Evidence map›Paper›PMID 29572530›Full record

Observational studyScientific reports2018

Geographical variation of diabetic emergencies attended by prehospital Emergency Medical Services is associated with measures of ethnicity and socioeconomic status.

Melanie Villani, Arul Earnest, Karen Smith, Barbora de Courten, Sophia Zoungas

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Scientific reports, 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. Review
  3. Article
  4. Article
  5. Observational
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

5 authors.

Melanie VillaniMonash Centre for Health Research and Implementation - MCHRI, School Public Health and Preventive Medicine, Monash University in partnership with Monash Health, 43-51 Kanooka Grove, Clayton, Victoria, 3168, Australia.
Arul EarnestMonash Centre for Health Research and Implementation - MCHRI, School Public Health and Preventive Medicine, Monash University in partnership with Monash Health, 43-51 Kanooka Grove, Clayton, Victoria, 3168, Australia.
Karen SmithResearch and Evaluation, Ambulance Victoria, 375 Manningham Road, Doncaster, Victoria, 3108, Australia.
Barbora de CourtenMonash Centre for Health Research and Implementation - MCHRI, School Public Health and Preventive Medicine, Monash University in partnership with Monash Health, 43-51 Kanooka Grove, Clayton, Victoria, 3168, Australia.
Sophia ZoungasMonash Centre for Health Research and Implementation - MCHRI, School Public Health and Preventive Medicine, Monash University in partnership with Monash Health, 43-51 Kanooka Grove, Clayton, Victoria, 3168, Australia. sophia.zoungas@monash.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Geographical variation of diabetic emergencies attended by prehospital emergency medical services (EMS) and the relationship between area-level social and demographic factors and risk of a diabetic emergency were examined. All cases of hypoglycaemia and hyperglycaemia attended by Ambulance Victoria between 1/01/2009 and 31/12/2015 were tabulated by Local Government Area (LGA). Conditional autoregressive models were used to create smoothed maps of age and gender standardised incidence ratio (SIR) of prehospital EMS attendance for a diabetic emergency. Spatial regression models were used to examine the relationship between risk of a diabetic emergency and area-level factors. The areas with the greatest risk of prehospital EMS attendance for a diabetic emergency were disperse. Area-level factors associated with risk of a prehospital EMS-attended diabetic emergency were socioeconomic status (SIR 0.70 95% CrI [0.51, 0.96]), proportion of overseas-born residents (SIR 2.02 95% CrI [1.37, 2.91]) and motor vehicle access (SIR 1.47 95% CrI [1.08, 1.99]). Recognition of areas of increased risk of prehospital EMS-attended diabetic emergencies may be used to assist prehospital EMS resource planning to meet increased need. In addition, identification of associated factors can be used to target preventative interventions tailored to individual regions to reduce demand.

Indexed as

Emergency Medical ServicesModels, BiologicalAdultAgedDiabetes MellitusFemaleHumansMaleMiddle AgedRisk FactorsSocioeconomic FactorsVictoria

Identifiers

PMID29572530
PMCPMC5865134

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.