Evidence map›Paper›PMID 23101140›Full record

ArticleClinical medicine (London, England)2012

Selecting ambulatory emergency care (AEC) patients from the medical emergency in-take: the derivation and validation of the Amb score.

Les Ala, Jennifer Mack, Rachel Shaw, Andrea Gasson, Emma Cogbill, Rose Marion, Rasha Rahman, Francesca Deibel, Nia Rathbone

Abstract readValidation Study
In one paragraph

Article in Clinical medicine (London, England), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Review
  9. Observational
  10. Article
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  12. Article
  13. Ambulatory emergency care - improvement by design.Clinical medicine (London, England) · 2018
    Article
  14. Ambulatory emergency care: how should acute generalists manage risk in undifferentiated illness?The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Article
  15. Article
  16. The Ambulatory Care Unit at Derriford Hospital.Clinical medicine (London, England) · 2014
    Article
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

9 authors.

Les AlaDepartment of Acute Medicine, Royal Glamorgan Hospital, South Wales. lesala99@yahoo.co.uk
Jennifer Mack
Rachel Shaw
Andrea Gasson
Emma Cogbill
Rose Marion
Rasha Rahman
Francesca Deibel
Nia Rathbone

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Accurate prediction of the likelihood of same-day discharge could make it possible to direct one-third of the medical in-take to an ambulatory care unit, thereby facilitating bed management. In Phase 1 of this study, we identified seven independent factors that contribute to an ambulatory care score (Amb score) that can potentially be used as a tool to select ambulatory emergency care (AEC) patients from the medical emergency in-take. A high score was associated with discharge within 12 hours of assessment and treatment in hospital. In Phase 2, we verified and internally validated the performance of the Amb score in a different cohort of patients, finding that it functioned well in identifying early discharges (ie AEC patients), with an area under the receiver operator curve (AUROC) of 0.91 (95% CI 0.88-0.94). An Amb score of > or = 5 has a sensitivity of 96% (95% CI 90-98) and a specificity of 62% (95% CI 55-68) in identifying potential AEC patients.

Indexed as

Ambulatory CareEmergency Service, HospitalPatient SelectionAdultAgedAged, 80 and overArea Under CurveDelivery of Health CareFemaleHealth Status IndicatorsHumansLength of StayLogistic ModelsMaleMiddle AgedOdds Ratio

Identifiers

PMID23101140
PMCPMC4953762

What OpenQuestion holds

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Registered trials

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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.