Evidence map›Paper›PMID 27288373›Full record

Observational studyBMJ open2016

Healthcare use among preschool children attending GP-led urgent care centres: a descriptive, observational study.

S Gnani, S Morton, F Ramzan, M Davison, T Ladbrooke, A Majeed, S Saxena

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Urgent Care Centre's: "Urgent Need of the Hour?"Indian journal of pediatrics · 2017
    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

7 authors.

S GnaniDepartment of Primary Care and Public Health, Imperial College London, London, UK.
S MortonDepartment of Primary Care and Public Health, Imperial College London, London, UK.ORCID 0000-0002-9112-8821
F RamzanDepartment of Primary Care and Public Health, Imperial College London, London, UK.
M DavisonNorth End Medical Centre, London, UK.
T LadbrookeLondon Central and West Unscheduled Care Collaborative, London, UK.
A MajeedDepartment of Primary Care and Public Health, Imperial College London, London, UK.ORCID 0000-0002-2357-9858
S SaxenaDepartment of Primary Care and Public Health, Imperial College London, London, UK.

Funding

Department of Health CDF-2011-04-048
6 · The paper itself

Abstract

objectiveUrgent care centres' (UCCs) hours were developed with the aim of reducing inappropriate emergency department (ED) attendances in England. We aimed to examine the presenting complaint and outcomes of care in 2 general practitioner (GP)-led UCCs with extended opening times.

designRetrospective observational epidemiological study using routinely collected data.

setting2 GP-led UCCs in London, colocated with a hospital ED.

participantsAll children aged under 5 years, attending 2 GP-led UCCs over a 3-year period. OUTCOMES: Outcomes of care for the children including: primary diagnosis; registration status with a GP; destination following review within the UCC; and any medication prescribed. Comparison between GP-led UCC visit rates and routine general practices was also made.

results3% (n=7747/282 947) of all attenders at the GP-led UCCs were children aged under 5 years. The most common reason for attendance was a respiratory illness (27%), followed by infectious illness (17%). 18% (n=1428) were either upper respiratory tract infections or viral infections. The majority (91%) of children attending were registered with a GP, and over two-thirds of attendances were 'out of hours'. Overall 79% were seen and discharged home. Preschool children were more likely to attend their GP (47.0 per 100) than a GP-led UCC (9.4 per 100; 95% CI 8.9 to 10.0).

conclusionsTwo-thirds of preschool children attending GP-led UCCs do so out of hours, despite the majority being registered with a GP. The case mix is comparable with those presenting to an ED setting, with the majority managed exclusively by the GPs in the UCC before discharge home. Further work is required to understand the benefits of a GP-led urgent system in influencing future use of services especially emergency care.

Indexed as

General PractitionersAmbulatory Care FacilitiesChild, PreschoolEmergency Service, HospitalFemaleHumansLinear ModelsLondonMaleRetrospective StudiesACCIDENT & EMERGENCY MEDICINEPAEDIATRICSPRIMARY CARE

Identifiers

PMID27288373
PMCPMC4908914

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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.