{"id":"https://openalex.org/W7222926191","doi":"https://doi.org/10.3389/fpubh.2026.1955991","title":"Clinical and diagnostic factors associated with 72-h unscheduled return to high-priority pediatric emergency care: a health services retrospective cohort study","display_name":"Clinical and diagnostic factors associated with 72-h unscheduled return to high-priority pediatric emergency care: a health services retrospective cohort study","publication_year":2026,"publication_date":"2026-10-19","ids":{"openalex":"https://openalex.org/W7222926191","doi":"https://doi.org/10.3389/fpubh.2026.1955991","pmid":"https://pubmed.ncbi.nlm.nih.gov/42973530","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13724413"},"language":"en","primary_location":{"id":"doi:10.3389/fpubh.2026.1955991","doi":"https://doi.org/10.3389/fpubh.2026.1955991","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2026.1955991","pdf_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1955991/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1955991/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5159076686","display_name":"Jing Zhao","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I24185976","display_name":"Sichuan University","ror":"https://ror.org/011ashp19","country_code":"CN","type":"education","lineage":["https://openalex.org/I24185976"]},{"id":"https://openalex.org/I4210089228","display_name":"West China Second University Hospital of Sichuan University","ror":"https://ror.org/00726et14","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210089228"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jing Zhao","raw_affiliation_strings":["Department of Emergency Nursing, West China Second University Hospital, Sichuan University","Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Nursing, West China Second University Hospital, Sichuan University","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I4210089228"]},{"raw_affiliation_string":"Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education","institution_ids":["https://openalex.org/I24185976"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039399185","display_name":"Lingli Pan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I24185976","display_name":"Sichuan University","ror":"https://ror.org/011ashp19","country_code":"CN","type":"education","lineage":["https://openalex.org/I24185976"]},{"id":"https://openalex.org/I4210089228","display_name":"West China Second University Hospital of Sichuan University","ror":"https://ror.org/00726et14","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210089228"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Lingli Pan","raw_affiliation_strings":["Department of Emergency Nursing, West China Second University Hospital, Sichuan University","Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Nursing, West China Second University Hospital, Sichuan University","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I4210089228"]},{"raw_affiliation_string":"Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education","institution_ids":["https://openalex.org/I24185976"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092623691","display_name":"Qiu Jin","orcid":"https://orcid.org/0009-0002-2338-3692","observed_orcids":["https://orcid.org/0009-0002-2338-3692"]},"institutions":[{"id":"https://openalex.org/I24185976","display_name":"Sichuan University","ror":"https://ror.org/011ashp19","country_code":"CN","type":"education","lineage":["https://openalex.org/I24185976"]},{"id":"https://openalex.org/I4210089228","display_name":"West China Second University Hospital of Sichuan University","ror":"https://ror.org/00726et14","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210089228"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Qiu Jin","raw_affiliation_strings":["Department of Emergency Nursing, West China Second University Hospital, Sichuan University","Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Nursing, West China Second University Hospital, Sichuan University","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I4210089228"]},{"raw_affiliation_string":"Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education","institution_ids":["https://openalex.org/I24185976"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159036986","display_name":"Jie Gao","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I24185976","display_name":"Sichuan University","ror":"https://ror.org/011ashp19","country_code":"CN","type":"education","lineage":["https://openalex.org/I24185976"]},{"id":"https://openalex.org/I4210089228","display_name":"West China Second University Hospital of Sichuan University","ror":"https://ror.org/00726et14","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210089228"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jie Gao","raw_affiliation_strings":["Department of Emergency Nursing, West China Second University Hospital, Sichuan University","Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Nursing, West China Second University Hospital, Sichuan University","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I4210089228"]},{"raw_affiliation_string":"Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education","institution_ids":["https://openalex.org/I24185976"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5146497910","display_name":"Min Cheng","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I24185976","display_name":"Sichuan University","ror":"https://ror.org/011ashp19","country_code":"CN","type":"education","lineage":["https://openalex.org/I24185976"]},{"id":"https://openalex.org/I4210089228","display_name":"West China Second University Hospital of Sichuan University","ror":"https://ror.org/00726et14","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210089228"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Min Cheng","raw_affiliation_strings":["Department of Emergency Nursing, West China Second University Hospital, Sichuan University","Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Nursing, West China Second University Hospital, Sichuan University","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I4210089228"]},{"raw_affiliation_string":"Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education","institution_ids":["https://openalex.org/I24185976"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5039399185","https://openalex.org/A5092623691"],"corresponding_institution_ids":["https://openalex.org/I24185976","https://openalex.org/I4210089228"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.82890741,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"14","issue":null,"first_page":"1955991","last_page":"1955991"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2911","display_name":"Leadership and Management"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/unscheduled-return-visits","display_name":"unscheduled return visits","score":0.8769999742507935},{"id":"https://openalex.org/keywords/pediatric-emergency-care","display_name":"pediatric emergency care","score":0.7260000109672546},{"id":"https://openalex.org/keywords/pediatric-oncology","display_name":"pediatric oncology","score":0.8429999947547913},{"id":"https://openalex.org/keywords/hematologic-disorders","display_name":"hematologic disorders","score":0.9390000104904175},{"id":"https://openalex.org/keywords/emergency-resource-allocation","display_name":"emergency resource allocation","score":0.39800000190734863}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8758999705314636},{"id":"https://openalex.org/C2777120189","wikidata":"https://www.wikidata.org/wiki/Q780067","display_name":"Triage","level":2,"score":0.7494000196456909},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.7293999791145325},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.7211999893188477},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.666100025177002},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.6355999708175659},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.6247000098228455},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.6111000180244446},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.5910000205039978},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.49459999799728394},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.41679999232292175},{"id":"https://openalex.org/C545288138","wikidata":"https://www.wikidata.org/wiki/Q860447","display_name":"Emergency medical services","level":2,"score":0.37400001287460327},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3707999885082245},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.3544999957084656},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3366999924182892},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.30970001220703125},{"id":"https://openalex.org/C30036603","wikidata":"https://www.wikidata.org/wiki/Q17125150","display_name":"Severity of illness","level":2,"score":0.29750001430511475},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.28790000081062317},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.2709999978542328},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.2703000009059906},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.26170000433921814},{"id":"https://openalex.org/C2781385661","wikidata":"https://www.wikidata.org/wiki/Q4677918","display_name":"Acute care","level":3,"score":0.25699999928474426},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.2524999976158142}],"mesh":[{"descriptor_ui":"D000096924","descriptor_name":"Emergency Room Visits","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002681","descriptor_name":"China","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010359","descriptor_name":"Patient Readmission","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014218","descriptor_name":"Triage","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.3389/fpubh.2026.1955991","doi":"https://doi.org/10.3389/fpubh.2026.1955991","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2026.1955991","pdf_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1955991/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13724413","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13724413/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13724413/pdf/fpubh-14-1955991.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Public Health","raw_type":"Text"},{"id":"pmid:42973530","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42973530","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in public health","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:b66c8171aa60492194cfd9c5a5bcd856","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/b66c8171aa60492194cfd9c5a5bcd856","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Public Health, Vol 14 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fpubh.2026.1955991","doi":"https://doi.org/10.3389/fpubh.2026.1955991","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2026.1955991","pdf_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1955991/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7222926191.pdf","grobid_xml":"https://content.openalex.org/works/W7222926191.grobid-xml"},"referenced_works_count":20,"referenced_works":["https://openalex.org/W2275737843","https://openalex.org/W2918432942","https://openalex.org/W3125317154","https://openalex.org/W3182846908","https://openalex.org/W3186187259","https://openalex.org/W4210816123","https://openalex.org/W4283258364","https://openalex.org/W4288058803","https://openalex.org/W4295511714","https://openalex.org/W4317776100","https://openalex.org/W4365483671","https://openalex.org/W4367834421","https://openalex.org/W4384626979","https://openalex.org/W4386209891","https://openalex.org/W4387692958","https://openalex.org/W4402852425","https://openalex.org/W4403423628","https://openalex.org/W4403863628","https://openalex.org/W4412835544","https://openalex.org/W7160767228"],"related_works":["https://openalex.org/W3186187259","https://openalex.org/W7112313410","https://openalex.org/W2044542127","https://openalex.org/W7204194693","https://openalex.org/W7155824002","https://openalex.org/W2942757668","https://openalex.org/W2113280608","https://openalex.org/W3143044939","https://openalex.org/W2306794448","https://openalex.org/W1951617100"],"abstract_inverted_index":{"Background":[0],"Seventy-two-hour":[1],"unscheduled":[2,54,110,262],"return":[3,55,111,172,184,205,263,289],"visits":[4,81,166],"reflect":[5],"short-term":[6],"emergency":[7,26,41,92,258,304],"care":[8,27,36,93,259],"reutilization,":[9],"discharge-transition":[10],"safety,":[11],"and":[12,34,48,60,68,99,146,291,298],"disease":[13],"progression":[14],"in":[15,102,104,158,232],"children.":[16],"Evidence":[17],"is":[18],"limited":[19],"for":[20,142],"children":[21,84,279],"managed":[22,85],"through":[23,86],"high-priority":[24,90,256,303],"pediatric":[25,80,91,257],"pathways,":[28],"where":[29],"triage":[30,147],"acuity,":[31],"observation":[32],"needs,":[33],"disease-specific":[35],"processes":[37],"differ":[38],"from":[39,82],"standard":[40],"department":[42],"care.":[43],"This":[44],"study":[45,77],"examined":[46],"clinical":[47],"diagnostic":[49,271],"factors":[50],"associated":[51],"with":[52,133,204,280],"72-h":[53,171,261],"to":[56,112,140,268,274,294],"such":[57],"a":[58,74,96,134,170],"pathway":[59,94,115],"assessed":[61],"whether":[62],"these":[63],"associations":[64],"differed":[65],"between":[66],"red-zone":[67,186],"yellow-zone":[69,178],"encounters.":[70],"Methods":[71],"We":[72],"conducted":[73],"retrospective":[75],"cohort":[76],"of":[78,183,302],"30,170":[79],"24,479":[83],"an":[87],"institutionally":[88],"defined":[89],"at":[95],"tertiary":[97],"women\u2019s":[98],"children\u2019s":[100],"hospital":[101],"China":[103],"2025.":[105],"The":[106,220,245],"primary":[107,176],"outcome":[108],"was":[109,138,230,264],"the":[113,120,159,175,201,226,233,269],"same":[114],"within":[116,127],"72":[117],"h":[118],"after":[119],"index":[121,165],"visit.":[122],"Visits":[123],"were":[124,149,155,167],"ordered":[125],"chronologically":[126],"each":[128],"child.":[129],"Mixed-effects":[130],"logistic":[131],"regression":[132],"patient-level":[135],"random":[136],"intercept":[137],"used":[139],"account":[141],"repeated":[143],"visits.":[144],"Zone":[145],"level":[148],"not":[150],"included":[151],"together":[152],"because":[153],"they":[154],"structurally":[156],"linked":[157],"institutional":[160],"workflow.":[161],"Results":[162],"Overall,":[163],"1,507":[164],"followed":[168,211],"by":[169,212],"(5.0%).":[173],"In":[174,254],"model,":[177],"encounters":[179,187],"had":[180],"higher":[181],"odds":[182,189],"than":[185,273],"(adjusted":[188],"ratio":[190],"[aOR],":[191],"2.28;":[192],"95%":[193,208,217,239],"confidence":[194],"interval":[195],"[CI],":[196],"1.34\u20133.87).":[197],"Oncologic":[198],"conditions":[199,282],"showed":[200],"strongest":[202],"association":[203,247],"(aOR,":[206,215],"6.48;":[207],"CI,":[209,218,240],"3.54\u201311.87),":[210],"hematologic":[213],"diseases":[214],"2.49;":[216],"1.06\u20135.89).":[219],"zone-by-diagnosis":[221],"interaction":[222],"model":[223],"indicated":[224],"that":[225],"oncologic":[227,246,281],"risk":[228],"signal":[229],"amplified":[231],"yellow":[234],"zone":[235],"(interaction":[236],"aOR,":[237],"5.10;":[238],"1.25\u201320.84;":[241],"p":[242],"=":[243],"0.023).":[244],"remained":[248],"stable":[249],"across":[250],"sensitivity":[251],"analyses.":[252],"Conclusion":[253],"this":[255],"pathway,":[260],"more":[265],"closely":[266],"related":[267],"underlying":[270],"category":[272],"initial":[275],"vital-sign":[276],"abnormality.":[277],"Yellow-zone":[278],"may":[283],"require":[284],"strengthened":[285],"discharge":[286],"assessment,":[287],"explicit":[288],"precautions,":[290],"short-interval":[292],"follow-up":[293],"improve":[295],"care-transition":[296],"safety":[297],"support":[299],"risk-informed":[300],"use":[301],"resources.":[305]},"counts_by_year":[],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2026-10-20T00:00:00"}