Treatment in the pediatric emergency department is evidence based: a retrospective analysis

Background Our goal was to quantify the evidence that is available to the physicians of a pediatric emergency department (PED) in making treatment decisions. Further, we wished to ascertain what percentage of evidence for treatment provided in the PED comes from pediatric studies. Methods We conduct...
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Autor*in:	Waters, Kellie L [verfasserIn] Wiebe, Natasha Cramer, Kristie Hartling, Lisa Klassen, Terry P

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2006

Schlagwörter:	Primary Intervention Croup Primary Investigator Pediatric Emergency Department Pediatric Emergency Medicine

Anmerkung:	© Waters et al; licensee BioMed Central Ltd. 2006

Übergeordnetes Werk:	Enthalten in: BMC pediatrics - London : BioMed Central, 2001, 6(2006), 1 vom: 06. Okt.
Übergeordnetes Werk:	volume:6 ; year:2006 ; number:1 ; day:06 ; month:10

Links:	Volltext

DOI / URN:	10.1186/1471-2431-6-26

Katalog-ID:	SPR027746062

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520			\|a Background Our goal was to quantify the evidence that is available to the physicians of a pediatric emergency department (PED) in making treatment decisions. Further, we wished to ascertain what percentage of evidence for treatment provided in the PED comes from pediatric studies. Methods We conducted a retrospective chart review of randomly selected patients seen in the PED between January 1 and December 31, 2002. The principal investigator identified a primary diagnosis and primary intervention for each chart. A thorough literature search was then undertaken with respect to the primary intervention. If a randomized control trial (RCT) or a systematic review was found, the intervention was classified as level I evidence. If no RCT was found, the intervention was assessed by an expert committee who determined its appropriateness based on face validity (RCTs were unanimously judged to be both unnecessary and, if a placebo would have been involved, unethical). These interventions were classified as level II evidence. Interventions that did not fall into either above category were classified as level III evidence. Results Two hundred and sixty-two patient charts were reviewed. Of these, 35.9% did not receive a primary intervention. Of the 168 interventions assessed, 80.4% were evidence-based (level I), 7.1% had face validity (level II) and 12.5% had no supporting evidence (level III). Of the evidence-based interventions, 83.7% were supported by studies with mostly pediatric patients. Conclusion Our study demonstrates that a substantial proportion of PED treatment decisions are evidence-based, with most based on studies in pediatric patients. Also, a large number of patients seen in the PED receive no intervention.
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allfields	10.1186/1471-2431-6-26 doi (DE-627)SPR027746062 (SPR)1471-2431-6-26-e DE-627 ger DE-627 rakwb eng Waters, Kellie L verfasserin aut Treatment in the pediatric emergency department is evidence based: a retrospective analysis 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Waters et al; licensee BioMed Central Ltd. 2006 Background Our goal was to quantify the evidence that is available to the physicians of a pediatric emergency department (PED) in making treatment decisions. Further, we wished to ascertain what percentage of evidence for treatment provided in the PED comes from pediatric studies. Methods We conducted a retrospective chart review of randomly selected patients seen in the PED between January 1 and December 31, 2002. The principal investigator identified a primary diagnosis and primary intervention for each chart. A thorough literature search was then undertaken with respect to the primary intervention. If a randomized control trial (RCT) or a systematic review was found, the intervention was classified as level I evidence. If no RCT was found, the intervention was assessed by an expert committee who determined its appropriateness based on face validity (RCTs were unanimously judged to be both unnecessary and, if a placebo would have been involved, unethical). These interventions were classified as level II evidence. Interventions that did not fall into either above category were classified as level III evidence. Results Two hundred and sixty-two patient charts were reviewed. Of these, 35.9% did not receive a primary intervention. Of the 168 interventions assessed, 80.4% were evidence-based (level I), 7.1% had face validity (level II) and 12.5% had no supporting evidence (level III). Of the evidence-based interventions, 83.7% were supported by studies with mostly pediatric patients. Conclusion Our study demonstrates that a substantial proportion of PED treatment decisions are evidence-based, with most based on studies in pediatric patients. Also, a large number of patients seen in the PED receive no intervention. Primary Intervention (dpeaa)DE-He213 Croup (dpeaa)DE-He213 Primary Investigator (dpeaa)DE-He213 Pediatric Emergency Department (dpeaa)DE-He213 Pediatric Emergency Medicine (dpeaa)DE-He213 Wiebe, Natasha aut Cramer, Kristie aut Hartling, Lisa aut Klassen, Terry P aut Enthalten in BMC pediatrics London : BioMed Central, 2001 6(2006), 1 vom: 06. Okt. (DE-627)326643621 (DE-600)2041342-7 1471-2431 nnns volume:6 year:2006 number:1 day:06 month:10 https://dx.doi.org/10.1186/1471-2431-6-26 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2006 1 06 10
spelling	10.1186/1471-2431-6-26 doi (DE-627)SPR027746062 (SPR)1471-2431-6-26-e DE-627 ger DE-627 rakwb eng Waters, Kellie L verfasserin aut Treatment in the pediatric emergency department is evidence based: a retrospective analysis 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Waters et al; licensee BioMed Central Ltd. 2006 Background Our goal was to quantify the evidence that is available to the physicians of a pediatric emergency department (PED) in making treatment decisions. Further, we wished to ascertain what percentage of evidence for treatment provided in the PED comes from pediatric studies. Methods We conducted a retrospective chart review of randomly selected patients seen in the PED between January 1 and December 31, 2002. The principal investigator identified a primary diagnosis and primary intervention for each chart. A thorough literature search was then undertaken with respect to the primary intervention. If a randomized control trial (RCT) or a systematic review was found, the intervention was classified as level I evidence. If no RCT was found, the intervention was assessed by an expert committee who determined its appropriateness based on face validity (RCTs were unanimously judged to be both unnecessary and, if a placebo would have been involved, unethical). These interventions were classified as level II evidence. Interventions that did not fall into either above category were classified as level III evidence. Results Two hundred and sixty-two patient charts were reviewed. Of these, 35.9% did not receive a primary intervention. Of the 168 interventions assessed, 80.4% were evidence-based (level I), 7.1% had face validity (level II) and 12.5% had no supporting evidence (level III). Of the evidence-based interventions, 83.7% were supported by studies with mostly pediatric patients. Conclusion Our study demonstrates that a substantial proportion of PED treatment decisions are evidence-based, with most based on studies in pediatric patients. Also, a large number of patients seen in the PED receive no intervention. Primary Intervention (dpeaa)DE-He213 Croup (dpeaa)DE-He213 Primary Investigator (dpeaa)DE-He213 Pediatric Emergency Department (dpeaa)DE-He213 Pediatric Emergency Medicine (dpeaa)DE-He213 Wiebe, Natasha aut Cramer, Kristie aut Hartling, Lisa aut Klassen, Terry P aut Enthalten in BMC pediatrics London : BioMed Central, 2001 6(2006), 1 vom: 06. Okt. (DE-627)326643621 (DE-600)2041342-7 1471-2431 nnns volume:6 year:2006 number:1 day:06 month:10 https://dx.doi.org/10.1186/1471-2431-6-26 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2006 1 06 10
allfields_unstemmed	10.1186/1471-2431-6-26 doi (DE-627)SPR027746062 (SPR)1471-2431-6-26-e DE-627 ger DE-627 rakwb eng Waters, Kellie L verfasserin aut Treatment in the pediatric emergency department is evidence based: a retrospective analysis 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Waters et al; licensee BioMed Central Ltd. 2006 Background Our goal was to quantify the evidence that is available to the physicians of a pediatric emergency department (PED) in making treatment decisions. Further, we wished to ascertain what percentage of evidence for treatment provided in the PED comes from pediatric studies. Methods We conducted a retrospective chart review of randomly selected patients seen in the PED between January 1 and December 31, 2002. The principal investigator identified a primary diagnosis and primary intervention for each chart. A thorough literature search was then undertaken with respect to the primary intervention. If a randomized control trial (RCT) or a systematic review was found, the intervention was classified as level I evidence. If no RCT was found, the intervention was assessed by an expert committee who determined its appropriateness based on face validity (RCTs were unanimously judged to be both unnecessary and, if a placebo would have been involved, unethical). These interventions were classified as level II evidence. Interventions that did not fall into either above category were classified as level III evidence. Results Two hundred and sixty-two patient charts were reviewed. Of these, 35.9% did not receive a primary intervention. Of the 168 interventions assessed, 80.4% were evidence-based (level I), 7.1% had face validity (level II) and 12.5% had no supporting evidence (level III). Of the evidence-based interventions, 83.7% were supported by studies with mostly pediatric patients. Conclusion Our study demonstrates that a substantial proportion of PED treatment decisions are evidence-based, with most based on studies in pediatric patients. Also, a large number of patients seen in the PED receive no intervention. Primary Intervention (dpeaa)DE-He213 Croup (dpeaa)DE-He213 Primary Investigator (dpeaa)DE-He213 Pediatric Emergency Department (dpeaa)DE-He213 Pediatric Emergency Medicine (dpeaa)DE-He213 Wiebe, Natasha aut Cramer, Kristie aut Hartling, Lisa aut Klassen, Terry P aut Enthalten in BMC pediatrics London : BioMed Central, 2001 6(2006), 1 vom: 06. Okt. (DE-627)326643621 (DE-600)2041342-7 1471-2431 nnns volume:6 year:2006 number:1 day:06 month:10 https://dx.doi.org/10.1186/1471-2431-6-26 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2006 1 06 10
allfieldsGer	10.1186/1471-2431-6-26 doi (DE-627)SPR027746062 (SPR)1471-2431-6-26-e DE-627 ger DE-627 rakwb eng Waters, Kellie L verfasserin aut Treatment in the pediatric emergency department is evidence based: a retrospective analysis 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Waters et al; licensee BioMed Central Ltd. 2006 Background Our goal was to quantify the evidence that is available to the physicians of a pediatric emergency department (PED) in making treatment decisions. Further, we wished to ascertain what percentage of evidence for treatment provided in the PED comes from pediatric studies. Methods We conducted a retrospective chart review of randomly selected patients seen in the PED between January 1 and December 31, 2002. The principal investigator identified a primary diagnosis and primary intervention for each chart. A thorough literature search was then undertaken with respect to the primary intervention. If a randomized control trial (RCT) or a systematic review was found, the intervention was classified as level I evidence. If no RCT was found, the intervention was assessed by an expert committee who determined its appropriateness based on face validity (RCTs were unanimously judged to be both unnecessary and, if a placebo would have been involved, unethical). These interventions were classified as level II evidence. Interventions that did not fall into either above category were classified as level III evidence. Results Two hundred and sixty-two patient charts were reviewed. Of these, 35.9% did not receive a primary intervention. Of the 168 interventions assessed, 80.4% were evidence-based (level I), 7.1% had face validity (level II) and 12.5% had no supporting evidence (level III). Of the evidence-based interventions, 83.7% were supported by studies with mostly pediatric patients. Conclusion Our study demonstrates that a substantial proportion of PED treatment decisions are evidence-based, with most based on studies in pediatric patients. Also, a large number of patients seen in the PED receive no intervention. Primary Intervention (dpeaa)DE-He213 Croup (dpeaa)DE-He213 Primary Investigator (dpeaa)DE-He213 Pediatric Emergency Department (dpeaa)DE-He213 Pediatric Emergency Medicine (dpeaa)DE-He213 Wiebe, Natasha aut Cramer, Kristie aut Hartling, Lisa aut Klassen, Terry P aut Enthalten in BMC pediatrics London : BioMed Central, 2001 6(2006), 1 vom: 06. Okt. (DE-627)326643621 (DE-600)2041342-7 1471-2431 nnns volume:6 year:2006 number:1 day:06 month:10 https://dx.doi.org/10.1186/1471-2431-6-26 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2006 1 06 10
allfieldsSound	10.1186/1471-2431-6-26 doi (DE-627)SPR027746062 (SPR)1471-2431-6-26-e DE-627 ger DE-627 rakwb eng Waters, Kellie L verfasserin aut Treatment in the pediatric emergency department is evidence based: a retrospective analysis 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Waters et al; licensee BioMed Central Ltd. 2006 Background Our goal was to quantify the evidence that is available to the physicians of a pediatric emergency department (PED) in making treatment decisions. Further, we wished to ascertain what percentage of evidence for treatment provided in the PED comes from pediatric studies. Methods We conducted a retrospective chart review of randomly selected patients seen in the PED between January 1 and December 31, 2002. The principal investigator identified a primary diagnosis and primary intervention for each chart. A thorough literature search was then undertaken with respect to the primary intervention. If a randomized control trial (RCT) or a systematic review was found, the intervention was classified as level I evidence. If no RCT was found, the intervention was assessed by an expert committee who determined its appropriateness based on face validity (RCTs were unanimously judged to be both unnecessary and, if a placebo would have been involved, unethical). These interventions were classified as level II evidence. Interventions that did not fall into either above category were classified as level III evidence. Results Two hundred and sixty-two patient charts were reviewed. Of these, 35.9% did not receive a primary intervention. Of the 168 interventions assessed, 80.4% were evidence-based (level I), 7.1% had face validity (level II) and 12.5% had no supporting evidence (level III). Of the evidence-based interventions, 83.7% were supported by studies with mostly pediatric patients. Conclusion Our study demonstrates that a substantial proportion of PED treatment decisions are evidence-based, with most based on studies in pediatric patients. Also, a large number of patients seen in the PED receive no intervention. Primary Intervention (dpeaa)DE-He213 Croup (dpeaa)DE-He213 Primary Investigator (dpeaa)DE-He213 Pediatric Emergency Department (dpeaa)DE-He213 Pediatric Emergency Medicine (dpeaa)DE-He213 Wiebe, Natasha aut Cramer, Kristie aut Hartling, Lisa aut Klassen, Terry P aut Enthalten in BMC pediatrics London : BioMed Central, 2001 6(2006), 1 vom: 06. Okt. (DE-627)326643621 (DE-600)2041342-7 1471-2431 nnns volume:6 year:2006 number:1 day:06 month:10 https://dx.doi.org/10.1186/1471-2431-6-26 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2006 1 06 10
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source	Enthalten in BMC pediatrics 6(2006), 1 vom: 06. Okt. volume:6 year:2006 number:1 day:06 month:10
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Further, we wished to ascertain what percentage of evidence for treatment provided in the PED comes from pediatric studies. Methods We conducted a retrospective chart review of randomly selected patients seen in the PED between January 1 and December 31, 2002. The principal investigator identified a primary diagnosis and primary intervention for each chart. A thorough literature search was then undertaken with respect to the primary intervention. If a randomized control trial (RCT) or a systematic review was found, the intervention was classified as level I evidence. If no RCT was found, the intervention was assessed by an expert committee who determined its appropriateness based on face validity (RCTs were unanimously judged to be both unnecessary and, if a placebo would have been involved, unethical). These interventions were classified as level II evidence. Interventions that did not fall into either above category were classified as level III evidence. Results Two hundred and sixty-two patient charts were reviewed. Of these, 35.9% did not receive a primary intervention. Of the 168 interventions assessed, 80.4% were evidence-based (level I), 7.1% had face validity (level II) and 12.5% had no supporting evidence (level III). Of the evidence-based interventions, 83.7% were supported by studies with mostly pediatric patients. Conclusion Our study demonstrates that a substantial proportion of PED treatment decisions are evidence-based, with most based on studies in pediatric patients. 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author	Waters, Kellie L
spellingShingle	Waters, Kellie L misc Primary Intervention misc Croup misc Primary Investigator misc Pediatric Emergency Department misc Pediatric Emergency Medicine Treatment in the pediatric emergency department is evidence based: a retrospective analysis
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topic_title	Treatment in the pediatric emergency department is evidence based: a retrospective analysis Primary Intervention (dpeaa)DE-He213 Croup (dpeaa)DE-He213 Primary Investigator (dpeaa)DE-He213 Pediatric Emergency Department (dpeaa)DE-He213 Pediatric Emergency Medicine (dpeaa)DE-He213
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title	Treatment in the pediatric emergency department is evidence based: a retrospective analysis
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title_full	Treatment in the pediatric emergency department is evidence based: a retrospective analysis
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title_sort	treatment in the pediatric emergency department is evidence based: a retrospective analysis
title_auth	Treatment in the pediatric emergency department is evidence based: a retrospective analysis
abstract	Background Our goal was to quantify the evidence that is available to the physicians of a pediatric emergency department (PED) in making treatment decisions. Further, we wished to ascertain what percentage of evidence for treatment provided in the PED comes from pediatric studies. Methods We conducted a retrospective chart review of randomly selected patients seen in the PED between January 1 and December 31, 2002. The principal investigator identified a primary diagnosis and primary intervention for each chart. A thorough literature search was then undertaken with respect to the primary intervention. If a randomized control trial (RCT) or a systematic review was found, the intervention was classified as level I evidence. If no RCT was found, the intervention was assessed by an expert committee who determined its appropriateness based on face validity (RCTs were unanimously judged to be both unnecessary and, if a placebo would have been involved, unethical). These interventions were classified as level II evidence. Interventions that did not fall into either above category were classified as level III evidence. Results Two hundred and sixty-two patient charts were reviewed. Of these, 35.9% did not receive a primary intervention. Of the 168 interventions assessed, 80.4% were evidence-based (level I), 7.1% had face validity (level II) and 12.5% had no supporting evidence (level III). Of the evidence-based interventions, 83.7% were supported by studies with mostly pediatric patients. Conclusion Our study demonstrates that a substantial proportion of PED treatment decisions are evidence-based, with most based on studies in pediatric patients. Also, a large number of patients seen in the PED receive no intervention. © Waters et al; licensee BioMed Central Ltd. 2006
abstractGer	Background Our goal was to quantify the evidence that is available to the physicians of a pediatric emergency department (PED) in making treatment decisions. Further, we wished to ascertain what percentage of evidence for treatment provided in the PED comes from pediatric studies. Methods We conducted a retrospective chart review of randomly selected patients seen in the PED between January 1 and December 31, 2002. The principal investigator identified a primary diagnosis and primary intervention for each chart. A thorough literature search was then undertaken with respect to the primary intervention. If a randomized control trial (RCT) or a systematic review was found, the intervention was classified as level I evidence. If no RCT was found, the intervention was assessed by an expert committee who determined its appropriateness based on face validity (RCTs were unanimously judged to be both unnecessary and, if a placebo would have been involved, unethical). These interventions were classified as level II evidence. Interventions that did not fall into either above category were classified as level III evidence. Results Two hundred and sixty-two patient charts were reviewed. Of these, 35.9% did not receive a primary intervention. Of the 168 interventions assessed, 80.4% were evidence-based (level I), 7.1% had face validity (level II) and 12.5% had no supporting evidence (level III). Of the evidence-based interventions, 83.7% were supported by studies with mostly pediatric patients. Conclusion Our study demonstrates that a substantial proportion of PED treatment decisions are evidence-based, with most based on studies in pediatric patients. Also, a large number of patients seen in the PED receive no intervention. © Waters et al; licensee BioMed Central Ltd. 2006
abstract_unstemmed	Background Our goal was to quantify the evidence that is available to the physicians of a pediatric emergency department (PED) in making treatment decisions. Further, we wished to ascertain what percentage of evidence for treatment provided in the PED comes from pediatric studies. Methods We conducted a retrospective chart review of randomly selected patients seen in the PED between January 1 and December 31, 2002. The principal investigator identified a primary diagnosis and primary intervention for each chart. A thorough literature search was then undertaken with respect to the primary intervention. If a randomized control trial (RCT) or a systematic review was found, the intervention was classified as level I evidence. If no RCT was found, the intervention was assessed by an expert committee who determined its appropriateness based on face validity (RCTs were unanimously judged to be both unnecessary and, if a placebo would have been involved, unethical). These interventions were classified as level II evidence. Interventions that did not fall into either above category were classified as level III evidence. Results Two hundred and sixty-two patient charts were reviewed. Of these, 35.9% did not receive a primary intervention. Of the 168 interventions assessed, 80.4% were evidence-based (level I), 7.1% had face validity (level II) and 12.5% had no supporting evidence (level III). Of the evidence-based interventions, 83.7% were supported by studies with mostly pediatric patients. Conclusion Our study demonstrates that a substantial proportion of PED treatment decisions are evidence-based, with most based on studies in pediatric patients. Also, a large number of patients seen in the PED receive no intervention. © Waters et al; licensee BioMed Central Ltd. 2006
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title_short	Treatment in the pediatric emergency department is evidence based: a retrospective analysis
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Treatment in the pediatric emergency department is evidence based: a retrospective analysis

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