Evidence map›Paper›PMID 33795295›Full record

ArticleBMJ open2021

Identifying multimorbidity patterns of non-communicable diseases in paediatric inpatients: a cross-sectional study in Shanghai, China.

Ning Chen, Liang Zhou, Jiaoling Huang, Wenya Yu, Chen Chen, Hua Jin, Xiaoxiao Shi, Zhaohu Yu, Qian Liu, Yan Yang and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 36% of its field
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 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
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

12 authors at 4 institutions in 1 country.

Ning Chen *Tongji University School of Medicine, Shanghai, China.
Liang Zhou *School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Jiaoling HuangSchool of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID 0000-0003-1975-3937
Wenya YuSchool of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Chen ChenPengpuxincun Community Health Service Center, Shanghai, China.
Hua JinDepartment of General Practice, Tongji University Affiliated Yangpu Hospital, Shanghai, China.
Xiaoxiao ShiDepartment of General Practice, Tongji University Affiliated Yangpu Hospital, Shanghai, China.
Zhaohu YuDepartment of Neurosurgery, Navy 971 Hospital, Qingdao, China.
Qian LiuTongji University School of Economics and Management, Shanghai, China.
Yan YangTongji University School of Economics and Management, Shanghai, China.
Zhaoxin WangSchool of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China shijianwei_amy@126.com supercell002@sina.com.ORCID 0000-0002-5022-4497
Jianwei ShiDepartment of General Practice, Tongji University Affiliated Yangpu Hospital, Shanghai, China shijianwei_amy@126.com supercell002@sina.com.ORCID 0000-0002-3523-6246
Shanghai Jiao Tong University · CNTongji University · CNShanghai Medical Information Center · CNPeople's Liberation Army 401 Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo enhance the understanding of non-communicable disease (NCD) multimorbidity in children who are inpatients by delineating the characteristics of and identifying patterns among paediatric inpatients with multimorbidity in China.

designCross-sectional study.

settingPaediatric wards (n=17) in Pudong New Area, Shanghai, China.

participantsA total of 193 432 paediatric inpatients in the electronic health record systems of 17 hospitals from 2011 to 2016 participated in the study, and 91 004 children with NCDs were extracted and classified based on International Classification of Diseases, 10th version codes.

main outcome measuresNumber of the NCDs and multimorbidity patterns of the paediatric inpatients.

resultsIn total, 47.05% (95% CI 46.83 to 47.27) of the paediatric inpatients had one or more chronic diseases, and 16.30% (95% CI 16.14 to 16.46) had multimorbidity. Congenital anomalies accounted for 19.43% (95% CI 19.25 to 19.61) of the principal diagnoses among the paediatric inpatients. Five common multimorbidity patterns were identified: a neurological-respiratory cluster, a neurological-respiratory-ear cluster, a cardiovascular-circulatory cluster, a genitourinary cluster (boy group) and a musculoskeletal-connective cluster (10-18 years age group).

conclusionsMultimorbidity in paediatric inpatients suggests that decisions about reasonable allocation of paediatric inpatient resources should be fully considered. Multimorbidity patterns in paediatric inpatients revealed that prevention, including innovative treatments targeting children, should be further studied.

Indexed as

Noncommunicable DiseasesChildChinaCross-Sectional StudiesHumansInpatientsMaleMultimorbiditygeneral medicine (see internal medicine)internal medicinepaediatrics

Identifiers

PMID33795295
PMCPMC8023737
OpenAlexW3175055008

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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 Socratic graph.