Evidence map›Paper›PMID 30154317›Full record

ArticleInternational journal of environmental research and public health2018

Increased Urgent Care Center Visits by Southeast European Migrants: A Retrospective, Controlled Trial from Switzerland.

Jolanta Klukowska-Röetzler, Maria Eracleous, Martin Müller, David S Srivastava, Gert Krummrey, Osnat Keidar, Aristomenis K Exadaktylos

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Overuse of Health Care in the Emergency Services in Chile.International journal of environmental research and public health · 2021
    Review
  5. Article
  6. Article
  7. Vitamin D Deficiency and Unclear Abdominal Pain in Patients from Low- and Middle-Income Countries.International journal of environmental research and public health · 2019
    Observational
  8. Health of Refugees and Migrants-Where Do We Stand and What Directions Should We Take?International journal of environmental research and public health · 2019
    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.

Jolanta Klukowska-RöetzlerDepartment of Emergency Medicine, University Hospital, 3010 Berne, Switzerland. jolanta.klukowska-roetzler@insel.ch.ORCID 0000-0001-7956-2724
Maria EracleousDepartment of Rheumatology, Immunology and Allergology, University Hospital, 3010 Bern, Switzerland. maria.eracleous@insel.ch.
Martin MüllerDepartment of Emergency Medicine, University Hospital, 3010 Berne, Switzerland. martin.mueller@extern.insel.ch.
David S SrivastavaDepartment of Emergency Medicine, University Hospital, 3010 Berne, Switzerland. DavidShiva.Srivastava@insel.ch.
Gert KrummreyDepartment of Emergency Medicine, University Hospital, 3010 Berne, Switzerland. Gert.Krummrey@insel.ch.
Osnat KeidarDepartment of Emergency Medicine, University Hospital, 3010 Berne, Switzerland. osnatjacob@gmail.com.
Aristomenis K ExadaktylosDepartment of Emergency Medicine, University Hospital, 3010 Berne, Switzerland. Aristomenis.Exadaktylos@insel.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We investigated whether immigrants from Southeast Europe (SE) and Swiss patients have different reasons for visiting the emergency department (ED). Our retrospective data analysis for the years 2013⁻2017 describes the pattern of ED consultations for immigrants from SE living in Switzerland (Canton Bern), in comparison with Swiss nationals, with a focus on type of referral and reason for admission. A total of 153,320 Swiss citizens and 12,852 immigrants from SE were included in the study. The mean age was 51.30 (SD = 21.13) years for the Swiss patients and 39.70 (SD = 15.87) years for the SE patients. For some countries of origin (Albania, Bosnia and Herzegovina, and Turkey), there were highly statistically significant differences in sex distribution, with a predominance of males. SE immigrants had a greater proportion of patients in the lower triage level (level 3: SE: 67.3% vs. Swiss: 56.0%) and a greater proportion of patients in the high triage level than the Swiss population (level 1: SE: 3.4% vs. Swiss: 8.8%). SE patients of working age (16⁻65 years) were six times more often admitted by ambulance than older (≥65 years) SE patients, whereas this ratio was similar in the Swiss population. In both groups, the fast track service was primarily used for patients of working age (<65) and more than three times more often in the SE than the Swiss group (SE: 39.1%, Swiss: 12.6%). We identified some indications for access to primary care in emergency departments for immigrants and highlighted the need for attention to the role of organizational characteristics of primary health care in Switzerland. We highlighted the need for professional support to improve the quality of healthcare for immigrants. In the future, we will need more primary care services and general practitioners with a migrant background.

Indexed as

Ambulatory Care FacilitiesTransients and MigrantsAdultAgedEmergency Service, HospitalEmigrants and ImmigrantsEthnicityFemaleHospitalizationHumansMaleMiddle AgedRetrospective StudiesSwitzerlandYoung AdulthealthcareimmigrantSoutheast Europe

Identifiers

PMID30154317
PMCPMC6164677

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.