3 In a Population of Patients Presenting to a Pediatric Emergency Department, Is Receiving a Text Message Reminder Associated With Increased Follow-up Compliance after Discharge?

Salinero, Efren A; Cramm, Kelly; Papa, Linda

doi:10.1016/j.annemergmed.2012.06.030

Cited by 2 publications

(7 citation statements)

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“…All studies were published in peerreviewed journals except 2 studies that were published as abstracts. 27,34 Most studies were single-site (n = 14). All included studies were conducted in urban hospitals in the United States.…”

Section: Resultsmentioning

confidence: 99%

“…29 The remaining studies lacked specificity in the clinical conditions: 3 described minor health concerns 26,27,40 ; 1 studied acute infections 33 ; and 1 did not specify the clinical condition that was considered. 34 …”

Section: Populationmentioning

confidence: 99%

“…Four studies used single-component interventions, 26,31,34,36 whereas the rest (n = 12) used multicomponent interventions. 24 In terms of the care continuity framework, 14 interventions were identified that focused on the quality of information, 24, 27 -31, 33, 35, 37, 38, 40, 42, 43, 45 11 interventions that supported communication, 26, 29 -31, 33, 34, 37, 38, 40, 43, 45 and 10 interventions that promoted coordination of care.…”

Section: Interventionmentioning

confidence: 99%

“…Age varied between 0 and 18 years (one study 34 did not mention the age range but specified the average age as 2.2 [SD, 2.8]). One-half of the selected studies (n = 8) included patients with asthma (or acute asthma) 28, 31, 36-38, 42, 43, 45 ; 2 studies focused on suicide attempts or suicide ideation 24,30 ; and 1 study focused on mental health problems.…”

Section: Populationmentioning

confidence: 99%

“…The interventions could be generally classified into the following categories: educational support (face-to-face, video-based, or telephonic), 24,27,28,31,37,38,42,43 appointment scheduling, 27 -30, 42, 45 telephonic reminders, 27 -30, 42, 45 ED-based discharge instructions, 28,36,40,45 monetary incentives, 37,38 text message reminders, 34 providing PCP information, 40 nurse support line, 33 mailed reminders, 43 therapeutic sessions, 24,29 and case management program 28 ( Table 2). …”

Section: Interventionmentioning

confidence: 99%

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Emergency Department-Based Care Transitions for Pediatric Patients: A Systematic Review

Abraham¹,

Kannampallil²,

Caskey

et al. 2016

Pediatrics

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CONTEXT: Successful care transitions between emergency departments (EDs) and outpatient settings have implications for quality, safety, and cost of care. OBJECTIVE:To investigate the effectiveness of ED-based care transition interventions in achieving outpatient follow-up among pediatric patients.DATA SOURCES: Medline, Embase, CINAHL, Cochrane Library, trial registers, and reference lists of relevant articles. STUDY SELECTION AND DATA EXTRACTION:Eligible studies included randomized controlled trials of ED-based care transition interventions involving pediatric patients (aged ≤18 years). Study selection, data extraction, and risk of bias assessment were performed in duplicate and independent manner. Study results were pooled for meta-analysis by using a random effects model. RESULTS:Sixteen randomized controlled trials, comprising 3760 patients, were included in the study. Most interventions were single-site (n = 14), multicomponent (n = 12), and focused on patients with asthma (n = 8). Pooling data from 10 studies (n = 1965 patients) found moderate-quality evidence for a relative increase of 29% in outpatient follow-up with interventions compared with routine care (odds ratio, 1.58 [95% confidence interval, 1.08-2.31]). Successful interventions included structured telephone reminders, educational counseling on follow-up, and appointment scheduling assistance. There was low-quality evidence when pooling data from 5 studies (n = 1609 participants) that exhibited little or no beneficial effect of interventions on ED readmissions (risk ratio, 1.02 [95% confidence interval, 0.91-1.15]).LIMITATIONS: All studies were conducted in urban US hospitals which makes generalization of the results to rural settings and other countries difficult.CONCLUSIONS: ED-based care transition interventions are effective in increasing follow-up but do not seem to reduce ED readmissions. Further research is required to investigate the mechanisms that affect the success of these interventions.

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Section: Resultsmentioning

confidence: 99%

Section: Populationmentioning

confidence: 99%

Section: Interventionmentioning

confidence: 99%

Section: Populationmentioning

confidence: 99%

Section: Interventionmentioning

confidence: 99%

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Emergency Department-Based Care Transitions for Pediatric Patients: A Systematic Review

Abraham¹,

Kannampallil²,

Caskey

et al. 2016

Pediatrics

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Electronic Discharge Communication Tools Used in Pediatric Emergency Departments: Systematic Review

Wozney¹,

Curran²,

Archambault³

et al. 2022

JMIR Pediatr Parent

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Background Electronic discharge communication tools (EDCTs) are increasingly common in pediatric emergency departments (EDs). These tools have been shown to improve patient-centered communication, support postdischarge care at home, and reduce unnecessary return visits to the ED. Objective This study aimed to map and assess the evidence base for EDCTs used in pediatric EDs according to their functionalities, intended purpose, implementation context features, and outcomes. Methods A systematic review was conducted following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) procedures for identification, screening, and eligibility. A total of 7 databases (EBSCO, MEDLINE, CINAHL, PsycINFO, EMBASE Scopus, and Web of Science) were searched for studies published between 1989 and 2021. Studies evaluating discharge communication–related outcomes using electronic tools (eg, text messages, videos, and kiosks) in pediatric EDs were included. In all, 2 researchers independently assessed the eligibility. Extracted data related to study identification, methodology, settings and demographics, intervention features, outcome implementation features, and practice, policy, and research implications. The Mixed Method Appraisal Tool was used to assess methodological quality. The synthesis of results involved structured tabulation, vote counting, recoding into common metrics, inductive thematic analysis, descriptive statistics, and heat mapping. Results In total, 231 full-text articles and abstracts were screened for review inclusion with 49 reports (representing 55 unique tools) included. In all, 70% (26/37) of the studies met at least three of five Mixed Method Appraisal Tool criteria. The most common EDCTs were videos, text messages, kiosks, and phone calls. The time required to use the tools ranged from 120 seconds to 80 minutes. The EDCTs were evaluated for numerous presenting conditions (eg, asthma, fracture, head injury, fever, and otitis media) that required a range of at-home care needs after the ED visit. The most frequently measured outcomes were knowledge acquisition, caregiver and patient beliefs and attitudes, and health service use. Unvalidated self-report measures were typically used for measurement. Health care provider satisfaction or system-level impacts were infrequently measured in studies. The directionality of primary outcomes pointed to positive effects for the primary measure (44/55, 80%) or no significant difference (10/55, 18%). Only one study reported negative findings, with an increase in return visits to the ED after receiving the intervention compared with the control group. Conclusions This review is the first to map the broad literature of EDCTs used in pediatric EDs. The findings suggest a promising evidence base, demonstrating that EDCTs have been successfully integrated across clinical contexts and deployed via diverse technological modalities. Although caregiver and patient satisfaction with EDCTs is high, future research should use robust trials using consistent measures of communication quality, clinician experience, cost-effectiveness, and health service use to accumulate evidence regarding these outcomes. Trial Registration PROSPERO CRD42020157500; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=157500

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3 In a Population of Patients Presenting to a Pediatric Emergency Department, Is Receiving a Text Message Reminder Associated With Increased Follow-up Compliance after Discharge?

Cited by 2 publications

References 0 publications

Emergency Department-Based Care Transitions for Pediatric Patients: A Systematic Review

Emergency Department-Based Care Transitions for Pediatric Patients: A Systematic Review

Electronic Discharge Communication Tools Used in Pediatric Emergency Departments: Systematic Review

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