Evidence map›Paper›PMID 30687445›Full record

ArticleWorld journal of emergency medicine2019

Assessing adequacy of emergency provider documentation among interhospital transferred patients with acute aortic dissection.

Mark Rose, Carina Newton, Benchaa Boualam, Nancy Bogne, Adam Ketchum, Umang Shah, Jordan Mitchell, Safura Tanveer, Tucker Lurie, Walesia Robinson and 3 more

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
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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

13 authors at 2 institutions in 1 country.

Mark RoseDepartment of Emergency Medicine, University of Maryland, School of Medicine, Baltimore, USA.
Carina NewtonDepartment of Emergency Medicine, University of Maryland, School of Medicine, Baltimore, USA.
Benchaa BoualamUniversity of Maryland at College Park, College Park, USA.
Nancy BogneUniversity of Maryland at College Park, College Park, USA.
Adam KetchumUniversity of Maryland at College Park, College Park, USA.
Umang ShahUniversity of Maryland at College Park, College Park, USA.
Jordan MitchellUniversity of Maryland at College Park, College Park, USA.
Safura TanveerUniversity of Maryland at College Park, College Park, USA.
Tucker LurieUniversity of Maryland, School of Medicine, Baltimore, USA.
Walesia RobinsonDepartment of Emergency Medicine, University of Maryland, School of Medicine, Baltimore, USA.
Rebecca DuncanProgram of Trauma, The R Adams Cowley Shock Trauma Center, University of Maryland, School of Medicine, Baltimore, USA.
Stephen ThomDepartment of Emergency Medicine, University of Maryland, School of Medicine, Baltimore, USA.
Quincy Khoi TranDepartment of Emergency Medicine, University of Maryland, School of Medicine, Baltimore, USA.
University of Maryland, Baltimore · USUniversity of Maryland, College Park · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute aortic dissection (AoD) is a hypertensive emergency often requiring the transfer of patients to higher care hospitals; thus, clinical care documentation and compliance with the Emergency Medical Treatment and Active Labor Act (EMTALA) is crucial. The study assessed emergency providers (EP) documentation of clinical care and EMTALA compliance among interhospital transferred AoD patients.

methodsThis retrospective study examined adult patients transferred directly from a referring emergency department (ED) to a quaternary academic center between January 1, 2011 and September 30, 2015. The primary outcome was the percentage of records with adequate documentation of clinical care (ADoCC). The secondary outcome was the percentage of records with adequate documentation of EMTALA compliance (ADoEMTALA).

resultsThere were 563 electronically identified patients with 287 included in the final analysis. One hundred and five (36.6%) patients had ADoCC while 166 (57.8%) patients had ADoEMTALA. Patients with inadequate documentation of EMTALA (IDoEMTALA) were associated with a higher likelihood of not meeting the American Heart Association (AHA) ED Departure SBP guideline (

conclusionDocumentation of clinical care and EMTALA compliance by Emergency Providers is poor. Inadequate EMTALA documentation was associated with a higher likelihood of patients not meeting the AHA ED Departure SBP guideline. Therefore, Emergency Providers should thoroughly document clinical care and EMTALA compliance among this critically ill group before transfer.

Indexed as

Acute aortic dissectionComplianceDocumentationEMTALAInterhospital transfer

Identifiers

PMID30687445
PMCPMC6340819
OpenAlexW2913177515

What OpenQuestion holds

Textmetadata
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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.