Evidence map›Paper›PMID 38835787›Full record

ArticleJournal of the American College of Emergency Physicians open2024

The hospital costs of high emergency department pediatric readiness.

Katherine E Remick, Marianne Gausche-Hill, Amber Lin, Jeremy D Goldhaber-Fiebert, Benjamin Lang, Ashley Foster, Beech Burns, Peter C Jenkins, Hilary A Hewes, Nathan Kuppermann and 7 more

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Measuring Pediatric Disaster Readiness of United States Emergency Departments.Journal of the American College of Emergency Physicians open · 2026
    Article
  3. Article
  4. Article
  5. The hospital costs of high emergency department pediatric readiness.Journal of the American College of Emergency Physicians open · 2024
    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

17 authors.

Katherine E RemickDepartments of Pediatrics and Surgery Dell Medical School University of Texas at Austin Austin Texas USA.ORCID https://orcid.org/0000-0002-1423-919X
Marianne Gausche-HillDepartments of Emergency Medicine and Pediatrics David Geffen School of Medicine Harbor-UCLA Medical Center Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center Torrance California USA.ORCID https://orcid.org/0000-0002-6367-8455
Amber LinCenter for Policy and Research in Emergency Medicine Department of Emergency Medicine Oregon Health & Science University Portland Oregon USA.
Jeremy D Goldhaber-FiebertDepartment of Health Policy and Center for Health Policy Stanford Medical School and Freeman Spogli Institute Stanford University Stanford California USA.
Benjamin LangDepartments of Pediatrics and Surgery Dell Medical School University of Texas at Austin Austin Texas USA.
Ashley FosterDepartment of Emergency Medicine University of California San Francisco San Francisco California USA.
Beech BurnsCenter for Policy and Research in Emergency Medicine Department of Emergency Medicine Oregon Health & Science University Portland Oregon USA.
Peter C JenkinsDepartment of Surgery Indiana University Indianapolis Indiana USA.
Hilary A HewesDepartment of Pediatrics University of Utah School of Medicine Salt Lake City Utah USA.
Nathan KuppermannDepartment of Emergency Medicine and Pediatrics University of California, Davis School of Medicine Sacramento California USA.
K John McConnellCenter for Policy and Research in Emergency Medicine Department of Emergency Medicine Oregon Health & Science University Portland Oregon USA.
Jennifer MarinDepartment of Pediatrics Emergency Medicine, & Radiology University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA.
Christopher WeyantDepartment of Health Policy and Center for Health Policy Stanford Medical School and Freeman Spogli Institute Stanford University Stanford California USA.
Rachel FordEmergency Medical Services and Trauma Systems Program Oregon Health Authority Portland Oregon USA.
Sean R BabcockCenter for Policy and Research in Emergency Medicine Department of Emergency Medicine Oregon Health & Science University Portland Oregon USA.
Craig D NewgardCenter for Policy and Research in Emergency Medicine Department of Emergency Medicine Oregon Health & Science University Portland Oregon USA.
Pediatric Readiness Study Group

Funding

The Value of Pediatric Readiness in the Emergency Care of Injured ChildrenR24HD085927 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI NEWGARD, CRAIG D. · 2017 to 2021
$2.8M
NICHD NIH HHS R24 HD085927
6 · The paper itself

Abstract

Objective: We estimate annual hospital expenditures to achieve high emergency department (ED) pediatric readiness (HPR), that is, weighted Pediatric Readiness Score (wPRS) ≥ 88 (0-100 scale) across EDs with different pediatric volumes of children, overall and after accounting for current levels of readiness. Methods: We calculated the annual hospital costs of HPR based on two components: (1) ED pediatric equipment and supplies and (2) labor costs required for a Pediatric Emergency Care Coordinator (PECC) to perform pediatric readiness tasks. Data sources to generate labor cost estimates included: 2021 national salary information from U.S. Bureau of Labor Statistics, detailed patient and readiness data from 983 EDs in 11 states, the 2021 National Pediatric Readiness Project assessment; a national PECC survey; and a regional PECC survey. Data sources for equipment and supply costs included: purchasing costs from seven healthcare organizations and equipment usage per ED pediatric volume. We excluded costs of day-to-day ED operations (ie, direct clinical care and routine ED supplies). Results: The total annual hospital costs for HPR ranged from $77,712 (95% CI 54,719-100,694) for low volume EDs to $279,134 (95% CI 196,487-362,179) for very high volume EDs; equipment costs accounted for 0.9-5.0% of expenses. The total annual cost-per-patient ranged from $3/child (95% CI 2-4/child) to $222/child (95% CI 156-288/child). After accounting for current readiness levels, the cost to reach HPR ranged from $23,775 among low volume EDs to $145,521 among high volume EDs, with costs per patient of $4/child to $48/child. Conclusions: Annual hospital costs for HPR are modest, particularly when considered per child.

Indexed as

childrencostsemergencyequipmentmortalitypersonnelreadiness

Identifiers

PMID38835787
PMCPMC11147684

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.