Evidence map›Paper›PMID 31723118›Full record

ReviewRevista espanola de salud publica2019

[Applicability of decision aids in emergency departments: an exploratory review].

Valle Coronado-Vázquez, Yolanda Navarro-Abal, Rosa Magallón-Botaya, Javier Cerezo Espinosa de Los Monteros, Óscar Cruz-Salgado, Juan Gómez-Salgado, Mª Del Valle Ramírez Durán

Open access · greenAbstract readReview
In one paragraph

Review in Revista espanola de salud publica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 70% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Review
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 at 3 institutions in 2 countries.

Valle Coronado-VázquezCentro de Salud de Illescas. Gerencia de Atención Primaria del SESCAM. Toledo. España.
Yolanda Navarro-AbalDepartamento de Psicología Social, Evolutiva y de la Educación. Facultad de Ciencias de la Educación. Universidad de Huelva. Huelva. España.
Rosa Magallón-BotayaCentro de Salud Arrabal. Servicio Aragonés de Salud. Zaragoza. España.
Javier Cerezo Espinosa de Los MonterosAgencia de Calidad Sanitaria de Andalucía. Sevilla. España.
Óscar Cruz-SalgadoUnidad de Calidad. Hospital Universitario Virgen del Rocío. Servicio Andaluz de Salud. Sevilla. España.
Juan Gómez-SalgadoDepartamento de Sociología, Trabajo Social y Salud Pública. Facultad de Ciencias del Trabajo de la Universidad de Huelva. Huelva. España.
Mª Del Valle Ramírez DuránÁrea de Enfermería. Facultad de Ciencias de la Salud. Universidad Católica de Ávila. Ávila. España.
Andalusian Agency for Healthcare Quality · ESUniversidad de Especialidades Espíritu Santo · ECUniversidad de Huelva · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDecision aid tools (DAT) have been widely used in chronic diseases, but there are few studies on their usefulness in emergency departments. The objective of this study was to analyse the applicability of DAT in emergency services.

methodsAn exploratory review was conducted. Between January 1, 2012 and August 1, 2019, searches of randomised and controlled clinical trials, systematic reviews and other secondary studies where DAT are used to assist patients of any age in emergency services were conducted. The databases used were: Pubmed, Embase, Web Of Science, Cuiden, Patient Decision Aids Research Group IPDAS Collaboration, Cochrane, Centres for Reviews and Dissemination, National Guideline Clearinghouse, Guidelines International Network. Two reviewers analysed and selected the studies.

resultsTwelve studies of moderate-low quality were included. The patients in the intervention group (IG) were more aware of their illness (M=3.6 vs 3 correct answers and M=4.2 vs 3.6), and more involved in the decisions (score in OPTION: 26.6 vs 7 and 18.3 vs 7). The conflict was reduced in the IG regarding those imaging tests in the TBI (traumatic brain injury; M=14.8 vs 19.2). In the IG, admittance to perform effort tests was reduced in low-risk chest pain (58% vs 77%; CI95%=6%-31%, 37% vs 52%; p<0.001). When DAT were used in children with diarrhoea or vomiting, in 80% of the cases the decision was to use oral rehydration against 61% in the control group (CG, p=0.001).

conclusionsDAT in emergency services improve patient's knowledge about the disease and their participation in care. More studies are needed to develop DAT in emergency services.

Indexed as

Decision MakingDecision Support Systems, ClinicalDecision Support TechniquesPatient ParticipationBrain Injuries, TraumaticChest PainDiarrheaEmergency Medical ServicesEmergency Service, HospitalFluid TherapyHumansPatient Education as TopicQuality of Health CareSpainVomitingDecision makingDecision support techniquesEmergency medical servicesQuality of health careSpain

Identifiers

PMID31723118
PMCPMC11582872
OpenAlexW3012384522

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.