Evidence map›Paper›PMID 36575536›Full record

ArticleTrials2022

Measuring the impact of a "Virtual Pediatric Trauma Center" (VPTC) model of care using telemedicine for acutely injured children versus the standard of care: study protocol for a prospective stepped-wedge trial.

James P Marcin, Daniel J Tancredi, Joseph M Galante, Tanya N Rinderknecht, Brian M Haus, Holly B Leshikar, Marike Zwienenberg, Jennifer L Rosenthal, Kendra L Grether-Jones, Michelle Y Hamline and 2 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04469036 (Improving Family-Centered Pediatric Trauma Care), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 39% 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.

NCT04469036 nacompletednot on this map

Improving Family-Centered Pediatric Trauma Care: The Standard of Care Versus the Virtual Pediatric Trauma Center

TypeinterventionalSponsorUniversity of California, DavisRan2020 to 2022Enrolled595ConditionsTrauma, InjuriesArmsVirtual Pediatric Trauma Center
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Review
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

12 authors at 3 institutions in 1 country.

James P MarcinDepartment of Pediatrics, University of California, Davis, Sacramento, CA, USA. jpmarcin@ucdavis.edu.ORCID http://orcid.org/0000-0001-7281-6947
Daniel J TancrediDepartment of Pediatrics, University of California, Davis, Sacramento, CA, USA.
Joseph M GalanteDepartment of Surgery, University of California, Davis, Sacramento, CA, USA.
Tanya N RinderknechtDepartment of Surgery, University of California, Davis, Sacramento, CA, USA.
Brian M HausDepartment of Orthopedic Surgery, University of California, Davis, Sacramento, CA, USA.
Holly B LeshikarDepartment of Orthopedic Surgery, University of California, Davis, Sacramento, CA, USA.
Marike ZwienenbergDepartment of Neurological Surgery, University of California, Davis, Sacramento, CA, USA.
Jennifer L RosenthalDepartment of Pediatrics, University of California, Davis, Sacramento, CA, USA.
Kendra L Grether-JonesDepartment of Emergency Medicine, University of California, Davis, Sacramento, CA, USA.
Michelle Y HamlineDepartment of Pediatrics, University of California, Davis, Sacramento, CA, USA.
Jeffrey S HochDepartment of Public Health Sciences, University of California, Davis, Sacramento, CA, USA.
Nathan KuppermannDepartment of Pediatrics, University of California, Davis, Sacramento, CA, USA.
University of California, Davis · USNeurological Surgery · USUniversity of California System · US

Funding

Patient-Centered Outcomes Research Institute IHS-2019C1-16093.
6 · The paper itself

Abstract

backgroundThe current standard of care in the treatment of children with physical trauma presenting to non-designated pediatric trauma centers is consultation with a pediatric trauma center by telephone. This includes contacting a pediatric trauma specialist and transferring any child with a potentially serious injury to a regionalized level I pediatric trauma center. This approach to care frequently results in medically unnecessary transfers and may place undue burdens on families. A newer model of care, the "Virtual Pediatric Trauma Center" (VPTC), uses telemedicine to make the expertise of a level I pediatric trauma center virtually available to any hospital. While the use of the VPTC model of care is increasing, there have been no studies comparing the VPTC to standard care of injured children at non-designated trauma centers with respect to patient- and family-centered outcomes. The goal of this study is to compare the current standard of care to the VPTC with respect to family-centered outcomes developed by parents and community advisory boards.

methodsWe will use a stepped-wedge trial design to enroll children with physical trauma presenting to ten hospitals, including level II, level III, and non-designated trauma centers. The primary outcome measures are parent/family experience of care and distress 3 days following injury. Secondary aims include 30-day healthcare utilization, parent/family out-of-pocket costs at 3 days and 30 days after injury, transfer rates, and parent/family distress 30 days following injury. We expect at least 380 parents/families of children will be eligible for the study following an emergency department physician's request for a level I pediatric trauma center consultation. We will evaluate parent/family experience of care and distress using previously validated instruments, healthcare utilization by family recollection and medical record abstraction, and out-of-pocket costs using standard economic analyses. DISCUSSION: We expect that the findings from this study will inform other level I pediatric trauma centers and non-pediatric trauma centers on how to improve their systems of care for injured children. The results will help to optimize communication, confidence, and shared decision-making between parents/families and clinical staff from both the transferring and receiving hospitals.

trial registrationClinicalTrials.gov Identifier: NCT04469036. Registered July 13, 2020 before start of inclusion.

Indexed as

TelemedicineTrauma CentersChildDelivery of Health CareHumansProspective StudiesStandard of CareEmergency departmentFamily distressPediatricRandomized controlled trialTelehealthTelemedicineTrauma

Identifiers

PMID36575536
PMCPMC9793356
OpenAlexW4313250574

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.