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Publishing Trends in the Field of Pediatric Emergency Medicine From 2004 to 2013

Rixe, Nancy S. MD; Rixe, Jeffrey MD; Glick, Joshua MD; Lehman, Erik MS; Olympia, Robert P. MD

doi: 10.1097/PEC.0000000000000962
Original Articles

Objective To identify publishing trends within the field of pediatric emergency medicine between 2004 and 2013.

Methods We conducted a MEDLINE search of pediatric emergency medicine articles, filtered by clinical trial, published between 2004 and 2013 in ten journals from the fields of pediatrics, emergency medicine, general medicine, and pediatric emergency medicine. Each article was classified by journal type, study design, results (positive or negative/equivocal), age/type of subjects, and major topic (based on the objective of the study). Articles were stratified by publication period (2004–2008 or 2009–2013) to analyze trends.

Results A total of 464 articles were analyzed. The majority of articles were described as randomized-controlled trials (47%) with negative/equivocal findings (70%). The most common major topics were pain management, asthma, sedation, bronchiolitis, resuscitation, simulation, and ultrasound. Over time, the percentage of articles published in pediatrics and pediatric emergency medicine journals increased (P = 0.0499) and the percentage for all study designs increased except for randomized controlled trials (P = 0.0089). There were no differences between the 2 publication periods when stratified by results, age/type of subjects, and major topic.

Conclusions By identifying these trends, we hope to encourage researchers to perform studies in the field of pediatric emergency medicine where deficiencies lie and to guide pediatric health care professionals to where published, evidence-based studies can be found in the medical literature.

From the *Department of Pediatrics, Children’s Hospital of Boston; †Department of Emergency Medicine, Boston Medical Center, Boston, MA; ‡Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia; §Department of Public Health Sciences, Pennsylvania State University College of Medicine; and ∥Departments of Emergency Medicine and Pediatrics, Penn State Hershey Medical Center, Hershey, PA.

Disclosure: The authors declare no conflict of interest.

Reprints: Robert P. Olympia, MD, Department of Emergency Medicine, Penn State Hershey Medical Center, 500 University Drive, PO Box 850, Hershey, PA 17033-0850 (e-mail:

Erik Lehman's work was funded and supported by the National Center for Advancing Translational Sciences, National Institutes of Health, through grant UL1 TR000127. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

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