{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T09:23:48Z","timestamp":1790155428083,"version":"4.0.1"},"reference-count":48,"publisher":"American Medical Association (AMA)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"Importance<\/jats:title>Survival for children with out-of-hospital cardiac arrest (OHCA) remains poor despite improvements in adult OHCA survival.<\/jats:p><\/jats:sec>Objective<\/jats:title>To characterize the frequency of and factors associated with adverse safety events (ASEs) in pediatric OHCA.<\/jats:p><\/jats:sec>Design, Setting, and Participants<\/jats:title>This population-based retrospective cohort study examined patient care reports from 51 emergency medical services (EMS) agencies in California, Georgia, Oregon, Pennsylvania, Texas, and Wisconsin for children younger than 18 years with an OHCA in which resuscitation was attempted by EMS personnel between 2013 and 2019. Medical record review was conducted from January 2019 to April 2022 and data analysis from October 2022 to February 2023.<\/jats:p><\/jats:sec>Main Outcomes and Measure<\/jats:title>Severe ASEs during the patient encounter (eg, failure to give an indicated medication, 10-fold medication overdose).<\/jats:p><\/jats:sec>Results<\/jats:title>A total of 1019 encounters of EMS-treated pediatric OHCA were evaluated; 465 patients (46%) were younger than 12 months. At least 1 severe ASE occurred in 610 patients (60%), and 310 patients (30%) had 2 or more. Neonates had the highest frequency of ASEs. The most common severe ASEs involved epinephrine administration (332 [30%]), vascular access (212 [19%]), and ventilation (160 [14%]). In multivariable logistic regression, the only factor associated with severe ASEs was young age. Neonates with birth-related and non\u2013birth-related OHCA had greater odds of a severe ASE compared with adolescents (birth-related: odds ratio [OR], 7.0; 95% CI, 3.1-16.1; non\u2013birth-related: OR, 3.4; 95% CI, 1.2-9.6).<\/jats:p><\/jats:sec>Conclusions and Relevance<\/jats:title>In this large geographically diverse cohort of children with EMS-treated OHCA, 60% of all patients experienced at least 1 severe ASE. The odds of a severe ASE were higher for neonates than adolescents and even higher when the cardiac arrest was birth related. Given the national increase in out-of-hospital births and ongoing poor outcomes of OHCA in young children, these findings represent an urgent call to action to improve care delivery and training for this population.<\/jats:p><\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2023.51535","type":"journal-article","created":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T16:32:28Z","timestamp":1705077148000},"page":"e2351535","source":"Crossref","is-referenced-by-count":19,"title":["Adverse Safety Events in Emergency Medical Services Care of Children With Out-of-Hospital Cardiac Arrest"],"prefix":"10.1001","volume":"7","author":[{"given":"Carl O.","family":"Eriksson","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Oregon Health and Science University, Portland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Bahr","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Oregon Health and Science University, Portland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garth","family":"Meckler","sequence":"additional","affiliation":[{"name":"Department of Pediatric Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada"},{"name":"Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Hansen","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Oregon Health and Science University, Portland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace","family":"Walker-Stevenson","sequence":"additional","affiliation":[{"name":"Public Health Division, Multnomah County Health Department, Portland, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahamed","family":"Idris","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom P.","family":"Aufderheide","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamud R.","family":"Daya","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Oregon Health and Science University, Portland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ericka L.","family":"Fink","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Jui","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Oregon Health and Science University, Portland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maureen","family":"Luetje","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Martin-Gill","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Mcgaughey","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Oregon Health and Science University, Portland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon","family":"Pelletier","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Akron\u2019s Children\u2019s Hospital, Akron, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danny","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Medical College of Wisconsin, Milwaukee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanne-Marie","family":"Guise","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Reproductive Biology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Child Safety Initiative\u2013Emergency Medical Services for Children","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tabria","family":"Harrod","sequence":"additional","affiliation":[{"name":"for the Child Safety Initiative\u2013Emergency Medical Services for Children"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Schoonover","sequence":"additional","affiliation":[{"name":"for the Child Safety Initiative\u2013Emergency Medical Services for Children"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon","family":"Ivankovic","sequence":"additional","affiliation":[{"name":"for the Child Safety Initiative\u2013Emergency Medical Services for Children"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10","published-online":{"date-parts":[[2024,1,12]]},"reference":[{"issue":"11","key":"zoi231509r1","doi-asserted-by":"publisher","first-page":"1484","DOI":"10.1161\/CIRCULATIONAHA.108.802678","article-title":"Epidemiology and outcomes from out-of-hospital cardiac arrest in children: the Resuscitation Outcomes Consortium Epistry\u2013Cardiac Arrest.","volume":"119","author":"Atkins","year":"2009","journal-title":"Circulation"},{"key":"zoi231509r2","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1016\/j.resuscitation.2016.07.244","article-title":"Unchanged pediatric out-of-hospital cardiac arrest incidence and survival rates with regional variation in North America.","volume":"107","author":"Fink","year":"2016","journal-title":"Resuscitation"},{"key":"zoi231509r3","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1016\/j.resuscitation.2020.04.023","article-title":"Characteristics of paediatric out-of-hospital cardiac arrest in the United States.","volume":"153","author":"Okubo","year":"2020","journal-title":"Resuscitation"},{"key":"zoi231509r4","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1016\/j.resuscitation.2015.02.003","article-title":"Out-of-hospital cardiac arrest survival improving over time: results from the Resuscitation Outcomes Consortium (ROC).","volume":"91","author":"Daya","year":"2015","journal-title":"Resuscitation"},{"issue":"17","key":"zoi231509r5","doi-asserted-by":"publisher","first-page":"1398","DOI":"10.1161\/CIRCULATIONAHA.119.041667","article-title":"Trends in survival after pediatric in-hospital cardiac arrest in the United States.","volume":"140","author":"Holmberg","year":"2019","journal-title":"Circulation"},{"issue":"7","key":"zoi231509r6","doi-asserted-by":"publisher","first-page":"2259","DOI":"10.1097\/CCM.0b013e3181a00a6a","article-title":"In-hospital versus out-of-hospital pediatric cardiac arrest: a multicenter cohort study.","volume":"37","author":"Moler","year":"2009","journal-title":"Crit Care Med"},{"issue":"2","key":"zoi231509r7","doi-asserted-by":"publisher","first-page":"230","DOI":"10.3109\/10903127.2015.1076099","article-title":"Epidemiology of pediatric prehospital basic life support care in the United States.","volume":"20","author":"Diggs","year":"2016","journal-title":"Prehosp Emerg Care"},{"issue":"3","key":"zoi231509r8","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1016\/S0196-0644(87)80173-7","article-title":"Epidemiology of pediatric prehospital care.","volume":"16","author":"Tsai","year":"1987","journal-title":"Ann Emerg Med"},{"issue":"3","key":"zoi231509r9","doi-asserted-by":"publisher","first-page":"380","DOI":"10.1016\/j.ajem.2017.08.028","article-title":"Safety events in pediatric out-of-hospital cardiac arrest.","volume":"36","author":"Hansen","year":"2018","journal-title":"Am J Emerg Med"},{"key":"zoi231509r10","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1016\/j.resuscitation.2020.08.003","article-title":"Prospective evaluation of airway management in pediatric out-of-hospital cardiac arrest.","volume":"156","author":"Hansen","year":"2020","journal-title":"Resuscitation"},{"issue":"10","key":"zoi231509r11","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-039215","article-title":"Retrospective chart review and survey to identify adverse safety events in the emergency medical services care of children with out-of-hospital cardiac arrest in the USA: a study protocol.","volume":"10","author":"Eriksson","year":"2020","journal-title":"BMJ Open"},{"issue":"9596","key":"zoi231509r12","doi-asserted-by":"publisher","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies.","volume":"370","author":"von Elm","year":"2007","journal-title":"Lancet"},{"issue":"3","key":"zoi231509r13","doi-asserted-by":"publisher","DOI":"10.1002\/emp2.v3.3","article-title":"A chart review tool to systematically assess the safety of prehospital care for children with out-of-hospital cardiac arrest.","volume":"3","author":"Schoonover","year":"2022","journal-title":"J Am Coll Emerg Physicians Open"},{"issue":"13","key":"zoi231509r14","doi-asserted-by":"publisher","first-page":"1286","DOI":"10.1161\/CIR.0000000000000144","article-title":"Cardiac arrest and cardiopulmonary resuscitation outcome reports: update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest: a statement for healthcare professionals from a task force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation.","volume":"132","author":"Perkins","year":"2015","journal-title":"Circulation"},{"key":"zoi231509r15","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1186\/1471-2431-14-199","article-title":"Pediatric complex chronic conditions classification system version 2: updated for ICD-10 and complex medical technology dependence and transplantation.","volume":"14","author":"Feudtner","year":"2014","journal-title":"BMC Pediatr"},{"issue":"3","key":"zoi231509r16","doi-asserted-by":"publisher","first-page":"276","DOI":"10.11613\/issn.1846-7482","article-title":"Interrater reliability: the kappa statistic.","volume":"22","author":"McHugh","year":"2012","journal-title":"Biochem Med (Zagreb)"},{"issue":"3","key":"zoi231509r17","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1080\/10903127.2017.1371261","article-title":"Out-of-hospital pediatric patient safety events: results of the CSI chart review.","volume":"22","author":"Meckler","year":"2018","journal-title":"Prehosp Emerg Care"},{"issue":"12","key":"zoi231509r18","doi-asserted-by":"publisher","first-page":"1396","DOI":"10.1111\/acem.2018.25.issue-12","article-title":"Adherence to pediatric cardiac arrest guidelines across a spectrum of fifty emergency departments: a prospective, in situ, simulation-based study.","volume":"25","author":"Auerbach","year":"2018","journal-title":"Acad Emerg Med"},{"issue":"6","key":"zoi231509r19","doi-asserted-by":"publisher","first-page":"674","DOI":"10.1007\/s12630-020-01665-w","article-title":"Quality of clinical care provided during simulated pediatric cardiac arrest: a simulation-based study.","volume":"67","author":"Garcia-Jorda","year":"2020","journal-title":"Can J Anaesth"},{"issue":"1","key":"zoi231509r20","doi-asserted-by":"publisher","first-page":"59","DOI":"10.3109\/10903127.2011.614043","article-title":"Medication dosing errors in pediatric patients treated by emergency medical services.","volume":"16","author":"Hoyle","year":"2012","journal-title":"Prehosp Emerg Care"},{"issue":"4","key":"zoi231509r21","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1016\/j.annemergmed.2007.01.020","article-title":"Medication errors among acutely ill and injured children treated in rural emergency departments.","volume":"50","author":"Marcin","year":"2007","journal-title":"Ann Emerg Med"},{"issue":"4","key":"zoi231509r22","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2020-000930","article-title":"Cardiac arrest in the paediatric intensive care unit: defining the problem and developing solutions.","volume":"9","author":"Ray","year":"2020","journal-title":"BMJ Open Qual"},{"issue":"2","key":"zoi231509r23","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-014057","article-title":"Emergency medical services responders\u2019 perceptions of the effect of stress and anxiety on patient safety in the out-of-hospital emergency care of children: a qualitative study.","volume":"7","author":"Guise","year":"2017","journal-title":"BMJ Open"},{"issue":"2","key":"zoi231509r24","doi-asserted-by":"publisher","first-page":"295","DOI":"10.3109\/10903127.2013.856501","article-title":"Medication errors in prehospital management of simulated pediatric anaphylaxis.","volume":"18","author":"Lammers","year":"2014","journal-title":"Prehosp Emerg Care"},{"issue":"3","key":"zoi231509r25","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1097\/SIH.0000000000000013","article-title":"Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest.","volume":"9","author":"Lammers","year":"2014","journal-title":"Simul Healthc"},{"issue":"4","key":"zoi231509r26","doi-asserted-by":"publisher","first-page":"486","DOI":"10.5811\/westjem.2014.2.17922","article-title":"Analysis of medication errors in simulated pediatric resuscitation by residents.","volume":"15","author":"Porter","year":"2014","journal-title":"West J Emerg Med"},{"issue":"8","key":"zoi231509r27","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.20176","article-title":"Association of timing of epinephrine administration with outcomes in adults with out-of-hospital cardiac arrest.","volume":"4","author":"Okubo","year":"2021","journal-title":"JAMA Netw Open"},{"issue":"8","key":"zoi231509r28","doi-asserted-by":"publisher","first-page":"711","DOI":"10.1056\/NEJMoa1806842","article-title":"A randomized trial of epinephrine in out-of-hospital cardiac arrest.","volume":"379","author":"Perkins","year":"2018","journal-title":"N Engl J Med"},{"issue":"19","key":"zoi231509r29","doi-asserted-by":"publisher","first-page":"2032","DOI":"10.1161\/CIRCULATIONAHA.117.033067","article-title":"Time to epinephrine administration and survival from nonshockable out-of-hospital cardiac arrest among children and adults.","volume":"137","author":"Hansen","year":"2018","journal-title":"Circulation"},{"issue":"3","key":"zoi231509r30","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1093\/ehjcvp\/pvx023","article-title":"Time to epinephrine and survival after paediatric out-of-hospital cardiac arrest.","volume":"4","author":"Fukuda","year":"2018","journal-title":"Eur Heart J Cardiovasc Pharmacother"},{"issue":"7","key":"zoi231509r31","doi-asserted-by":"publisher","first-page":"2143","DOI":"10.1007\/s11739-022-03041-6","article-title":"The impact of cognitive aids on resuscitation performance in in-hospital cardiac arrest scenarios: a systematic review and meta-analysis.","volume":"17","author":"Corazza","year":"2022","journal-title":"Intern Emerg Med"},{"issue":"8","key":"zoi231509r32","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.23007","article-title":"Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitation: a randomized clinical trial.","volume":"4","author":"Siebert","year":"2021","journal-title":"JAMA Netw Open"},{"issue":"4","key":"zoi231509r33","doi-asserted-by":"publisher","first-page":"480","DOI":"10.1177\/2168479017696266","article-title":"Mobile medical applications for dosage recommendation, drug adverse reaction, and drug interaction: review and comparison.","volume":"51","author":"Apidi","year":"2017","journal-title":"Ther Innov Regul Sci"},{"key":"zoi231509r34","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1016\/j.resuscitation.2015.07.035","article-title":"Color-coded prefilled medication syringes decrease time to delivery and dosing errors in simulated prehospital pediatric resuscitations: a randomized crossover trial.","volume":"96","author":"Stevens","year":"2015","journal-title":"Resuscitation"},{"issue":"2","key":"zoi231509r35","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1080\/10903127.2022.2025962","article-title":"Medication errors in pediatric patients after implementation of a field guide with volume-based dosing.","volume":"27","author":"Rappaport","year":"2023","journal-title":"Prehosp Emerg Care"},{"key":"zoi231509r36","doi-asserted-by":"publisher","DOI":"10.1080\/10903127.2022.2162648","article-title":"An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference.","author":"Kazi","journal-title":"Prehosp Emerg Care"},{"issue":"4","key":"zoi231509r37","doi-asserted-by":"publisher","first-page":"492","DOI":"10.1080\/10903127.2021.1955058","article-title":"A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study.","volume":"26","author":"Bosson","year":"2022","journal-title":"Prehosp Emerg Care"},{"issue":"5","key":"zoi231509r38","doi-asserted-by":"publisher","first-page":"616","DOI":"10.1017\/S1049023X22001248","article-title":"Weighty matters: a real-world comparison of the Handtevy and Broselow methods of prehospital weight estimation.","volume":"37","author":"Knudsen-Robbins","year":"2022","journal-title":"Prehosp Disaster Med"},{"issue":"1","key":"zoi231509r39","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1016\/j.jemermed.2021.12.026","article-title":"Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitation: a randomized clinical trial.","volume":"62","author":"Denefe","year":"2022","journal-title":"J Emerg Med"},{"key":"zoi231509r40","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1016\/j.resuscitation.2021.08.005","article-title":"The association of intraosseous vascular access and survival among pediatric patients with out-of-hospital cardiac arrest.","volume":"167","author":"Besserer","year":"2021","journal-title":"Resuscitation"},{"issue":"1","key":"zoi231509r41","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1186\/s13049-021-00858-6","article-title":"Intraosseous versus intravenous vascular access during cardiopulmonary resuscitation for out-of-hospital cardiac arrest: a systematic review and meta-analysis of observational studies.","volume":"29","author":"Hsieh","year":"2021","journal-title":"Scand J Trauma Resusc Emerg Med"},{"issue":"15","key":"zoi231509r42","first-page":"1","article-title":"Changes in home births by race and Hispanic origin and state of residence of mother: United States, 2018-2019 and 2019-2020.","volume":"70","author":"Gregory","year":"2021","journal-title":"Natl Vital Stat Rep"},{"issue":"27","key":"zoi231509r43","doi-asserted-by":"publisher","first-page":"2642","DOI":"10.1056\/NEJMsa1501738","article-title":"Planned out-of-hospital birth and birth outcomes.","volume":"373","author":"Snowden","year":"2015","journal-title":"N Engl J Med"},{"issue":"4","key":"zoi231509r44","doi-asserted-by":"publisher","first-page":"403.e1","DOI":"10.1016\/j.ajog.2016.12.001","article-title":"Vaginal birth after cesarean: neonatal outcomes and United States birth setting.","volume":"216","author":"Tilden","year":"2017","journal-title":"Am J Obstet Gynecol"},{"issue":"12","key":"zoi231509r45","doi-asserted-by":"publisher","first-page":"1130","DOI":"10.1097\/PEC.0b013e31823a3e73","article-title":"Pediatric educational needs assessment for urban and rural emergency medical technicians.","volume":"27","author":"Fleischman","year":"2011","journal-title":"Pediatr Emerg Care"},{"issue":"5","key":"zoi231509r46","doi-asserted-by":"publisher","first-page":"615","DOI":"10.1097\/01.ede.0000135174.63482.43","article-title":"A structural approach to selection bias.","volume":"15","author":"Hern\u00e1n","year":"2004","journal-title":"Epidemiology"},{"issue":"3","key":"zoi231509r47","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1097\/00005650-200003000-00003","article-title":"Incidence and types of adverse events and negligent care in Utah and Colorado.","volume":"38","author":"Thomas","year":"2000","journal-title":"Med Care"},{"issue":"6","key":"zoi231509r48","doi-asserted-by":"publisher","first-page":"370","DOI":"10.1056\/NEJM199102073240604","article-title":"Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I.","volume":"324","author":"Brennan","year":"1991","journal-title":"N Engl J Med"}],"container-title":["JAMA Network Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/articlepdf\/2813917\/eriksson_2024_oi_231509_1704472138.14437.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T16:32:31Z","timestamp":1705077151000},"score":1,"resource":{"primary":{"URL":"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2813917"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,12]]},"references-count":48,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1,2]]}},"URL":"https:\/\/doi.org\/10.1001\/jamanetworkopen.2023.51535","relation":{},"ISSN":["2574-3805"],"issn-type":[{"value":"2574-3805","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,12]]}}}