Evidence map›Paper›PMID 37848258›Full record

ArticleCMAJ open

Readiness of emergency departments for pediatric patients and pediatric mortality: a systematic review.

Jessica A Harper, Amanda C Coyle, Clara Tam, Megan Skakum, Mirna Ragheb, Lucy Wilson, Mê-Linh Lê, Terry P Klassen, Alex Aregbesola

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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

9 authors at 1 institution in 1 country.

Jessica A HarperDepartment of Pediatrics and Child Health (Harper, Klassen, Aregbesola), University of Manitoba; Children's Hospital Research Institute of Manitoba (Coyle, Tam, Skakum, Ragheb, Wilson, Klassen, Aregbesola), University of Manitoba, Winnipeg, Man.; Faculty of Medicine and Dentistry (Coyle), University of Alberta, Edmonton, Alta.; Max Rady College of Medicine (Skakum, Ragheb, Wilson); Neil John Maclean Health Sciences Library (Lê); Centre for Healthcare Innovation (Klassen), University of Manitoba, Winnipeg, Man. jharper6@manitoba-physicians.ca.
Amanda C CoyleDepartment of Pediatrics and Child Health (Harper, Klassen, Aregbesola), University of Manitoba; Children's Hospital Research Institute of Manitoba (Coyle, Tam, Skakum, Ragheb, Wilson, Klassen, Aregbesola), University of Manitoba, Winnipeg, Man.; Faculty of Medicine and Dentistry (Coyle), University of Alberta, Edmonton, Alta.; Max Rady College of Medicine (Skakum, Ragheb, Wilson); Neil John Maclean Health Sciences Library (Lê); Centre for Healthcare Innovation (Klassen), University of Manitoba, Winnipeg, Man.
Clara TamDepartment of Pediatrics and Child Health (Harper, Klassen, Aregbesola), University of Manitoba; Children's Hospital Research Institute of Manitoba (Coyle, Tam, Skakum, Ragheb, Wilson, Klassen, Aregbesola), University of Manitoba, Winnipeg, Man.; Faculty of Medicine and Dentistry (Coyle), University of Alberta, Edmonton, Alta.; Max Rady College of Medicine (Skakum, Ragheb, Wilson); Neil John Maclean Health Sciences Library (Lê); Centre for Healthcare Innovation (Klassen), University of Manitoba, Winnipeg, Man.
Megan SkakumDepartment of Pediatrics and Child Health (Harper, Klassen, Aregbesola), University of Manitoba; Children's Hospital Research Institute of Manitoba (Coyle, Tam, Skakum, Ragheb, Wilson, Klassen, Aregbesola), University of Manitoba, Winnipeg, Man.; Faculty of Medicine and Dentistry (Coyle), University of Alberta, Edmonton, Alta.; Max Rady College of Medicine (Skakum, Ragheb, Wilson); Neil John Maclean Health Sciences Library (Lê); Centre for Healthcare Innovation (Klassen), University of Manitoba, Winnipeg, Man.
Mirna RaghebDepartment of Pediatrics and Child Health (Harper, Klassen, Aregbesola), University of Manitoba; Children's Hospital Research Institute of Manitoba (Coyle, Tam, Skakum, Ragheb, Wilson, Klassen, Aregbesola), University of Manitoba, Winnipeg, Man.; Faculty of Medicine and Dentistry (Coyle), University of Alberta, Edmonton, Alta.; Max Rady College of Medicine (Skakum, Ragheb, Wilson); Neil John Maclean Health Sciences Library (Lê); Centre for Healthcare Innovation (Klassen), University of Manitoba, Winnipeg, Man.
Lucy WilsonDepartment of Pediatrics and Child Health (Harper, Klassen, Aregbesola), University of Manitoba; Children's Hospital Research Institute of Manitoba (Coyle, Tam, Skakum, Ragheb, Wilson, Klassen, Aregbesola), University of Manitoba, Winnipeg, Man.; Faculty of Medicine and Dentistry (Coyle), University of Alberta, Edmonton, Alta.; Max Rady College of Medicine (Skakum, Ragheb, Wilson); Neil John Maclean Health Sciences Library (Lê); Centre for Healthcare Innovation (Klassen), University of Manitoba, Winnipeg, Man.
Mê-Linh LêDepartment of Pediatrics and Child Health (Harper, Klassen, Aregbesola), University of Manitoba; Children's Hospital Research Institute of Manitoba (Coyle, Tam, Skakum, Ragheb, Wilson, Klassen, Aregbesola), University of Manitoba, Winnipeg, Man.; Faculty of Medicine and Dentistry (Coyle), University of Alberta, Edmonton, Alta.; Max Rady College of Medicine (Skakum, Ragheb, Wilson); Neil John Maclean Health Sciences Library (Lê); Centre for Healthcare Innovation (Klassen), University of Manitoba, Winnipeg, Man.
Terry P KlassenDepartment of Pediatrics and Child Health (Harper, Klassen, Aregbesola), University of Manitoba; Children's Hospital Research Institute of Manitoba (Coyle, Tam, Skakum, Ragheb, Wilson, Klassen, Aregbesola), University of Manitoba, Winnipeg, Man.; Faculty of Medicine and Dentistry (Coyle), University of Alberta, Edmonton, Alta.; Max Rady College of Medicine (Skakum, Ragheb, Wilson); Neil John Maclean Health Sciences Library (Lê); Centre for Healthcare Innovation (Klassen), University of Manitoba, Winnipeg, Man.
Alex AregbesolaDepartment of Pediatrics and Child Health (Harper, Klassen, Aregbesola), University of Manitoba; Children's Hospital Research Institute of Manitoba (Coyle, Tam, Skakum, Ragheb, Wilson, Klassen, Aregbesola), University of Manitoba, Winnipeg, Man.; Faculty of Medicine and Dentistry (Coyle), University of Alberta, Edmonton, Alta.; Max Rady College of Medicine (Skakum, Ragheb, Wilson); Neil John Maclean Health Sciences Library (Lê); Centre for Healthcare Innovation (Klassen), University of Manitoba, Winnipeg, Man.
University of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost children who need emergency care visit general emergency departments and urgent care centres; the weighted pediatric readiness score (WPRS) is currently used to evaluate emergency departments' readiness for pediatric patients. The aim of this study was to determine whether a higher WPRS was associated with decreased mortality and improved health care outcomes and utilization.

methodsWe conducted a systematic review of cohort and cross-sectional studies on emergency departments that care for children (age ≤ 21 yr). We searched MEDLINE (Ovid), Embase (Ovid), the Cochrane Library (Wiley), CINAHL (EBSCO), Global Health (Ovid) and Scopus from inception until July 29, 2022. Articles identified were screened for inclusion by 2 independent reviewers. The primary outcome was mortality, and the secondary outcomes were health care outcomes and utilization. We used the Newcastle-Ottawa Scale to assess for quality and bias of the included studies. The

resultsWe identified 1789 articles. Eight articles were included in the final analysis. Three studies showed an inverse association between highest WPRS quartile and pediatric mortality (pooled odds ratio [OR] 0.45, 95% confidence interval [CI] 0.26 to 0.78;

interpretationThe data suggest a potential inverse association between the WPRS of emergency departments and mortality risk in children. More studies are needed to refute or confirm these findings. PROTOCOL REGISTRATION: PROSPERO-CRD42020191149.

Identifiers

PMID37848258
PMCPMC10586495
OpenAlexW4387712596

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.