FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4386735352> ?p ?o ?g. }

• W4386735352 abstract "Electronic health records (EHRs) data provide an opportunity to collect patient information rapidly, efficiently and at scale. National collaborative research networks, such as PEDSnet, aggregate EHRs data across institutions, enabling rapid identification of pediatric disease cohorts and generating new knowledge for medical conditions. To date, aggregation of EHR data has had limited applications in advancing our understanding of mental health (MH) conditions, in part due to the limited research in clinical informatics, necessary for the translation of EHR data to child mental health research.In this cohort study, a comprehensive EHR-based typology was developed by an interdisciplinary team, with expertise in informatics and child and adolescent psychiatry, to query aggregated, standardized EHR data for the full spectrum of MH conditions (disorders/symptoms and exposure to adverse childhood experiences (ACEs), across 13 years (2010-2023), from 9 PEDSnet centers. Patients with and without MH disorders/symptoms (without ACEs), were compared by age, gender, race/ethnicity, insurance, and chronic physical conditions. Patients with ACEs alone were compared with those that also had MH disorders/symptoms. Prevalence estimates for patients with 1+ disorder/symptoms and for specific disorders/symptoms and exposure to ACEs were calculated, as well as risk for developing MH disorder/symptoms.The EHR study data set included 7,852,081 patients < 21 years of age, of which 52.1% were male. Of this group, 1,552,726 (19.8%), without exposure to ACEs, had a lifetime MH disorders/symptoms, 56.5% being male. Annual prevalence estimates of MH disorders/symptoms (without exposure to ACEs) rose from 10.6% to 2010 to 15.1% in 2023, a 44% relative increase, peaking to 15.4% in 2019, prior to the Covid-19 pandemic. MH categories with the largest increases between 2010 and 2023 were exposure to ACEs (1.7, 95% CI 1.6-1.8), anxiety disorders (2.8, 95% CI 2.8-2.9), eating/feeding disorders (2.1, 95% CI 2.1-2.2), gender dysphoria/sexual dysfunction (43.6, 95% CI 35.8-53.0), and intentional self-harm/suicidality (3.3, 95% CI 3.2-3.5). White youths had the highest rates in most categories, except for disruptive behavior disorders, elimination disorders, psychotic disorders, and standalone symptoms which Black youths had higher rates. Median age of detection was 8.1 years (IQR 3.5-13.5) with all standalone symptoms recorded earlier than the corresponding MH disorder categories.These results support EHRs' capability in capturing the full spectrum of MH disorders/symptoms and exposure to ACEs, identifying the proportion of patients and groups at risk, and detecting trends throughout a 13-year period that included the Covid-19 pandemic. Standardized EHR data, which capture MH conditions is critical for health systems to examine past and current trends for future surveillance. Our publicly available EHR-mental health typology codes can be used in other studies to further advance research in this area." @default.
• W4386735352 created "2023-09-15" @default.
• W4386735352 creator A5002786012 @default.
• W4386735352 creator A5005348970 @default.
• W4386735352 creator A5009216761 @default.
• W4386735352 creator A5033296213 @default.
• W4386735352 creator A5048800466 @default.
• W4386735352 creator A5061786964 @default.
• W4386735352 creator A5064937907 @default.
• W4386735352 creator A5065190810 @default.
• W4386735352 creator A5070817293 @default.
• W4386735352 creator A5076175197 @default.
• W4386735352 creator A5078884326 @default.
• W4386735352 creator A5083515906 @default.
• W4386735352 creator A5083629866 @default.
• W4386735352 creator A5084128684 @default.
• W4386735352 date "2023-09-14" @default.
• W4386735352 modified "2023-09-28" @default.
• W4386735352 title "Electronic health records identify timely trends in childhood mental health conditions" @default.
• W4386735352 cites W1797914761 @default.
• W4386735352 cites W1979091313 @default.
• W4386735352 cites W1998465979 @default.
• W4386735352 cites W1999066126 @default.
• W4386735352 cites W2004491620 @default.
• W4386735352 cites W2059586337 @default.
• W4386735352 cites W2075589559 @default.
• W4386735352 cites W2076612010 @default.
• W4386735352 cites W2105938068 @default.
• W4386735352 cites W2121058397 @default.
• W4386735352 cites W2122188074 @default.
• W4386735352 cites W2126948325 @default.
• W4386735352 cites W2133831713 @default.
• W4386735352 cites W2134405146 @default.
• W4386735352 cites W2155862019 @default.
• W4386735352 cites W2157365260 @default.
• W4386735352 cites W2158997558 @default.
• W4386735352 cites W2159499869 @default.
• W4386735352 cites W2160697538 @default.
• W4386735352 cites W2166123574 @default.
• W4386735352 cites W2170219130 @default.
• W4386735352 cites W2229218846 @default.
• W4386735352 cites W2294027214 @default.
• W4386735352 cites W2305581719 @default.
• W4386735352 cites W2336383680 @default.
• W4386735352 cites W2340656051 @default.
• W4386735352 cites W2517388783 @default.
• W4386735352 cites W2558096290 @default.
• W4386735352 cites W2562671849 @default.
• W4386735352 cites W2588924761 @default.
• W4386735352 cites W2604341722 @default.
• W4386735352 cites W2606183901 @default.
• W4386735352 cites W2651524855 @default.
• W4386735352 cites W2804266670 @default.
• W4386735352 cites W2804590196 @default.
• W4386735352 cites W2891723609 @default.
• W4386735352 cites W2904339902 @default.
• W4386735352 cites W2908784285 @default.
• W4386735352 cites W2915002343 @default.
• W4386735352 cites W2916778535 @default.
• W4386735352 cites W2942552479 @default.
• W4386735352 cites W2949258636 @default.
• W4386735352 cites W2982072377 @default.
• W4386735352 cites W2982619821 @default.
• W4386735352 cites W2985238347 @default.
• W4386735352 cites W2989638817 @default.
• W4386735352 cites W2990682275 @default.
• W4386735352 cites W2995971356 @default.
• W4386735352 cites W3000628196 @default.
• W4386735352 cites W3003431052 @default.
• W4386735352 cites W3012684694 @default.
• W4386735352 cites W3013874881 @default.
• W4386735352 cites W3015706105 @default.
• W4386735352 cites W3016957018 @default.
• W4386735352 cites W3024664944 @default.
• W4386735352 cites W3043918183 @default.
• W4386735352 cites W3044231266 @default.
• W4386735352 cites W3081530821 @default.
• W4386735352 cites W3104941285 @default.
• W4386735352 cites W3107960025 @default.
• W4386735352 cites W3108448536 @default.
• W4386735352 cites W3109433159 @default.
• W4386735352 cites W3117273612 @default.
• W4386735352 cites W3139445795 @default.
• W4386735352 cites W3157032612 @default.
• W4386735352 cites W3158849670 @default.
• W4386735352 cites W3159798238 @default.
• W4386735352 cites W3162343128 @default.
• W4386735352 cites W3164324796 @default.
• W4386735352 cites W3169414631 @default.
• W4386735352 cites W3173400326 @default.
• W4386735352 cites W3190676424 @default.
• W4386735352 cites W3190876559 @default.
• W4386735352 cites W4205163033 @default.
• W4386735352 cites W4205724682 @default.
• W4386735352 cites W4206340542 @default.
• W4386735352 cites W4213279587 @default.
• W4386735352 cites W4220802692 @default.
• W4386735352 cites W4221053889 @default.
• W4386735352 cites W4280609728 @default.
• W4386735352 cites W4281557441 @default.

• next