Evidence map›Paper›PMID 27136299›Full record

ArticlePloS one2016

The Effect of Availability of Manpower on Trauma Resuscitation Times in a Tertiary Academic Hospital.

Timothy Xin Zhong Tan, Nathaniel Xin Ern Quek, Zhi Xiong Koh, Nivedita Nadkarni, Kanageswari Singaram, Andrew Fu Wah Ho, Marcus Eng Hock Ong, Ting Hway Wong

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Observational
  2. 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

8 authors at 3 institutions in 1 country.

Timothy Xin Zhong TanYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID 0000-0001-5938-2304
Nathaniel Xin Ern QuekYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Zhi Xiong KohDepartment of Emergency Medicine, Singapore General Hospital, Singapore, Singapore.
Nivedita NadkarniCentre for Quantitative Medicine, Duke-NUS Graduate Medical School, Singapore, Singapore.
Kanageswari SingaramTrauma Service, Department of General Surgery, Singapore General Hospital, Singapore, Singapore.
Andrew Fu Wah HoDepartment of Emergency Medicine, Singapore General Hospital, Singapore, Singapore.
Marcus Eng Hock OngDepartment of Emergency Medicine, Singapore General Hospital, Singapore, Singapore.
Ting Hway WongTrauma Service, Department of General Surgery, Singapore General Hospital, Singapore, Singapore.ORCID 0000-0001-9234-4529
Singapore General Hospital · SGNational University of Singapore · SGDuke-NUS Medical School · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFor trauma patients, delays to assessment, resuscitation, and definitive care affect outcomes. We studied the effects of resuscitation area occupancy and trauma team size on trauma team resuscitation speed in an observational study at a tertiary academic institution in Singapore.

methodsFrom January 2014 to January 2015, resuscitation videos of trauma team activated patients with an Injury Severity Score of 9 or more were extracted for review within 14 days by independent reviewers. Exclusion criteria were patients dead on arrival, inter-hospital transfers, and up-triaged patients. Data captured included manpower availability (trauma team size and resuscitation area occupancy), assessment (airway, breathing, circulation, logroll), interventions (vascular access, imaging), and process-of-care time intervals (time to assessment/intervention/adjuncts, time to imaging, and total time in the emergency department). Clinical data were obtained by chart review and from the trauma registry.

resultsVideos of 70 patients were reviewed over a 13-month period. The median time spent in the emergency department was 154.9 minutes (IQR 130.7-207.5) and the median resuscitation team size was 7, with larger team sizes correlating with faster process-of-care time intervals: time to airway assessment (p = 0.08) and time to disposition (p = 0.04). The mean resuscitation area occupancy rate (RAOR) was 1.89±2.49, and the RAOR was positively correlated with time spent in the emergency department (p = 0.009).

conclusionOur results suggest that adequate staffing for trauma teams and resuscitation room occupancy are correlated with faster trauma resuscitation and reduced time spent in the emergency department.

Indexed as

Emergency Service, HospitalTertiary Care CentersAdultFemaleHumansInjury Severity ScoreMaleMiddle AgedPatient Care TeamResuscitationTime FactorsWorkforceWounds and InjuriesYoung Adult

Identifiers

PMID27136299
PMCPMC4852985
OpenAlexW2346672698

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.