Evidence map›Paper›PMID 41589448›Full record

ArticleJournal of pediatric gastroenterology and nutrition2026

Prior emergency department visits predict future emergency department use in pediatric inflammatory bowel disease.

Hannah H Resnick, Christopher J Moran

Abstract read
In one paragraph

Article in Journal of pediatric gastroenterology and nutrition, 2026. 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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Hannah H ResnickDepartment of Pediatrics, MassGeneral for Children, Boston, Massachusetts, USA.ORCID https://orcid.org/0009-0007-8735-1768
Christopher J MoranDepartment of Pediatrics, MassGeneral for Children, Boston, Massachusetts, USA.

Funding

Harvard Clinical and Translational Science CenterUM1TR004408 · NCATS · HARVARD MEDICAL SCHOOL · PI Lindsey Robert Baden, Lee Marshall Nadler · 2023 to 2026
$43.3M
Harvard Catalyst | The Harvard Clinical and Translational Science Center UM1TR004408Harvard Catalyst | The Harvard Clinical and Translational Science Center (National Center for Advancing Translational Sciences, National Institutes of Health) UM1TR004408Harvard University; Talbot Society of MassGeneral for ChildrenNCATS NIH HHS UM1 TR004408Talbot Society of MassGeneral for Children
6 · The paper itself

Abstract

objectivesEmergency department (ED) visits represent a significant cost in the care of children with inflammatory bowel disease (IBD). Many of these visits are potentially preventable. We aimed to evaluate factors associated with ED use in pediatric patients with IBD.

methodsPatients with IBD aged 0-21 years at a single tertiary center were identified via electronic medical record query. Demographics, disease characteristics, and recent laboratory results were extracted. ED visits in the 6 months following data extraction were tallied. Multivariable logistic regression was performed to evaluate risk factors for ED use. Kaplan-Meier curve analysis was used to understand the risk of IBD-related ED use over time following initial diagnosis.

resultsOf the 531 patients identified, 49 (9%) visited the ED during the study period and 22 (4.1%) had an IBD-related visit. Number of recent ED visits (odds ratio [OR] 3.168, 95% confidence interval [CI] 1.925-5.466), public insurance (OR 2.232, 95% CI 1.021-4.665), and IBD diagnosis within the last 6 months (OR 2.964, 95% CI 1.039-7.918) were risk factors for all-cause ED use, though only number of recent ED visits (OR 2.105, 95% CI 1.110-3.668) was associated with IBD-related ED use. For the 391 patients included in the analysis of IBD-related ED use over time, the rate of ED use was highest the first month after diagnosis (slope 0.268, 95% CI 0.258-0.279) and plateaued over the following year.

conclusionsRecent ED use, regardless of cause, is an important risk factor for IBD-related ED use in pediatric patients. The first several months after diagnosis constitute a particularly high-risk time for ED use.

Indexed as

Emergency Room VisitsEmergency Service, HospitalInflammatory Bowel DiseasesAdolescentChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleRetrospective StudiesRisk FactorsYoung Adultacute caredisease activitydisease biomarkershealthcare costs

Identifiers

PMID41589448
PMCPMC12989209

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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.