323 The Effect of Intravenous Infusion Dead Space on Time to Drug Administration in Infants

Abstract

excluded. Each article was classified by journal type, study design (prospective noninterventional, retrospective, randomized control trial, study specific methods), results (positive or negative/equivocal), age/type of subjects (pediatric only, pediatric and adult, medical providers), major topic (based on headings from Fleisher and Ludwig's Textbook of Pediatric Emergency Medicine) and subtopic (based on the primary outcome measure). Publishing trends were determined by date of publication (stratified to the 2004-2008 or 2009-2013 time period).Results: A total of 464 PEM articles were analyzed; 38% from pediatric journals, 34% EM, 5% GM, 3% PEM. When stratified by date of publication, 202 articles were published 2004-2008 and 262 in 2009-2013. The majority of included articles were described as randomized controlled trials (47%), with positive findings (70%), including only pediatric patients (68%), with a major topic classified as trauma (35%). The most common subtopics for all included articles were pain management, asthma, sedation, bronchiolitis, resuscitation, simulation, and ultrasound. The total number of included articles published increased between the two publication time periods for all journal types with the exception of GM (P ¼ .04). There was an increase in the total number of included articles between the two publication time periods for all study designs except for randomized controlled trial (P ¼ .01). There were no differences determined between the two publication time periods when stratified by results, age/ type of subjects, and major topic.Conclusion: We have identified trends in the publication of PEM articles between 2004 and 2013. By identifying these trends, we hope to encourage researchers to focus on performing studies in the field of PEM where deficiencies lie, to promote collaboration between EM departments and PEM divisions, both nationally and internationally, and to educate health care professionals who care for ill and injured infants and children as to where published, evidence-based PEM studies can be found in the literature.