Evidence map›Paper›PMID 38373777›Full record

SynthesisArchives of disease in childhood2024

Admissions to paediatric medical wards with a primary mental health diagnosis: a systematic review of the literature.

Adriana Vázquez-Vázquez, Abigail Smith, Faith Gibson, Helen Roberts, Gabrielle Mathews, Joseph Lloyd Ward, Russell M Viner, Dasha Nicholls, Francesca Cornaglia, Damian Roland and 2 more

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Archives of disease in childhood, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Article
  5. Article
  6. 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

12 authors.

Adriana Vázquez-VázquezPopulation, Policy and Practice Research Programme, UCL Great Ormond Street Institute of Child Health, London, UK adriana.vazquez.15@ucl.ac.uk.ORCID 0000-0002-9269-741X
Abigail SmithPopulation, Policy and Practice Research Programme, UCL Great Ormond Street Institute of Child Health, London, UK.
Faith GibsonPopulation, Policy and Practice Research Programme, UCL Great Ormond Street Institute of Child Health, London, UK.ORCID 0000-0002-8125-4584
Helen RobertsPopulation, Policy and Practice Research Programme, UCL Great Ormond Street Institute of Child Health, London, UK.ORCID 0000-0002-6319-061X
Gabrielle MathewsCYP Transformation Team, NHS England and NHS Improvement London, London, UK.
Joseph Lloyd WardPopulation, Policy and Practice Research Programme, UCL Great Ormond Street Institute of Child Health, London, UK.ORCID 0000-0001-7263-8845
Russell M VinerPopulation, Policy and Practice Research Programme, UCL Great Ormond Street Institute of Child Health, London, UK.
Dasha NichollsDivision of Psychiatry, Imperial College London, London, UK.ORCID 0000-0001-7257-6605
Francesca CornagliaQueen Mary University of London, London, UK.
Damian RolandSAPPHIRE Group, Population Health Sciences, Leicester University, Leicester, UK.ORCID 0000-0001-9334-5144
Kirsty PhillipsPopulation, Policy and Practice Research Programme, UCL Great Ormond Street Institute of Child Health, London, UK.
Lee D HudsonPopulation, Policy and Practice Research Programme, UCL Great Ormond Street Institute of Child Health, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo systematically review the literature describing children and young people (CYP) admissions to paediatric general wards because of primary mental health (MH) reasons, particularly in MH crisis.

designPubMed, Embase, PsycINFO, Web of Science and Google Scholar were searched, with no restriction on country or language. We addressed five search questions to inform: trends and/or the number of admissions, the risk factors for adverse care, the experiences of CYP, families/carers and healthcare professionals (HCPs) and the evidence of interventions aimed at improving the care during admissions.Two reviewers independently assessed the relevance of abstracts identified, extracted data and undertook quality assessment. This review was registered with PROSPERO (CRD42022350655).

resultsThirty-two studies met the inclusion criteria. Eighteen addressed trends and/or numbers/proportions of admissions, 12 provided data about the views/experiences of HCPs, two provided data about CYP's experiences and four explored improving care. We were unable to identify studies examining risk factors for harm during admissions, but studies did report the length of stay in general paediatric/adult settings while waiting for specialised care, which could be considered a risk factor while caring for this group.

conclusionsMH admissions to children's wards are a long-standing issue and are increasing. CYP will continue to need to be admitted in crisis, with paediatric wards a common location while waiting for assessment. For services to be delivered effectively and for CYP and their families/carers to feel supported and HCPs to feel confident, we need to facilitate more integrated physical and MH pathways of care. PROSPERO REGISTRATION NUMBER: CRD42022350655.

Indexed as

Mental DisordersAdolescentChildHospitalizationHumansPatient AdmissionRisk FactorsChild PsychiatryMental health

Identifiers

PMID38373777
PMCPMC11347246

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.