Evidence map›Paper›PMID 28610846›Full record

Observational studyAtencion primaria2018

[Frequent attenders in Primary Health Care Centres and frequent attenders in Emergency Departments].

Cesáreo Fernández Alonso, Juan Mariano Aguilar Mulet, Rodolfo Romero Pareja, Arístides Rivas García, Manuel Enrique Fuentes Ferrer, Juan Jorge González Armengol, en representación del Grupo de Trabajo del Paciente Fidelizado del Plan Estratégico de Urgencias de la Comunidad de Madrid

Abstract readObservational Study
In one paragraph

Observational study in Atencion primaria, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Cesáreo Fernández AlonsoServicio de Urgencias, Hospital Clínico San Carlos, Madrid, España. Electronic address: cesareofa@hotmail.com.
Juan Mariano Aguilar MuletServicio de Urgencias, Hospital La Princesa, Madrid, España.
Rodolfo Romero ParejaServicio de Urgencias, Hospital de Getafe, Madrid, España.
Arístides Rivas GarcíaServicio de Urgencias Pediátricas, Hospital Gregorio Marañón, Madrid, España.
Manuel Enrique Fuentes FerrerServicio de Medicina Preventiva y Salud Pública, Hospital Clínico San Carlos, Madrid, España.
Juan Jorge González ArmengolServicio de Urgencias, Hospital Clínico San Carlos, Madrid, España.
en representación del Grupo de Trabajo del Paciente Fidelizado del Plan Estratégico de Urgencias de la Comunidad de Madrid

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify predictors of frequent attenders (HF) in Primary Health Care (PHC) centres in a sample of frequent attenders (HF) in Emergency Departments (ED).

designThis was an observational, retrospective, multicentre cohort study.

participantsThe HF patients were selected from patients seen in the ED between January 1 and December 31, 2013. Setting Patients were recruited from 17 public hospitals of the Community of Madrid, Spain.

methodVariables on the index visit to the ED were collected. The sample was analysed in terms of being or not being an HF user in PHC. An HF user is considered a patient who made at least 10 visits in each level of care for a year.

resultsA total of 1284 HF patients were included. An analysis was performed on 423 (32.9%) HF users in ED with 16 (12-25) visits to PHC vs. 861 (67.1%) non-HF users in ED, with 4 (2-6) visits to PHC. Independent predictors of HF in PHC: over 65 years (OR: 1.51; 95% CI: 1.07-2.13; P=.019), cognitive impairment (OR: 1.63; 95% CI: 1.01-2.65; P=.049), taking >3 drugs (OR: 1.56; 95% CI: 1.06-2.30; P=.025), and living in the community vs. nursing home or homeless (OR: 3.05; 95% CI: 1.14-8.16; P=.026).

conclusionsAmong HF patients in the ED, the fact that of being over 65 years, taking 3or more drugs, suffering cognitive impairment, and living in the community, are also considered to be predictors of HF in PHC.

Indexed as

AdultAgedEmergency Service, HospitalFemaleHumansMaleMiddle AgedPatientsPrimary Health CareRetrospective StudiesSpainAtención primariaEmergency DepartmentFactores predictoresFrequent attendanceHiperfrecuentaciónPredictorsPrimary Health CareUrgencias hospitalarias

Identifiers

PMID28610846
PMCPMC6837134

What OpenQuestion holds

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Registered trials

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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.