Evidence map›Paper›PMID 27051533›Full record

ArticleEmergency medicine international2016

Paramedic Recognition of Sepsis in the Prehospital Setting: A Prospective Observational Study.

Robert S Green, Andrew H Travers, Edward Cain, Samuel G Campbell, Jan L Jensen, David A Petrie, Mete Erdogan, Gredi Patrick, Ward Patrick

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Emergency medicine international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.9field-weighted citation impact, top 10% of its field
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

11 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Review
  5. Observational
  6. The accuracy of preliminary diagnoses made by paramedics - a cross-sectional comparative study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020
    Article
  7. Screening strategies to identify sepsis in the prehospital setting: a validation study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020
    Article
  8. Observational
  9. Article
  10. Article
  11. 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 at 2 institutions in 1 country.

Robert S GreenDepartment of Critical Care, Dalhousie University, Suite 377, Bethune Building, 1276 South Park Street, Halifax, NS, Canada B3H 2Y9; Trauma Nova Scotia, Room 1-026B, Centennial Building, 1276 South Park Street, Halifax, NS, Canada B3H 2Y9.ORCID 0000-0003-1195-5497
Andrew H TraversDepartment of Emergency Medicine, Dalhousie University, Division of EMS, 1796 Summer Street, Halifax Infirmary, Suite 355, Halifax, NS, Canada B3H 3A7; Emergency Health Service, 239 Brownlow Avenue, Suite 300, Dartmouth, NS, Canada B3B 2B2.
Edward CainDepartment of Emergency Medicine, Dalhousie University, Division of EMS, 1796 Summer Street, Halifax Infirmary, Suite 355, Halifax, NS, Canada B3H 3A7.
Samuel G CampbellDepartment of Emergency Medicine, Dalhousie University, Division of EMS, 1796 Summer Street, Halifax Infirmary, Suite 355, Halifax, NS, Canada B3H 3A7.
Jan L JensenDepartment of Emergency Medicine, Dalhousie University, Division of EMS, 1796 Summer Street, Halifax Infirmary, Suite 355, Halifax, NS, Canada B3H 3A7; Emergency Health Service, 239 Brownlow Avenue, Suite 300, Dartmouth, NS, Canada B3B 2B2.
David A PetrieDepartment of Emergency Medicine, Dalhousie University, Division of EMS, 1796 Summer Street, Halifax Infirmary, Suite 355, Halifax, NS, Canada B3H 3A7.
Mete ErdoganTrauma Nova Scotia, Room 1-026B, Centennial Building, 1276 South Park Street, Halifax, NS, Canada B3H 2Y9.
Gredi PatrickPerformance Excellence, Nova Scotia Health Authority, Halifax, NS, Canada B3H 4R2.
Ward PatrickDepartment of Critical Care, Dalhousie University, Suite 377, Bethune Building, 1276 South Park Street, Halifax, NS, Canada B3H 2Y9.
Dalhousie University · CANova Scotia Health Authority · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background. Patients with sepsis benefit from early diagnosis and treatment. Accurate paramedic recognition of sepsis is important to initiate care promptly for patients who arrive by Emergency Medical Services. Methods. Prospective observational study of adult patients (age ≥ 16 years) transported by paramedics to the emergency department (ED) of a Canadian tertiary hospital. Paramedic identification of sepsis was assessed using a novel prehospital sepsis screening tool developed by the study team and compared to blind, independent documentation of ED diagnoses by attending emergency physicians (EPs). Specificity, sensitivity, accuracy, positive and negative predictive value, and likelihood ratios were calculated with 95% confidence intervals. Results. Overall, 629 patients were included in the analysis. Sepsis was identified by paramedics in 170 (27.0%) patients and by EPs in 71 (11.3%) patients. Sensitivity of paramedic sepsis identification compared to EP diagnosis was 73.2% (95% CI 61.4-83.0), while specificity was 78.8% (95% CI 75.2-82.2). The accuracy of paramedic identification of sepsis was 78.2% (492/629, 52 true positive, 440 true negative). Positive and negative predictive values were 30.6% (95% CI 23.8-38.1) and 95.9% (95% CI 93.6-97.5), respectively. Conclusion. Using a novel prehospital sepsis screening tool, paramedic recognition of sepsis had greater specificity than sensitivity with reasonable accuracy.

Identifiers

PMID27051533
PMCPMC4804076
OpenAlexW2293359132

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.