Evidence map›Paper›PMID 27165649›Full record

ArticleBMJ open2016

Statewide retrospective study of low acuity emergency presentations in New South Wales, Australia: who, what, where and why?

Michael M Dinh, Saartje Berendsen Russell, Kendall J Bein, Dane R Chalkley, David Muscatello, Richard Paoloni, Rebecca Ivers

Abstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–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

23 citing papers in PubMed.

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  18. Ambulance Transport of Patients with Mild Conditions in Hokkaido, Japan.International journal of environmental research and public health · 2020
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  19. Observational
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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

7 authors.

Michael M DinhRoyal Prince Alfred Hospital, New South Wales, Australia The University of Sydney, Discipline of Emergency Medicine, New South Wales, Australia.
Saartje Berendsen RussellRoyal Prince Alfred Hospital, New South Wales, Australia The University of Sydney, School of Nursing, New South Wales, Australia.
Kendall J BeinRoyal Prince Alfred Hospital, New South Wales, Australia.
Dane R ChalkleyRoyal Prince Alfred Hospital, New South Wales, Australia.
David MuscatelloUniversity of New South Wales, School of Public Health and Community Medicine, New South Wales, Australia.
Richard PaoloniThe University of Sydney, Discipline of Emergency Medicine, New South Wales, Australia.
Rebecca IversInjury Division, The George Institute for Global Health, The University of Sydney, New South Wales, Australia Flinders University, School of Nursing and Midwifery, South Australia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe present study aims to use a statewide population-based registry to assess the prevalence of low acuity emergency department (ED) presentations, describe the trend in presentation rates and to determine whether they were associated with various presentation characteristics such as the type of hospital as well as clinical and demographic variables. DESIGN AND

settingThis was a retrospective analysis of a population-based registry of ED presentations in New South Wales (NSW). Generalised estimating equations with log links were used to determine factors associated with low acuity presentations to account for repeat presentations and the possibility of clustering of outcomes.

participantsPatients were included in this analysis if they presented to an ED between January 2010 and December 2014. The outcomes of interest were low acuity presentation, defined as those who self-presented (were not transported by ambulance), were assigned a triage category of 4 or 5 (semiurgent or non-urgent) and discharged back to usual residence from ED.

resultsThere were 10.7 million ED presentations analysed. Of these, 45% were classified as a low acuity presentation. There was no discernible increase in the rate of low acuity presentations across NSW between 2010 and 2014. The strongest predictors of low acuity ED presentation were age <40 years of age (OR 1.77); injury or musculoskeletal administrative and non-urgent procedures (OR 2.96); ear, nose and throat, eye or oral (OR 5.53); skin or allergy-type presenting problems (OR 2.84).

conclusionsLow acuity ED presentations comprise almost half of all ED presentations. Alternative emergency models of care may help meet the needs of these patients.

Indexed as

Patient AcuityAdolescentAdultAgedEmergency Service, HospitalFemaleHumansMaleMiddle AgedNew South WalesRetrospective StudiesRisk FactorsYoung AdultACCIDENT & EMERGENCY MEDICINEEPIDEMIOLOGYlow acuity

Identifiers

PMID27165649
PMCPMC4874101

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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.