Evidence map›Paper›PMID 38458804›Full record

ArticleBMJ open2024

Do they stay, or do they go? Children presenting to five emergency departments across New South Wales, Australia with acute burn injuries: a retrospective review.

Wayne Phillips, Erin Southern, Carol Cattell, Penny Owens, Madeleine Jaques, Gregory Melbourne, Shwetha Kezhekkekara, Steven A Frost

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

8 authors.

Wayne PhillipsPaediatrics, Fairfield Hospital, Sydney, New South Wales, Australia.
Erin SouthernPaediatrics, Campbelltown Hospital, Campbelltown, New South Wales, Australia.
Carol CattellWagga Wagga Base Hospital, Wagga Wagga, New South Wales, Australia.
Penny OwensWyong Hospital, Hamlyn Terrace, New South Wales, Australia.
Madeleine JaquesWestmead Children's Hospital, Western Sydney University, Westmead, New South Wales, Australia.
Gregory MelbourneSouth Western Sydney Nursing and Midwifery Research Alliance, Ingham Institute of Applied Medical Research, Liverpool, New South Wales, Australia.
Shwetha KezhekkekaraSouth Western Sydney Nursing and Midwifery Research Alliance, Ingham Institute of Applied Medical Research, Liverpool, New South Wales, Australia.
Steven A FrostPaediatrics, Fairfield Hospital, Sydney, New South Wales, Australia steven.frost@health.nsw.gov.au.ORCID 0000-0002-8879-0486

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe overall objective of the study was to describe the disposition status of children presenting with a burn injury to five emergency departments (ED) across New South Wales (NSW), Australia.

designA retrospective study design was used to review routinely collected ED data.

settingStudy sites included five acute hospitals across NSW, Australia.

participantsDuring the 5-year study period between 1 January 2015 to 31 December 2020, there were 5213 paediatric burn injury presentations.

resultsThe mean age of burn injury presentations was 24 months (Inter-Quartile-Range (IQR) 12-84), of which 57% (2951/5213) were males. The most common presentation time was between 16:00 and 23:59 hours (63%, 3297/5213), and the median time spent in the ED was 3 hours (IQR 1-4). The majority (80%, 4196/5213) of the burn injuries presentations did not require hospital admission. The most common principal diagnoses were 'Burn body region unspecified' (n=1916) and 'Burn of wrist and hand' (n=1060).

conclusionMost children who presented to the hospital with a burn injury were not admitted. Often the details of these burns were poorly recorded and a complete picture of the true burden of burn injury in children, especially the ongoing care given outside the acute hospital setting, is missing. This information is crucial, as it would inform future models of care as the paradigm shifts rapidly towards primary, ambulatory and outpatient models of care.

Indexed as

BurnsAustraliaChildChild, PreschoolEmergency Service, HospitalFemaleHumansMaleNew South WalesRetrospective StudiesHospitalsObservational StudyPaediatric A&E and ambulatory care

Identifiers

PMID38458804
PMCPMC10928792

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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.