Evidence map›Paper›PMID 39931925›Full record

ArticleEmergency medicine Australasia : EMA2025

Factors associated with extended length of stay for paediatric mental health presentations to EDs in South Western Sydney, Australia.

Jahidur Rahman Khan, James Rufus John, Paul M Middleton, Yao Huang, Ping-I Daniel Lin, Nan Hu, Bin Jalaludin, Paul Chay, Raghu Lingam, Valsamma Eapen

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Emergency medicine Australasia : EMA, 2025. 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

10 authors.

Jahidur Rahman KhanSchool of Clinical Medicine, University of New South Wales, Sydney, New South Wales, Australia.
James Rufus JohnSchool of Clinical Medicine, University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0002-8720-8300
Paul M MiddletonSchool of Clinical Medicine, University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0003-0760-1098
Yao HuangIngham Institute of Applied Medical Research, Liverpool, New South Wales, Australia.
Ping-I Daniel LinSchool of Clinical Medicine, University of New South Wales, Sydney, New South Wales, Australia.
Nan HuSchool of Clinical Medicine, University of New South Wales, Sydney, New South Wales, Australia.
Bin JalaludinIngham Institute of Applied Medical Research, Liverpool, New South Wales, Australia.
Paul ChaySchool of Clinical Medicine, University of New South Wales, Sydney, New South Wales, Australia.
Raghu LingamSchool of Clinical Medicine, University of New South Wales, Sydney, New South Wales, Australia.
Valsamma EapenSchool of Clinical Medicine, University of New South Wales, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to determine the factors associated with extended length of stay (LOS) for paediatric mental health (MH)-related presentations to the EDs in South Western Sydney (SWS).

methodsWe analysed electronic medical records (eMRs) of 7444 MH-related ED encounters of children and young people (CYP) aged up to 18 years from all six public hospitals in SWS from January 2016 to April 2022. Extended LOS was defined as encounters of more than 4 h. We assessed factors associated with extended LOS using a multi-level logistic regression model, accounting for hospital-level clustering.

resultsApproximately, 57.6% of all paediatric MH-related ED presentations involved extended LOS. ED presentations by adolescents, patients with a culturally and linguistically diverse background, and those with ambulance arrival had increased odds of extended LOS compared to their counterparts. The odds of extended LOS were lower for encounters that occurred on weekends compared to weekdays, but the odds were higher for presentations that happened at night than during the day. Deliberate self-harm, eating disorder, and schizophrenia spectrum disorders/psychosis-related presentations had higher odds of extended LOS than other MH-related presentations. Patients with MH presentations that required urgent evaluation (triage levels 1-2) had higher odds of extended LOS. Further, the odds of extended LOS were considerably lower during the COVID-19 period compared to the pre-COVID-19 period.

conclusionOur findings highlight the need for equitable distribution of resources directed towards at-risk CYP to improve MH outcomes and reduce health system burden.

Indexed as

Emergency Service, HospitalLength of StayMental DisordersAdolescentAustraliaChildChild, PreschoolFemaleHumansInfantLogistic ModelsMaleNew South WalesEDextended length of staymental healthpaediatrics

Identifiers

PMID39931925
PMCPMC11811920

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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.