{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T12:36:07Z","timestamp":1790771767146,"version":"4.1.0"},"reference-count":32,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T00:00:00Z","timestamp":1689552000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Blood &amp; Cancer"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>High return visit rates after hospitalization for people with sickle cell disease (SCD) have been previously established. Due to a lack of multicenter emergency department (ED) return visit rate data, the return visit rate following ED discharge for pediatric SCD pain treatment is currently unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Procedure<\/jats:title>\n                    <jats:p>A seven\u2010site retrospective cohort study of discharged ED visits for pain by children with SCD was conducted using the Pediatric Emergency Care Applied Research Network Registry. Visits between January 2017 and November 2021 were identified using previously validated criteria. The primary outcome was the 14\u2010day return visit rate, with 3\u2010 and 7\u2010day rates also calculated. Modified Poisson regression was used to analyze associations for age, sex, initial hospitalization rate, and a visit during the COVID\u201019 pandemic with return visit rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 2548 eligible ED visits, approximately 52% were patients less than 12\u00a0years old, 50% were female, and over 95% were non\u2010Hispanic Black. The overall 14\u2010day return visit rate was 29.1% (95% confidence interval [CI]: 27.4%\u201330.9%; site range 22.7%\u201331.7%); the 7\u2010 and 3\u2010day return visit rates were 23.0% (95% CI: 21.3%\u201324.6%) and 16.7% (95% CI: 15.3%\u201318.2%), respectively. Younger children had slightly lower 14\u2010day return visit rates (27.3% vs. 31.1%); there were no associations for site hospitalization rate, sex, and a visit occurring during the pandemic with 14\u2010day returns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nearly 30% of ED discharged visits after SCD pain treatment had a return visit within 14\u00a0days. Increased efforts are needed to identify causes for high ED return visit rates and ensure optimal ED and post\u2010ED care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pbc.30553","type":"journal-article","created":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T09:42:50Z","timestamp":1689586970000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Return visit rates after an emergency department discharge for children with sickle cell pain episodes"],"prefix":"10.1002","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7135-9569","authenticated-orcid":false,"given":"Keli D.","family":"Coleman","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Section of Emergency Medicine Medical College of Wisconsin and the Children's Research Institute of Children's Wisconsin Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth","family":"McKinley","sequence":"additional","affiliation":[{"name":"Children's National Medical Center Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela M.","family":"Ellison","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Children's Hospital of Philadelphia Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth R.","family":"Alpern","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Ann &amp; Robert H. Lurie Children's Hospital, Northwestern University Feinberg School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selena","family":"Hariharan","sequence":"additional","affiliation":[{"name":"University of Cincinnati College of Medicine, Cincinnati Children's Hospital Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irina","family":"Topoz","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Section of Emergency Medicine Children's Hospital Colorado Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morgan","family":"Wurtz","sequence":"additional","affiliation":[{"name":"Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blake","family":"Nielsen","sequence":"additional","affiliation":[{"name":"University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence J.","family":"Cook","sequence":"additional","affiliation":[{"name":"University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia R.","family":"Morris","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Emory University School of Medicine and Children's Healthcare of Atlanta Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9396-0470","authenticated-orcid":false,"given":"Amanda M.","family":"Brandow","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Section of Hematology\/Oncology\/Bone Marrow Transplantation, Medical College of Wisconsin and Children's Research Institute of Children's Wisconsin Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8829-0043","authenticated-orcid":false,"given":"Andrew D.","family":"Campbell","sequence":"additional","affiliation":[{"name":"Center for Cancer and Blood Disorders, Children's National Hospital Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2057-3749","authenticated-orcid":false,"given":"Robert I.","family":"Liem","sequence":"additional","affiliation":[{"name":"Division of Hematology, Oncology &amp; Stem Cell Transplant Ann &amp; Robert H. Lurie Children's Hospital of Chicago Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8756-1967","authenticated-orcid":false,"given":"Rachelle","family":"Nuss","sequence":"additional","affiliation":[{"name":"Center for Cancer and Blood Disorders University of Colorado Anschutz Medical Campus Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2372-2175","authenticated-orcid":false,"given":"Charles T.","family":"Quinn","sequence":"additional","affiliation":[{"name":"Division of Hematology Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis A.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Children's Hospital of Philadelphia Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Villella","sequence":"additional","affiliation":[{"name":"Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1951-6176","authenticated-orcid":false,"given":"Allison A.","family":"King","sequence":"additional","affiliation":[{"name":"Pediatric Hematology\/Oncology Washington University School of Medicine St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Baumann","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Warren","family":"Frankenberger","sequence":"additional","affiliation":[{"name":"Children's Hospital of Philadelphia Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David C.","family":"Brousseau","sequence":"additional","affiliation":[{"name":"Nemours Children's Health and Sidney Kimmel Medical College at Thomas Jefferson University Wilmington Delaware USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,17]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Sickle cell disease. 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