Evidence map›Paper›PMID 31401591›Full record

Observational studyBMJ open2019

Multicentre, prospective observational study of the correlation between the Glasgow Admission Prediction Score and adverse outcomes.

Dominic Jones, Allan Cameron, David J Lowe, Suzanne M Mason, Colin A O'Keeffe, Eilidh Logan

Erratum issuedAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Dominic JonesSchool of Health and Related Research, University of Sheffield, Sheffield, UK jones.dom17@gmail.com.ORCID 0000-0002-6894-9218
Allan CameronAcute Medicine, Glasgow Royal Infirmary, Glasgow, UK.
David J LoweEmergency Department, Queen Elizabeth University Hospital Campus, Glasgow, UK.
Suzanne M MasonSchool of Health and Related Research, University of Sheffield, Sheffield, UK.
Colin A O'KeeffeSchool of Health and Related Research, University of Sheffield, Sheffield, UK.
Eilidh LoganUniversity of Glasgow School of Life Sciences, Glasgow, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess whether the Glasgow Admission Prediction Score (GAPS) is correlated with hospital length of stay, 6-month hospital readmission and 6-month all-cause mortality. This study represents a 6-month follow-up of patients who were included in an external validation of the GAPS' ability to predict admission at the point of triage.

settingSampling was conducted between February and May 2016 at two separate emergency departments (EDs) in Sheffield and Glasgow.

participantsData were collected prospectively at triage for consecutive adult patients who presented to the ED within sampling times. Any patients who avoided formal triage were excluded from the study. In total, 1420 patients were recruited. PRIMARY OUTCOMES: GAPS was calculated following triage and did not influence patient management. Length of hospital stay, hospital readmission and mortality against GAPS were modelled using survival analysis at 6 months.

resultsOf the 1420 patients recruited, 39.6% of these patients were initially admitted to hospital. At 6 months, 30.6% of patients had been readmitted and 5.6% of patients had died. For those admitted at first presentation, the chance of being discharged fell by 4.3% (95% CI 3.2% to 5.3%) per GAPS point increase. Cox regression indicated a 9.2% (95% CI 7.3% to 11.1%) increase in the chance of 6-month hospital readmission per point increase in GAPS. An association between GAPS and 6-month mortality was demonstrated, with a hazard increase of 9.0% (95% CI 6.9% to 11.2%) for every point increase in GAPS.

conclusionA higher GAPS is associated with increased hospital length of stay, 6-month hospital readmission and 6-month all-cause mortality. While GAPS's primary application may be to predict admission and support clinical decision making, GAPS may provide valuable insight into inpatient resource allocation and bed planning.

Indexed as

Clinical Decision RulesAdolescentAged, 80 and overCritical PathwaysEarly Warning ScoreEfficiency, OrganizationalEmergency Service, HospitalFemaleHumansLength of StayMaleMiddle AgedMortalityOutcome and Process Assessment, Health CarePatient AdmissionPatient Readmissionaccident & emergency medicineorganisational developmentorganisation of health services

Identifiers

PMID31401591
PMCPMC6701614

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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.