Evidence map›Paper›PMID 41139425›Full record

ArticleHospital pediatrics2025

Association of Financial Distress With Nonmedical Out-of-Pocket Expenses in Those With Critical Illness.

Vidya S Mahavadi, David Aaby, Erin Paquette, Anna Chorniy, Carolyn Foster, Denise M Goodman

Abstract read
In one paragraph

Article in Hospital pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

6 authors.

Vidya S MahavadiDivision of Critical Care Medicine, Department of Pediatrics, Valley Children's Hospital, Madera, California.
David AabyDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Erin PaquetteDivision of Critical Care Medicine, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Anna ChorniyCenter for Child Health Services Research, Mindich Child Health and Development Institute, Icahn School of Medicine at Mount Sinai, New York, New York.
Carolyn FosterDivision of Advanced General Pediatrics and Primary Care, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Denise M GoodmanDivision of Critical Care Medicine, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Funding

HOMeVent4Kids: Home-based Optimization of Mechanical Ventilation for ChildrenK23HL149829 · NHLBI · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI FOSTER, CAROLYN C. · 2020 to 2024
$775k
ADaPT to Engage: Assessing for Disparities and Potential Targets for Intervention to Engage Acutely Ill Children in ResearchK23HD098289 · NICHD · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI PAQUETTE, ERIN D · 2020 to 2024
$722k
NHLBI NIH HHS K23 HL149829NICHD NIH HHS K23 HD098289NICHD NIH HHS L40 HD089260
6 · The paper itself

Abstract

objectiveFinancial distress related to critical illness worsens clinical outcomes and is affected by objective financial difficulty or subjective perception of financial distress. Sources of financial distress include nonmedical out-of-pocket expenses (NOPEs; eg, food), but their impact on perceived financial distress is poorly understood, especially in pediatric critical care. We examine the association among overall NOPEs, their components, and perceived financial distress in families with children who have a critical illness.

methodsThis was a single-site cross-sectional survey (conducted from September 2021 to August2022) of caregivers of children admitted to the pediatric intensive care unit (PICU). Perceived financial condition was measured by the InCharge Financial Distress/Financial Well-Being tool and categorized as high (1.0-4.0), average (4.1-6.9), or low (≥7.0) distress. NOPEs included costs of transportation, food, childcare, and housing, reported as proportions of weekly income. We used ordinal logistic regression to examine the relationship between NOPEs and perceived financial distress.

resultsA total of 332 families were approached, and 279 provided consent (84%); 149 families returned surveys (53%). A total of 30% of families reported high distress, 45% reported average distress, and 25% reported low distress. Median proportion of total NOPEs relative to income was 34.7% for families with high distress, 12.7% for those with average distress, and 5.2% for those with low distress. The odds of increased financial distress was associated with the proportion of weekly income spent on total NOPEs (adjusted odds ratio [aOR], 1.02; 95% CI: 1.01-1.04) and on food (aOR, 1.22; 95% CI: 1.06-1.44).

conclusionsIn this PICU population, proportions of weekly income spent on total NOPEs and, separately, on food were associated with perceived financial distress. Potential policy interventions could target reducing the burden of NOPEs to mitigate financial distress.

Indexed as

CaregiversCritical IllnessFinancial StressFinancing, PersonalHealth ExpendituresAdolescentAdultChildChild, PreschoolCross-Sectional StudiesFemaleHumansInfantIntensive Care Units, PediatricMale

Identifiers

PMID41139425
PMCPMC13097067

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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.