Evidence map›Paper›PMID 39979973›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2025

Critical interventions, diagnosis, and mortality in children treated by a physician-manned mobile emergency care unit.

Alexandra Claire McKenzie, Mads Belger Risom, Jens-Jakob Kjer Møller, Johan Mikkelsen, Sarah Friis Skole-Sørensen, Vibe Maria Laden Nielsen, Nicola Groes Clausen, Søren Mikkelsen

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Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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.

Alexandra Claire McKenzieThe Prehospital Research Unit, Region of Southern Denmark, Odense University Hospital, Odense, Denmark.
Mads Belger RisomThe Prehospital Research Unit, Region of Southern Denmark, Odense University Hospital, Odense, Denmark.
Jens-Jakob Kjer MøllerOpen Patient Data Explorative Network, Odense University Hospital, Odense, Denmark.
Johan MikkelsenThe Prehospital Research Unit, Region of Southern Denmark, Odense University Hospital, Odense, Denmark.
Sarah Friis Skole-SørensenThe Prehospital Research Unit, Region of Southern Denmark, Odense University Hospital, Odense, Denmark.
Vibe Maria Laden NielsenCentre for Prehospital and Emergency Research, Aalborg University, Aalborg, Denmark.
Nicola Groes ClausenDepartment Anaesthesiology Intensive Care Medicine, Odense University Hospital, Odense, Denmark.
Søren MikkelsenThe Prehospital Research Unit, Region of Southern Denmark, Odense University Hospital, Odense, Denmark. Soeren.mikkelsen@rsyd.dk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to clarify the potentially life-saving critical interventions performed on children below the age of seven by the physician-manned mobile emergency care unit (MECU) in Odense, Denmark. We investigated critical interventions in relation to morbidity and mortality.

methodsA retrospective cohort study of all MECU missions involving children below the age of seven. The study period was from October 1 2007 to December 31 2020. Data sources were the MECU Odense database, the Danish National Patient Registry, and the Danish Civil Registration System. Variables were critical interventions, the severity of injury/illness, MECU on-scene time, in-hospital diagnosis and 7-day, 30-day, and 90-day mortality.

resultsThe MECU carried out 4,032 missions to children below 7 years. 88 patients (2.2%) received at least one critical prehospital intervention. Upper airway suction was performed in 39 cases (1.0%), endotracheal intubation (all causes) in 36 cases (0.9%), and intraosseous access in 21 cases (0.5%). General anaesthesia was induced in 29 cases (0.7%). Seventeen patients (0.4%) received cardiopulmonary resuscitation and two patients received manual defibrillation (< 0.1%). 3,278 patients were admitted to the hospital and assigned a diagnosis when discharged. The most common diagnoses were assigned within the International Statistical Classification of Diseases and Related Health Problems 10th Revision Chapter XVIII (Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified), which includes febrile convulsions. 1,437 patients (43.8%) were assigned diagnoses within this diagnosis group. The overall 7-day mortality in the cohort was 0.74%, 30-day mortality was 0.82%, and 90-day mortality was 1.02%.

conclusionPrehospital critical interventions are rarely performed in children under the age of 7 years. The low frequency of these interventions may have implications for maintaining the clinical routine of the prehospital care providers.

Indexed as

Emergency Medical ServicesMobile Health UnitsWounds and InjuriesChildChild, PreschoolDenmarkFemaleHumansInfantInfant, NewbornMaleRegistriesRetrospective StudiesCritical prehospital interventionsPrehospital critical carePrehospital paediatrics

Identifiers

PMID39979973
PMCPMC11844162

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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.