Evidence map›Paper›PMID 31209556›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021

Emergency room as primary point of access in the German healthcare system : Objective evaluation and interview of motivation for ER entrance of 235 ER patients in a German hospital.

Dominik Pförringer, Patrick Pflüger, Lilia Waehlert, Andreas Beivers, Fritz Seidl, Dominik Duscher, Andreas Obermeier, Karl-Georg Kanz, Karl-Friedrich Braun, Günther Edenharter

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In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. 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
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  6. Observational
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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

10 authors.

Dominik PförringerKlinikum Rechts Der Isar, Klinik Und Poliklinik für Unfallchirurgie, Technische Universität München, Ismaninger Str. 22, 81675, Munich, Germany. Dominik.Pfoerringer@mri.tum.de.
Patrick PflügerKlinikum Rechts Der Isar, Klinik Und Poliklinik für Unfallchirurgie, Technische Universität München, Ismaninger Str. 22, 81675, Munich, Germany.
Lilia WaehlertHochschule Fresenius, Limburger Straße 2, 65510, Idstein, Germany.
Andreas BeiversHochschule Fresenius, Infanteriestraße 11a, 80797, Munich, Germany.
Fritz SeidlKlinikum Rechts Der Isar, Klinik Und Poliklinik für Unfallchirurgie, Technische Universität München, Ismaninger Str. 22, 81675, Munich, Germany.
Dominik DuscherKlinikum Rechts Der Isar, Klinik für Plastische Chirurgie Und Handchirurgie, Technische Universität München, Ismaninger Str. 22, 81675, Munich, Germany.
Andreas ObermeierKlinikum Rechts Der Isar, Klinik für Orthopädie Und Sportorthopädie, Technische Universität München, Ismaninger Str. 22, 81675, Munich, Germany.
Karl-Georg KanzKlinikum Rechts Der Isar, Klinik Und Poliklinik für Unfallchirurgie, Technische Universität München, Ismaninger Str. 22, 81675, Munich, Germany.
Karl-Friedrich BraunKlinikum Rechts Der Isar, Klinik Und Poliklinik für Unfallchirurgie, Technische Universität München, Ismaninger Str. 22, 81675, Munich, Germany.
Günther EdenharterKlinikum Rechts Der Isar, Technische Universität München, Klinik für Anästhesiologie und operative Intensivmedizin, Ismaninger Str. 22, 81675, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe importance of emergency rooms (ERs) as everyday healthcare suppliers is growing. Due to increasing patient flows, hospitals are forced to raise physicians' and caregivers' headcount continuously to meet the new demand of patients seeing the ER as primary point of contact in non-emergency situations. Patients from various cultural and educational backgrounds approach the ER for different reasons. Detailed understanding of these reasons and their roots is key to be able to offer guidance for patients as well as planning and staffing of hospitals in the future.

aimThis study examines motivation for the entrance to the medical system via the ER in Germany via an anonymized patient survey. Evaluation in regard to socioeconomic and medical reasons is taken into account. MATERIALS AND

methodsOver the course of 210 h in the ER, a total of 235 patients were interviewed in the surgical emergency room of Klinikum rechts der Isar in the year 2016. Focus was set on standard cases to allow for facilitated comparability. Heavily injured patients were excluded from the study.

resultsThe main reasons for patients entering the ER were immediate help (45.9%) and treatment by a specialist (35.4%). Furthermore, the location/good accessibility (47.9%) and prior positive experience with the emergency room (20.7%) were decisive reasons for choosing the hospital over the outpatient sector. Analysis of demands of patients in relation to their migration background and their religious confession showed no significant difference between groups.

conclusionYounger patients tend to more often access the ER instead of an outpatient clinic or doctor in private practice. As a survey suits the less urgent patients, our research describes this population in detail. The need for better information of patients regarding treatment options becomes apparent. The study's outcomes aim to teach physicians as well as operators how to influence resource management in the healthcare system by meaningful information of patients. Further research may evaluate long-term results of information measures.

Indexed as

Health Services AccessibilityMotivationEmergency Service, HospitalGermanyHospitalsHumansControllingEmergency roomPrimary careResource allocationRevenueSocioeconomic background

Identifiers

PMID31209556

What OpenQuestion holds

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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.