Evidence map›Paper›PMID 40194878›Full record

ArticleBMJ open2025

Association between the use of an app for providing healthcare information for parents and urgent emergency department visits for children: a cross-sectional study in Japan.

Masahiko Sakamoto, Asuka Suzuki, Hirono Ishikawa

Abstract read
In one paragraph

Article in BMJ open, 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. Article
  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

3 authors.

Masahiko SakamotoDepartment of Pediatrics, Saku Central Hospital Advanced Care Center, Saku, Japan masahikoskmt@gmail.com.ORCID http://orcid.org/0000-0001-6049-3140
Asuka SuzukiTeikyo University Graduate School of Public Health, Itabashi, Tokyo, Japan.
Hirono IshikawaTeikyo University Graduate School of Public Health, Itabashi, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the association between the use of medical information applications and urgent emergency room consultation behaviour among parents who visited the emergency department (ED) of their children.

designCross-sectional survey.

settingA primary-level paediatric emergency medical facility in Nagano Prefecture.

participantsParents of children aged 8 years or younger who had visited the medical facility between December 2023 and March 2024. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was defined as an association between the urgency of ED visits and parental use of mobile applications. The secondary outcome was the association between the urgency of ED visits and app evaluations among parents using the app. The urgency of the ED visits was classified according to the Japan Triage and Acuity Scale.

resultsIn total, 386 parents participated in this study (response rate: 91%). Among these, 77% were mothers and the median age was 36.3 years. Of the ED visits by app users, 63.7% were classified as urgent, compared with 41.7% of visits by non-users (adjusted OR: 2.8, 95% CI: 1.7 to 4.7, p<0.001). Among the participants who used the app, 94.4% answered that they would recommend the app and 87.0% answered that the app made it easier to decide whether to visit the hospital. In addition, the proportion of children who revisited the ED within 6 months was higher for children with a medical history than for those without such a history. There were no significant associations between the urgency of ED visits and parental education, self-reported financial status, or whether the parent was a healthcare professional.

conclusionsThe use of the medical information app was significantly associated with parental ED urgency. These findings suggest that such apps may support informed decision-making in paediatric emergency care. Future research should investigate the effect of this app on a broader population, including cases involving ambulance transport.

Indexed as

Emergency Service, HospitalMobile ApplicationsParentsAdultChildChild, PreschoolCross-Sectional StudiesEmergency Room VisitsFemaleHumansInfantJapanMaleCommunity child healthDigital TechnologyHealth LiteracyParentsTriage

Identifiers

PMID40194878
PMCPMC11977463

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.