Evidence map›Paper›PMID 37811360›Full record

ArticleJournal of the American College of Emergency Physicians open2023

Examination of disparities in prehospital encounters for pediatric asthma exacerbations.

Lauren Riney, Sam Palmer, Erik Finlay, Andrew Bertrand, Shannon Burcham, Phyllis Hendry, Manish Shah, Kathryn Kothari, David W Ashby, Daniel Ostermayer and 11 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Observational
  2. Article
  3. Examination of disparities in prehospital encounters for pediatric asthma exacerbations.Journal of the American College of Emergency Physicians open · 2023
    Article
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

21 authors at 12 institutions in 1 country.

Lauren RineyCincinnati Children's Hospital Medical Center University of Cincinnati College of Medicine Cincinnati Ohio USA.
Sam PalmerCollege of Design, Construction, and Planning University of Florida GeoPlan Center Gainesville Florida USA.
Erik FinlayCollege of Design, Construction, and Planning University of Florida GeoPlan Center Gainesville Florida USA.
Andrew BertrandDepartment of Emergency Medicine University of Florida College of Medicine Jacksonville Florida USA.
Shannon BurchamDepartment of Pediatrics University of Florida College of Medicine Gainesville Florida USA.
Phyllis HendryDepartment of Emergency Medicine University of Florida College of Medicine Jacksonville Florida USA.
Manish ShahBaylor College of Medicine Texas Children's Hospital Houston Texas USA.
Kathryn KothariBaylor College of Medicine Texas Children's Hospital Houston Texas USA.
David W AshbyBaylor College of Medicine Texas Children's Hospital Houston Texas USA.
Daniel OstermayerMcGovern Medical School University of Texas Health Houston Texas USA.
Olga SemenovaCincinnati Children's Hospital Medical Center University of Cincinnati College of Medicine Cincinnati Ohio USA.
Benjamin N AboLee County Emergency Medical Services Fort Myers Florida USA.
Benjamin AbesLee County Emergency Medical Services Fort Myers Florida USA.
Nichole ShimkoGolisano Children's Hospital of Southwest Florida Fort Myers Florida USA.
Emily MyersSarasota County Fire Department Sarasota Florida USA.
Marshall FrankDepartment of Emergency Medicine Florida State University College of Medicine Tallahassee Florida USA.
Tim TurnerWalton County Fire Rescue Department Defuniak Springs Florida USA.
Mac KempLeon County EMS Tallahassee Florida USA.
Kim LandryLeon County EMS Tallahassee Florida USA.
Greg RolandNassau County Fire Department Yulee Florida USA.
Jennifer N FisheDepartment of Emergency Medicine University of Florida College of Medicine Jacksonville Florida USA.
University of Florida · USFlorida College · USSchool District of Lee County · USTexas Children's Hospital · USBaylor College of Medicine · USCincinnati Children's Hospital Medical Center · USFlorida State University · USGolisano Children's Hospital of Southwest Florida · USNew York City Fire Department · USThe University of Texas Health Science Center at Houston · USUniversity of Cincinnati · USWalton County School District · US

Funding

Early Administration of Steroids in the Ambulance Setting: An Observational Design TrialK23HL149991 · NHLBI · UNIVERSITY OF FLORIDA · PI FISHE, JENNIFER NOEL · 2020 to 2024
$729k
NHLBI NIH HHS K23 HL149991
6 · The paper itself

Abstract

Introduction: There are disparities in multiple aspects of pediatric asthma care; however, prehospital care disparities are largely undescribed. This study's objective was to examine racial and geographic disparities in emergency medical services (EMS) medication administration to pediatric patients with asthma. Methods: This is a substudy of the Early Administration of Steroids in the Ambulance Setting: An Observational Design Trial, which includes data from pediatric asthma patients ages 2-18 years. We examined rates of EMS administration of systemic corticosteroids and inhaled bronchodilators by patient race. We geocoded EMS scene addresses, characterized the locations' neighborhood-based conditions and resources relevant to children using the Child Opportunity Index (COI) 2.0, and analyzed associations between EMS scene address COI with medications administered by EMS. Results: A total of 765 patients had available racial data and 825 had scene addresses that were geocoded to a COI. EMS administered at least 1 bronchodilator to 84.7% ( Conclusions: There were no racial differences in EMS administration of medications to pediatric asthma patients. However, there were significantly higher rates of EMS bronchodilator administration for encounters in low/very low COIs. That latter finding may reflect inequities in asthma exacerbation severity for patients living in disadvantaged areas.

Indexed as

asthmaChild Opportunity Indexemergency medical serviceshealth disparitiespediatric

Identifiers

PMID37811360
PMCPMC10560007
OpenAlexW4387433654

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.