Pediatric Emergency Care
Conditions
Brief summary
The objectives of this study are to: develop an emergency care visit registry for pediatric patients for Quality Improvement purposes and to support future research; to use the emergency care visit registry to collect stakeholder-prioritized emergency care performance improvement measures for important pediatric medical and trauma conditions; and report emergency care performance improvement measures.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* All patients (0-18) who registered in the ED
Exclusion criteria
* Greater than 18 years of age for ED patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Number of Visits Obtained From Electronic Health Record Data From the Sites | January 2012 - June 2016 | The number of visits obtained from electronic health record data from the sites |
Countries
United States
Participant flow
Recruitment details
All participating sites' IRBs have granted a waiver of informed consent and assent for this study. In addition, all participating sites' IRBs have a granted a waiver of written authorization for HIPAA. Patients will not be approached for recruitment.
Participants by arm
| Arm | Count |
|---|---|
| Patients Visits to the Emergency Department There are no arms for this study. We are collecting all electronic patient data for all patients that present to the Emergency Department. Quality performance measures are constructed directly from the data in the registry. | 2,019,461 |
| Total | 2,019,461 |
Baseline characteristics
| Characteristic | Patients Visits to the Emergency Department |
|---|---|
| Age, Customized CCHMC Base ED | 5.6 years |
| Age, Customized CCHMC Satellite ED | 5.6 years |
| Age, Customized CHOP Base ED | 4.9 years |
| Age, Customized CNMC Base ED | 4.8 years |
| Age, Customized CNMC Satellite ED | 4.4 years |
| Age, Customized The Children's Hospital Colorado Base ED | 5.6 years |
| Age, Customized The Children's Hospital Colorado Satellite ED | 4.8 years |
| Race/Ethnicity, Customized CCHMC Base ED American Indian/Alaskan Native | 255 Participants |
| Race/Ethnicity, Customized CCHMC Base ED Asian/Pacific Islander | 2632 Participants |
| Race/Ethnicity, Customized CCHMC Base ED Black | 174845 Participants |
| Race/Ethnicity, Customized CCHMC Base ED Missing | 224 Participants |
| Race/Ethnicity, Customized CCHMC Base ED Other | 43551 Participants |
| Race/Ethnicity, Customized CCHMC Base ED Unknown | 7191 Participants |
| Race/Ethnicity, Customized CCHMC Base ED White | 181269 Participants |
| Race/Ethnicity, Customized CCHMC Satellite ED American Indian/Alaskan Native | 170 Participants |
| Race/Ethnicity, Customized CCHMC Satellite ED Asian/Pacific Islander | 2597 Participants |
| Race/Ethnicity, Customized CCHMC Satellite ED Black | 24745 Participants |
| Race/Ethnicity, Customized CCHMC Satellite ED Missing | 76 Participants |
| Race/Ethnicity, Customized CCHMC Satellite ED Other | 31795 Participants |
| Race/Ethnicity, Customized CCHMC Satellite ED Unknown | 3936 Participants |
| Race/Ethnicity, Customized CCHMC Satellite ED White | 132981 Participants |
| Race/Ethnicity, Customized CHOP Base ED American Indian/Alaskan Native | 259 Participants |
| Race/Ethnicity, Customized CHOP Base ED Asian/Pacific Islander | 13411 Participants |
| Race/Ethnicity, Customized CHOP Base ED Black | 257886 Participants |
| Race/Ethnicity, Customized CHOP Base ED Missing | 1393 Participants |
| Race/Ethnicity, Customized CHOP Base ED Other | 46347 Participants |
| Race/Ethnicity, Customized CHOP Base ED Unknown | 221 Participants |
| Race/Ethnicity, Customized CHOP Base ED White | 102105 Participants |
| Race/Ethnicity, Customized CNMC Base ED American Indian/Alaskan Native | 414 Participants |
| Race/Ethnicity, Customized CNMC Base ED Asian/Pacific Islander | 4142 Participants |
| Race/Ethnicity, Customized CNMC Base ED Black | 225581 Participants |
| Race/Ethnicity, Customized CNMC Base ED Missing | 3362 Participants |
| Race/Ethnicity, Customized CNMC Base ED Other | 49335 Participants |
| Race/Ethnicity, Customized CNMC Base ED Unknown | 59908 Participants |
| Race/Ethnicity, Customized CNMC Base ED White | 33775 Participants |
| Race/Ethnicity, Customized CNMC Satellite ED American Indian/Alaskan Native | 37 Participants |
| Race/Ethnicity, Customized CNMC Satellite ED Asian/Pacific Islander | 93 Participants |
| Race/Ethnicity, Customized CNMC Satellite ED Black | 153787 Participants |
| Race/Ethnicity, Customized CNMC Satellite ED Missing | 423 Participants |
| Race/Ethnicity, Customized CNMC Satellite ED Other | 1567 Participants |
| Race/Ethnicity, Customized CNMC Satellite ED Unknown | 1316 Participants |
| Race/Ethnicity, Customized CNMC Satellite ED White | 579 Participants |
| Race/Ethnicity, Customized The Children's Hospital Colorado Base ED American Indian/Alaskan Native | 1334 Participants |
| Race/Ethnicity, Customized The Children's Hospital Colorado Base ED Asian/Pacific Islander | 9473 Participants |
| Race/Ethnicity, Customized The Children's Hospital Colorado Base ED Black | 52847 Participants |
| Race/Ethnicity, Customized The Children's Hospital Colorado Base ED Missing | 145 Participants |
| Race/Ethnicity, Customized The Children's Hospital Colorado Base ED Other | 86204 Participants |
| Race/Ethnicity, Customized The Children's Hospital Colorado Base ED Unknown | 7597 Participants |
| Race/Ethnicity, Customized The Children's Hospital Colorado Base ED White | 158877 Participants |
| Race/Ethnicity, Customized The Children's Hospital Colorado Satellite ED American Indian/Alaskan Native | 507 Participants |
| Race/Ethnicity, Customized The Children's Hospital Colorado Satellite ED Asian/Pacific Islander | 2308 Participants |
| Race/Ethnicity, Customized The Children's Hospital Colorado Satellite ED Black | 1056 Participants |
| Race/Ethnicity, Customized The Children's Hospital Colorado Satellite ED Missing | 15 Participants |
| Race/Ethnicity, Customized The Children's Hospital Colorado Satellite ED Other | 33179 Participants |
| Race/Ethnicity, Customized The Children's Hospital Colorado Satellite ED Unknown | 12996 Participants |
| Race/Ethnicity, Customized The Children's Hospital Colorado Satellite ED White | 90715 Participants |
| Sex/Gender, Customized CCHMC Base ED Female | 200281 Participants |
| Sex/Gender, Customized CCHMC Base ED Male | 209672 Participants |
| Sex/Gender, Customized CCHMC Base ED Missing | 14 Participants |
| Sex/Gender, Customized CCHMC Satellite ED Female | 94879 Participants |
| Sex/Gender, Customized CCHMC Satellite ED Male | 101416 Participants |
| Sex/Gender, Customized CCHMC Satellite ED Missing | 5 Participants |
| Sex/Gender, Customized CHOP Base ED Female | 199620 Participants |
| Sex/Gender, Customized CHOP Base ED Male | 221993 Participants |
| Sex/Gender, Customized CHOP Base ED Missing | 9 Participants |
| Sex/Gender, Customized CNMC Base ED Female | 177254 Participants |
| Sex/Gender, Customized CNMC Base ED Male | 199263 Participants |
| Sex/Gender, Customized CNMC Base ED Missing | 0 Participants |
| Sex/Gender, Customized CNMC Satellite ED Female | 76526 Participants |
| Sex/Gender, Customized CNMC Satellite ED Male | 81276 Participants |
| Sex/Gender, Customized CNMC Satellite ED Missing | 0 Participants |
| Sex/Gender, Customized The Children's Hospital Colorado Base ED Female | 151354 Participants |
| Sex/Gender, Customized The Children's Hospital Colorado Base ED Male | 165119 Participants |
| Sex/Gender, Customized The Children's Hospital Colorado Base ED Missing | 4 Participants |
| Sex/Gender, Customized The Children's Hospital Colorado Satellite ED Female | 66164 Participants |
| Sex/Gender, Customized The Children's Hospital Colorado Satellite ED Male | 74610 Participants |
| Sex/Gender, Customized The Children's Hospital Colorado Satellite ED Missing | 2 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 2,019,461 |
| other Total, other adverse events | 0 / 2,019,461 |
| serious Total, serious adverse events | 0 / 2,019,461 |
Outcome results
The Number of Visits Obtained From Electronic Health Record Data From the Sites
The number of visits obtained from electronic health record data from the sites
Time frame: January 2012 - June 2016
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| CHOP Base Emergency Department (ED) | The Number of Visits Obtained From Electronic Health Record Data From the Sites | 421622 number of visits |
| Cincinnati Children's Hospital Medical Center (CCHMC) Base ED | The Number of Visits Obtained From Electronic Health Record Data From the Sites | 409967 number of visits |
| CCHMC Satellite ED | The Number of Visits Obtained From Electronic Health Record Data From the Sites | 196300 number of visits |
| Children's National Medical Center (CNMC) Base ED | The Number of Visits Obtained From Electronic Health Record Data From the Sites | 376517 number of visits |
| CNMC Satellite ED | The Number of Visits Obtained From Electronic Health Record Data From the Sites | 157802 number of visits |
| The Children's Hospital Colorado Base ED | The Number of Visits Obtained From Electronic Health Record Data From the Sites | 316477 number of visits |
| The Children's Hospital Colorado Satellite ED | The Number of Visits Obtained From Electronic Health Record Data From the Sites | 140776 number of visits |