Evidence map›Paper›PMID 19826161›Full record

ArticleCanadian family physician Medecin de famille canadien2009

Frequency of in-office emergencies in primary care.

Clare Liddy, Heather Dreise, Isabelle Gaboury

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  6. Article
  7. Emergencies in general practice: could checklists support teams in stressful situations?The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Article
  8. Article
  9. Review
  10. Canadian family physician Medecin de famille canadien · 2019
    Review
  11. Self reported involvement in emergency medicine among GPs in Norway.Scandinavian journal of primary health care · 2018
    Article
  12. Article
  13. Article
  14. Article
  15. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Clare LiddyCT Lamont Primary Health Care Research Centre, Elisabeth Bruyère Research Institute, University of Ottawa, Ottawa, ON K1N 5C8. CLiddy@bruyere.org
Heather Dreise
Isabelle Gaboury

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo quantify the frequency and types of in-office emergencies seen by FPs.

designA retrospective descriptive analysis of the frequency and types of in-office emergencies seen by FPs was done using the City of Ottawa Emergency Medical Services database.

settingCommunity medical offices in the Ottawa, Ont, region during a 3-year period (2004 to 2006).

participantsAll patients for whom an ambulance was called to a medical office or clinic during the study period.

main outcome measuresNumber of emergency calls from FPs' offices, primary complaints, seasonal variation, distance to the nearest emergency facility, and patients' demographic characteristics.

resultsA total of 3033 code 04 (life-threatening) emergency calls were received from FPs' offices during the study period. Demographic analysis of the calls showed that 91.3% of calls were regarding adult patients with an average age of 51.5 years. There was an overall statistically significant difference in the sex of the patients presenting (P < .001), but it was attributable to calls about genitourinary emergencies, which were almost all for women. The most common type of emergency reported was cardiovascular complaints. Of the 992 cardiovascular emergencies, 74.3% were complaints of ischemic chest pain.

conclusionThere is a great burden on the health care system from emergency calls, with continued unpreparedness from FPs. Clearly, FPs must take seriously the risk of being unprepared for in-office emergencies. Dissemination strategies must be developed so that the guidelines that have been developed can be effectively implemented in FP offices across the country.

Indexed as

EmergenciesFamily PracticeFemaleHumansMaleMiddle AgedOntarioRetrospective StudiesSex DistributionTime Factors

Identifiers

PMID19826161
PMCPMC2761959

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.