{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T06:00:52Z","timestamp":1780552852764,"version":"3.54.1"},"reference-count":32,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,3,18]],"date-time":"2024-03-18T00:00:00Z","timestamp":1710720000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["R24 HD085927"],"award-info":[{"award-number":["R24 HD085927"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and objectives<\/jats:title><jats:p>A better characterization of deaths in children following emergency care is needed to inform timely interventions. This study aimed to describe the timing, location, and causes of death to 1\u2009year among a cohort of injured and medically ill children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective cohort study of children &lt;18\u2009years requiring emergency care in six states from January 1, 2012, through December 31, 2017, with follow\u2010up through December 31, 2018, for patients who were not discharged from the emergency department (ED). In this cohort, 1\u2010year mortality, time to death within 1\u2009year, and causes of death were assessed from ED, inpatient, and vital status records.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 546,044 children during the 6\u2010year period. The 1\u2010year mortality rate was 2.2% (<jats:italic>n<\/jats:italic>\u2009=\u20091356) for injured children and 1.4% (<jats:italic>n<\/jats:italic>\u2009=\u20096687) for medically ill children. Matched death certificates were available for 861 (63.5%) of 1356 deaths in the injury cohort and for 4712 (70.5%) of 6687 deaths in the medical cohort. Among deaths in the injury cohort, 1274 (94.0%) occurred in the ED or hospital. The most common causes of death were motor vehicle collisions, firearm injuries, and pedestrian injuries. Among the 6687 deaths in the medical cohort, 5081 (76.0%) children died in the ED or hospital (primarily in the ED) and 1606 (24.0%) occurred after hospital discharge. The most common causes of death were sudden infant death syndrome, suffocation and drowning, and congenital conditions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The 1\u2010year mortality of children presenting to an ED is 2.2% for injured children and 1.4% for medically ill children with most deaths occurring in the ED. Future interventional trials, quality improvement efforts, and health policy focused in the ED could have the potential to improve outcomes of pediatric patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acem.14875","type":"journal-article","created":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T02:30:19Z","timestamp":1710815419000},"page":"555-563","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Timing and causes of death to 1\u2009year among children presenting to emergency departments"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4972-4777","authenticated-orcid":false,"given":"Stefanie G.","family":"Ames","sequence":"first","affiliation":[{"name":"Department of Pediatrics University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apoorva","family":"Salvi","sequence":"additional","affiliation":[{"name":"Center for Policy and Research in Emergency Medicine, Department of Emergency Medicine Oregon Health &amp; Science University  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amber","family":"Lin","sequence":"additional","affiliation":[{"name":"Center for Policy and Research in Emergency Medicine, Department of Emergency Medicine Oregon Health &amp; Science University  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Malveau","sequence":"additional","affiliation":[{"name":"Center for Policy and Research in Emergency Medicine, Department of Emergency Medicine Oregon Health &amp; Science University  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. 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