Evidence map›Paper›PMID 36775807›Full record

ArticlePediatrics2023

Follow-up After Pediatric Mental Health Emergency Visits.

Jennifer A Hoffmann, Polina Krass, Jonathan Rodean, Naomi S Bardach, Rachel Cafferty, Tumaini R Coker, Gretchen J Cutler, Matthew Hall, Rustin B Morse, Katherine A Nash and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
12.2field-weighted citation impact, top 1% 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

17 citing papers in PubMed, 35 citations in OpenAlex.

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  16. Management of youth with suicidal ideation: Challenges and best practices for emergency departments.Journal of the American College of Emergency Physicians open · 2024
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  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 11 institutions in 1 country.

Jennifer A HoffmannDivision of Emergency Medicine, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Polina KrassDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Jonathan RodeanChildren's Hospital Association, Lenexa, Kansas.
Naomi S BardachDepartment of Pediatrics and Philip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, California.
Rachel CaffertyDivision of Emergency Medicine, Department of Pediatrics, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado.
Tumaini R CokerDepartment of Pediatrics, University of Washington School of Medicine and Seattle Children's Research Institute, Seattle, Washington.
Gretchen J CutlerChildren's Minnesota Research Institute, Children's Minnesota, Minneapolis, Minnesota.
Matthew HallChildren's Hospital Association, Lenexa, Kansas.
Rustin B MorseDepartment of Pediatrics, The Ohio State University, Columbus, Ohio.
Katherine A NashDepartment of Pediatrics, New York Presbyterian Morgan Stanley Childrens Hospital, Columbia University, New York City, New York.
Kavita ParikhDivision of Hospital Medicine, Children's National Hospital, George Washington University School of Medicine and Health Sciences, Washington, District of Columbia.
Bonnie T ZimaCenter for Health Services and Society, UCLA-Semel Institute for Neuroscience and Human Behavior, University of California at Los Angeles, Los Angeles, California.
Children's Hospital Association · USChildren's Hospital Colorado · USChildren's Hospital of Philadelphia · USChildren's Minnesota · USGeorge Washington University Hospital · USLurie Children's Hospital · USMorgan Stanley Children's Hospital · USNationwide Children's Hospital · USUniversity of California, Los Angeles · USUniversity of California, San Francisco · USUniversity of Washington · US

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 examine how outpatient mental health (MH) follow-up after a pediatric MH emergency department (ED) discharge varies by patient characteristics and to evaluate the association between timely follow-up and return encounters.

methodsWe conducted a retrospective study of 28 551 children aged 6 to 17 years with MH ED discharges from January 2018 to June 2019, using the IBM Watson MarketScan Medicaid database. Odds of nonemergent outpatient follow-up, adjusted for sociodemographic and clinical characteristics, were estimated using logistic regression. Cox proportional hazard models were used to evaluate the association between timely follow-up and risk of return MH acute care encounters (ED visits and hospitalizations).

resultsFollowing MH ED discharge, 31.2% and 55.8% of children had an outpatient MH visit within 7 and 30 days, respectively. The return rate was 26.5% within 6 months. Compared with children with no past-year outpatient MH visits, those with ≥14 past-year MH visits had 9.53 odds of accessing follow-up care within 30 days (95% confidence interval [CI], 8.75-10.38). Timely follow-up within 30 days was associated with a 26% decreased risk of return within 5 days of the index ED discharge (hazard ratio, 0.74; 95% CI, 0.63-0.91), followed by an increased risk of return thereafter.

conclusionsConnection to outpatient care within 7 and 30 days of a MH ED discharge remains poor, and children without prior MH outpatient care are at highest risk for poor access to care. Interventions to link to outpatient MH care should prioritize follow-up within 5 days of an MH ED discharge.

Indexed as

HospitalizationMental HealthChildEmergency Service, HospitalFollow-Up StudiesHumansPatient DischargeRetrospective Studies

Identifiers

PMID36775807
PMCPMC10187982
OpenAlexW4320179252

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.