Observational studyPloS one2018
The impact of the patient's initial NACA score on subjective and physiological indicators of workload during pre-hospital emergency care.
Observational study in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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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.
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.
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Who cites it
8 citing papers in PubMed.
- Epidemiology and severity of mountain rescue missions in Poland: a retrospective study of 9,477 patients rescued by the Tatra Mountain Rescue Service.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Use of bitemporal NACA score documentation in prehospital emergency medical services- a retrospective study.International journal of emergency medicine · 2024Article
- Observational
- Assessing the Value of Multimodal Interfaces: A Study on Human-Machine Interaction in Weld Inspection Workstations.Sensors (Basel, Switzerland) · 2023Article
- Workflow interruption and nurses' mental workload in electronic health record tasks: An observational study.BMC nursing · 2023Article
- Simulation Training in Neuroangiography-Validation and Effectiveness.Clinical neuroradiology · 2021Article
- Workload and influencing factors in non-emergency medical transfers: a multiple linear regression analysis of a cross-sectional questionnaire study.BMC health services research · 2019Article
- Single mission workload and influencing factors in German prehospital emergency medicine - a nationwide prospective survey of 1361emergency missions.Scandinavian journal of trauma, resuscitation and emergency medicine · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundExcessive workload may impair patient safety. However, little is known about emergency care providers' workload during the treatment of life-threatening cases including cardiopulmonary resuscitation (CPR). Therefore, we tested the hypothesis that subjective and physiological indicators of workload are associated with the patient's initial NACA score and that workload is particularly high during CPR.
methodsNASA task load index (NASA-tlx) and alarm codes were obtained for 216 sorties of pre-hospital emergency medical care. Furthermore, initial NACA scores of 140 patients were extracted from the physicians' protocols. The physiological workload indicators mean heart rate (HR) and permutation entropy (PeEn) were calculated for 51 sorties of primary care. General linear mixed models were used to analyze the association of NACA scores with subjective (NASA-tlx) and physiological (mean HR, PeEn) measures of workload.
resultsIn contrast to the physiological variables PeEn (p = 0.10) and HR (p = 0.19), the mental (p<0.001) and temporal demands (p<0.001) as well as the effort (p<0.001) and frustration (p = 0.04) subscale of the NASA-tlx were significantly associated with initial NACA scores. Compared to NACA = I, an initial NACA score of VI (representing CPR) increased workload by a mean of 389.5% (p = 0.001) in the mental and 345.9% (p<0.001) in the temporal demands, effort by a mean of 446,8% (p = 0.002) and frustration by 190.0% (p = 0.03). In line with the increase in NASA-tlx, PeEn increased by 20.6% (p = 0.01) and HR by 6.4% (p = 0.57).
conclusionsPatients' initial NACA scores are associated with subjective workload. Workload was highest during CPR.
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