Evidence map›Paper›PMID 27760176›Full record

ArticlePloS one2016

Hepatitis C Virus Screening and Emergency Department Length of Stay.

Douglas A E White, Erik S Anderson, Sarah K Pfeil, Laura J Deering, Tamara Todorovic, Tarak K Trivedi

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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

6 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Hepatitis C Virus Reflex Testing Protocol in an Emergency Department.The western journal of emergency medicine · 2022
    Article
  3. Targeted HIV screening in the emergency department.Internal and emergency medicine · 2021
    Review
  4. Article
  5. Article
  6. 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

6 authors at 2 institutions in 1 country.

Douglas A E WhiteDepartment of Emergency Medicine, Alameda Health System, Highland Hospital, Oakland, CA, United States of America.
Erik S AndersonDepartment of Emergency Medicine, Alameda Health System, Highland Hospital, Oakland, CA, United States of America.
Sarah K PfeilDepartment of Emergency Medicine, Alameda Health System, Highland Hospital, Oakland, CA, United States of America.
Laura J DeeringDepartment of Emergency Medicine, Alameda Health System, Highland Hospital, Oakland, CA, United States of America.
Tamara TodorovicDepartment of Emergency Medicine, Alameda Health System, Highland Hospital, Oakland, CA, United States of America.
Tarak K TrivediDepartment of Emergency Medicine, Alameda Health System, Highland Hospital, Oakland, CA, United States of America.
Alameda Health System · USHighland Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent studies demonstrate high rates of previously undiagnosed hepatitis C virus (HCV) infection among patients screened in urban emergency departments (ED). Experts caution, however, that public health interventions, such as screening for infectious diseases, must not interfere with the primary mission of EDs to provide timely acute care. Increases in ED length of stay (LOS) have been associated with decreased quality of ED care.

objectiveIn this study, we assess the influence of an integrated HCV screening protocol on ED LOS.

methodsThis was a retrospective cohort study analyzing timestamp data for all discharged patients over a 1-year period. The primary outcome compared the median LOS in minutes between patients who completed HCV screening and those who did not. Further analysis compared LOS for HCV screening by whether or not complete blood count (CBC) testing was conducted.

resultsOf 69,639 visits, 2,864 (4%) had HCV screening tests completed and 272 (9.5%) were antibody positive. The median LOS for visits that included HCV screening was greater than visits that did not include screening (151 versus 119 minutes, P < 0.001). Among the subset of visits in which CBC testing was conducted, there was no significant difference in median LOS between visits that also included HCV screening and those that did not (240 versus 242 minutes, P = 0.68).

conclusionIntegrated HCV screening modestly prolongs ED LOS. However, among patients undergoing other blood tests, screening had no effect on LOS. Programs may consider routinely offering HCV screening to patients who are undergoing laboratory testing.

Indexed as

Mass ScreeningAdultCohort StudiesEmergency Service, HospitalFemaleHepatitis CHumansLength of StayMalePatient DischargeQuality of Health CareRetrospective Studies

Identifiers

PMID27760176
PMCPMC5070782
OpenAlexW2536115320

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.