ESPrincess Anne Hospital · GBUniversitat de València · ESUniversity of Ferrara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCongenital anomalies are a leading cause of childhood morbidity, but little is known about the long-term outcomes.

objectiveTo quantify the burden of disease in childhood for children with congenital anomalies by assessing the risk of hospitalisation, the number of days spent in hospital and proportion of children with extended stays (≥10 days).

methodsEuropean population-based record-linkage study in 11 regions in eight countries including children with congenital anomalies (EUROCAT children) and without congenital anomalies (reference children) living in the same regions. The children were born between 1995 and 2014 and were followed to their tenth birthday or 31/12/2015. European meta-analyses of the outcome measures were performed by two age groups, <1 year and 1-4 years.

results99,416 EUROCAT children and 2,021,772 reference children were linked to hospital databases. Among EUROCAT children, 85% (95%-CI: 79-90%) were hospitalised in the first year and 56% (95%-CI: 51-61%) at ages 1-4 years, compared to 31% (95%-CI: 26-37%) and 25% (95%-CI: 19-31%) of the reference children. Median length of stay was 2-3 times longer for EUROCAT children in both age groups. The percentages of children with extended stays (≥10 days) in the first year were 24% (95%-CI: 20-29%) for EUROCAT children and 1% (95%-CI: 1-2%) for reference children. The median length of stay varied greatly between congenital anomaly subgroups, with children with gastrointestinal anomalies and congenital heart defects having the longest stays.

conclusionsChildren with congenital anomalies were more frequently hospitalised and median length of stay was longer. The outlook improves after the first year. Parents of children with congenital anomalies should be informed about the increased hospitalisations required for their child's care and the impact on family life and siblings, and they should be adequately supported.

Indexed as

Congenital AbnormalitiesHeart Defects, CongenitalChildChild, PreschoolFemaleHospitalsHumansInfantInformation Storage and RetrievalLength of StayPrevalenceRegistries

Identifiers

PMID35867669
PMCPMC9307180
OpenAlexW4286587718

What OpenQuestion holds

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LicenceCC BY
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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.