Evidence map›Paper›PMID 38481143›Full record

Observational studyBMC primary care2024

One-year emergency department visits for children < 18 years of age, associated factors and frequency of primary general practitioner or pediatrician visits before: a French observational study (2018-19).

Jeanne Pergeline, Thomas Lesuffleur, Jeanne Fresson, Annick Vilain, Antoine Rachas, Philippe Tuppin

Open access · goldAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC primary care, 2024. 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
3.5field-weighted citation impact, top 9% 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, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

6 authors at 1 institution in 1 country.

Jeanne PergelineDirection de la Stratégie, des Etudes et des Statistiques, Caisse nationale de l'assurance maladie, 26-50, Avenue du Professeur André Lemierre, Paris, Cedex 20, 75986, France.
Thomas LesuffleurDirection de la Stratégie, des Etudes et des Statistiques, Caisse nationale de l'assurance maladie, 26-50, Avenue du Professeur André Lemierre, Paris, Cedex 20, 75986, France.
Jeanne FressonDirection de la recherche, des études, de l'évaluation et des statistiques, 10 place des cinq martyrs du lycée Buffon, Paris, 75014, France.
Annick VilainDirection de la recherche, des études, de l'évaluation et des statistiques, 10 place des cinq martyrs du lycée Buffon, Paris, 75014, France.
Antoine RachasDirection de la Stratégie, des Etudes et des Statistiques, Caisse nationale de l'assurance maladie, 26-50, Avenue du Professeur André Lemierre, Paris, Cedex 20, 75986, France.
Philippe TuppinDirection de la Stratégie, des Etudes et des Statistiques, Caisse nationale de l'assurance maladie, 26-50, Avenue du Professeur André Lemierre, Paris, Cedex 20, 75986, France. philippe.tuppin@assurance-maladie.fr.
l'Assurance Maladie · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study was designed to identify factors associated with at least one emergency department (ED) visit and those associated without consultation by a general practitioner or paediatrician (GPP) before ED visit. Levels of annual consumption of healthcare services as a function of the number of ED visit were reported.

methodsThis retrospective study focused on children < 18 years of age living in mainland France and followed for one-year after their birth or birthday in 2018. Children were selected from the national health data system, which includes data on healthcare reimbursements, long-term chronic diseases (LTD) eligible for 100% reimbursement, and individual complementary universal insurance (CMUc) status granted to households with a low annual income. Adjusted odds ratios (OR) were estimated using multivariate logistic regression.

resultsThere were 13.211 million children included (94.2% of children; girls 48.8%). At least one annual ED visit was found for 24% (1: 16%, 2: 5%, 3 or more: 3%) and 14% of visits led to hospitalization. Factors significantly associated with at least one ED visit were being a girl (47.1%; OR = 0.92), age < 1 year (9.1%; OR = 2.85), CMUc (22.7%, OR = 1.45), an ED in the commune of residence (33.3%, OR = 1.15), type 1 diabetes (0.25%; OR = 2.4), epilepsy (0.28%; OR = 2.1), and asthma (0.39%; OR = 2.0). At least one annual short stay hospitalisation (SSH) was found for 8.8% children of which 3.4% after an ED visit. A GPP visit the three days before or the day of the ED visit was found for 19% of children (< 1 year: 29%, 14-17 years: 13%). It was 30% when the ED was followed by SSH and 17% when not. Significant factors associated with the absence of a GPP visit were being a girl (OR = 0.9), age (1 year OR = 1.4, 14-17 years OR = 3.5), presence of an ED in the commune of residence (OR = 1.12), epilepsy LTD (OR = 1.1).

conclusionThe low level of visits to GPP prior to a visit to the ED and the associated factors are the elements to be taken into account for appropriate policies to limit ED overcrowding. The same applies to factors associated with a visit to the ED, in order to limit daily variations.

Indexed as

EpilepsyGeneral PractitionersChildEmergency Room VisitsEmergency Service, HospitalFemaleHumansInfantInsurance CoverageRetrospective StudiesAdministrative claimsAmbulatory healthcare useChildrenChronic diseasesEmergency serviceHigh usersHospitalisation

Identifiers

PMID38481143
PMCPMC10935850
OpenAlexW4392761421

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.