Evidence map›Paper›PMID 41748269›Full record

ArticleBMJ paediatrics open2026

High frequency emergency department use and heterogeneity of reasons for attendance by children and young people: a retrospective cohort study.

Akshay Kumar, Rebecca M Simpson, Kerryn Husk, Graham D Johnson, Chris Burton

Abstract read
In one paragraph

Article in BMJ paediatrics open, 2026. 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. 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

5 authors.

Akshay KumarUniversity of Leeds, Leeds, UK a.kumar@leeds.ac.uk.ORCID http://orcid.org/0009-0000-2487-0551
Rebecca M SimpsonScHARR, The University of Sheffield, Sheffield, UK.ORCID http://orcid.org/0000-0003-1677-5938
Kerryn HuskNIHR CLAHRC South West Peninsula (PenCLAHRC), University of Plymouth, Plymouth, UK.ORCID http://orcid.org/0000-0001-5674-8673
Graham D JohnsonEmergency Department, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK.ORCID http://orcid.org/0000-0001-6004-6244
Chris BurtonScHARR, The University of Sheffield, Sheffield, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo quantify patterns of emergency department (ED) use over two consecutive 12-month periods among children aged 15 and under, and to assess heterogeneity of reasons for attendance in high-frequency users.

designPopulation-based retrospective cohort study of routinely collected ED data.

settingEDs in the Yorkshire and Humber region, UK, from 31 March 2014 to 1 April 2017. PATIENTS: Children aged 15 and under with ≥1 ED attendance.

main outcome measuresProportion with ≥7 attendances over 2 years and heterogeneity of diagnostic reasons quantified by the Herfindahl index.

resultsThe cohort included 71 143 individuals. Although only 13.6% were high-frequency attenders in the first year, over half (55.1%) of these made at least one attendance in the second year. A subset (14.1%) remained high-frequency attenders across both years and were more likely to belong to the most deprived deprivation category. Children aged 8-12 were more likely to attend for injury-related issues and showed lower heterogeneity in reasons for attendance, while infants under age 1 had more illness-related attendances and greater heterogeneity.

conclusionsA notable proportion of children and young people frequently attend EDs over a 2-year period. This study introduces a method for quantifying heterogeneity in reasons for attendance, which may support future predictive modelling using electronic health records to identify and support high-frequency ED users.

Indexed as

Emergency Room VisitsEmergency Service, HospitalAdolescentChildChild, PreschoolFemaleHumansInfantMaleRetrospective StudiesUnited KingdomChildrenStatistics

Identifiers

PMID41748269
PMCPMC12958937

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LicenceCC BY
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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.