Evidence map›Paper›PMID 39947430›Full record

ArticleAcademic pediatrics

Interpersonal Factors in the Emergency Care of Injured Children and Youth With Special Health Care Needs.

Denise F Lillvis, Brooks Harmon, Hector Osei, Bonnie M Vest, Brian M Clemency, Kunal Chadha, Carroll M Harmon, Jihnhee Yu, Gregory G Homish, Tamara D Simon and 1 more

Abstract read
In one paragraph

Article in Academic pediatrics. 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. Review
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

11 authors.

Denise F LillvisDivision of Health Services Policy and Practice (DF Lillvis and B Harmon), Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, Buffalo, NY; Department of Surgery (DF Lillvis, H Osei, and CM Harmon), Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY. Electronic address: dlillvis@buffalo.edu.
Brooks HarmonDivision of Health Services Policy and Practice (DF Lillvis and B Harmon), Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, Buffalo, NY.
Hector OseiDepartment of Surgery (DF Lillvis, H Osei, and CM Harmon), Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY; Department of Pediatric Surgery (H Osei and CM Harmon), John R. Oishei Children's Hospital, Buffalo, NY.
Bonnie M VestDepartment of Family Medicine (BM Vest), Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY.
Brian M ClemencyDepartment of Emergency Medicine (BM Clemency and EB Lerner), Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY.
Kunal ChadhaDepartment of Pediatrics (K Chadha), Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY.
Carroll M HarmonDepartment of Surgery (DF Lillvis, H Osei, and CM Harmon), Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY; Department of Pediatric Surgery (H Osei and CM Harmon), John R. Oishei Children's Hospital, Buffalo, NY.
Jihnhee YuDepartment of Biostatistics (J Yu), School of Public Health and Health Professions, University at Buffalo, Buffalo, NY.
Gregory G HomishDepartment of Community Health and Health Behavior (GG Homish), School of Public Health and Health Professions, University at Buffalo, Buffalo, NY.
Tamara D SimonChildren's Hospital Los Angeles (TD Simon), Los Angeles, Calif; Division of Hospital Medicine (TD Simon), Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, Calif.
E Brooke LernerDepartment of Emergency Medicine (BM Clemency and EB Lerner), Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY.

Funding

Institutional Career DevelopmentKL2TR001413 · NCATS · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI DUBOCOVICH, MARGARITA L · 2015 to 2024
$4.2M
NCATS NIH HHS KL2 TR001413
6 · The paper itself

Abstract

objectiveChildren and youth with special health care needs (CYSHCN) are those who have one or more chronic conditions necessitating medical, educational, and/or social services use. Of the 15 million CYSHCN, a quarter report accessing emergency care annually, some of whom have physical injuries. This study examines the perspectives, challenges, and opportunities identified by prehospital and hospital clinicians delivering injury care to CYSHCN.

methodsQualitative interviews were conducted with 23 hospital and 13 prehospital clinicians in one geographic region. All interviews were recorded and transcribed; interviews were analyzed using multiple coders and rapid analysis procedures to identify themes.

resultsOne intrapersonal theme pertaining to clinicians' prior experiences and 6 interpersonal themes capture the factors characterized by the participating Emergency Medical Services and hospital-level clinicians. Identified interpersonal themes include 1) how prior experiences of injured CYSHCN shape future encounters with emergency care, 2) communication challenges specific to CYSHCN, 3) parental expertise and guidance during care, 4) emotional support, 5) trust building, and 6) the need to balance accommodations pertaining to the child's special health care need in the emergent care context.

conclusionsIn prehospital and hospital settings, injured CYSHCN may need care for both their physical injury and their special health care need. Prehospital and hospital clinicians, who likely have not previously provided care for the child, are mindful of the opportunities and challenges this situation presents. These results inform an understanding of how clinicians approach care of injured CYSHCN in the emergency setting and indicate opportunities for future exploration, such as how to effectively leverage family strengths in this context.

Indexed as

Children with DisabilitiesEmergency Medical ServicesWounds and InjuriesAdolescentAdultAttitude of Health PersonnelChildChild, PreschoolCommunicationEmergency Service, HospitalFemaleHealth Services Needs and DemandHumansInterviews as TopicMaleParentsadolescentchildpediatric emergency carespecial health care needstrauma centers

Identifiers

PMID39947430
PMCPMC12336359

What OpenQuestion holds

Textmetadata
LicenceTDM
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.