Evidence map›Paper›PMID 31888508›Full record

SynthesisBMC emergency medicine2019

Costs and effects of interventions targeting frequent presenters to the emergency department: a systematic and narrative review.

Viola Korczak, Janani Shanthosh, Stephen Jan, Michael Dinh, Thomas Lung

Abstract readSystematic Review
In one paragraph

Synthesis in BMC emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Review
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  14. Identifying subgroups and risk among frequent emergency department users in British Columbia.Journal of the American College of Emergency Physicians open · 2021
    Article
  15. 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

5 authors.

Viola KorczakThe George Institute for Global Health, UNSW Sydney, Level 5/1 King St Newtown NSW, Sydney, 2042, Australia. vkorczak@georgeinstitute.org.au.ORCID 0000-0002-5031-4126
Janani ShanthoshThe George Institute for Global Health, UNSW Sydney, Level 5/1 King St Newtown NSW, Sydney, 2042, Australia.
Stephen JanThe George Institute for Global Health, UNSW Sydney, Level 5/1 King St Newtown NSW, Sydney, 2042, Australia.
Michael DinhEmergency Department, Royal Prince Alfred Hospital, Sydney, Australia.
Thomas LungThe George Institute for Global Health, UNSW Sydney, Level 5/1 King St Newtown NSW, Sydney, 2042, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious systematic reviews have examined the effectiveness of interventions for frequent presenters to the Emergency Department (ED) but not the costs and cost-effectiveness of such interventions.

methodA systematic literature review was conducted which screened the following databases: Pubmed, Medline, Embase, Cochrane and Econlit. An inclusion and exclusion criteria were developed following PRISMA guidelines. A narrative review methodology was adopted due to the heterogeneity of the reporting of the costs across the studies.

resultsOne thousand three hundred eighty-nine papers were found and 16 were included in the review. All of the interventions were variations of a case management approach. Apart from one study which had mixed results, all of the papers reported a decrease in ED use and costs. There were no cost effectiveness studies.

conclusionThe majority of interventions for frequent presenters to the ED were found to decrease ED use and cost. Future research should be undertaken to examine the cost effectiveness of these interventions.

Indexed as

Case ManagementCost-Benefit AnalysisEmergency Service, HospitalHumansPublic AssistanceReferral and ConsultationEmergency medicineFrequent presenterHealth care costsHealth economics

Identifiers

PMID31888508
PMCPMC6937921

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.