Evidence map›Paper›PMID 32289003›Full record

ArticleHealth policy and technology2018

Segmented regression analysis of emergency departments patient visits from Septicemia in Taiwan.

I-Shiang Tzeng, Kuo-Liong Chien, Yu-Kang Tu, Jau-Yuan Chen, Chau Yee Ng, Cheng-Yu Chien, Jih-Chang Chen, Chung-Hsien Chaou, Giou-Teng Yiang

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In one paragraph

Article in Health policy and technology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

9 authors at 3 institutions in 1 country.

I-Shiang TzengDepartment of Research, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan.
Kuo-Liong ChienInstitute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan.
Yu-Kang TuInstitute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan.
Jau-Yuan ChenDepartment of Family Medicine, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan.
Chau Yee NgDepartment of Dermatology, Drug Hypersensitivity Clinical and Research Center, Chang Gung Memorial Hospital, Taipei, Linkou and Keelung, Taiwan.
Cheng-Yu ChienDepartment of Emergency Medicine, Ton-Yen General Hospital, Hsinchu County, Taiwan.
Jih-Chang ChenTaoyuan General Hospital, Ministry of Health and Welfare, Taoyuan, Taiwan.
Chung-Hsien ChaouDepartment of Emergency Medicine, Chang-Gung Memorial Hospital, Linkou Branch, Taiwan.
Giou-Teng YiangDepartment of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan.
Chang Gung Memorial Hospital · TWNational Taiwan University · TWTaipei Tzu Chi Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe protocol for early goal-directed therapy (EGDT) is effective for improving both the costs and outcomes of septicemia treatment, including a significant reduction in case fatality. However, this complicated protocol may have a downside. Furthermore, the Joint Taiwan Critical Care Medicine Committee has launched a nationwide educational program after the publication of the Surviving Sepsis Campaign (SSC) to improve the overall survival rate from septicemia in the emergency care system of Taiwan.

objectivesTo assess the impact of the EGDT protocol and SSC education programs on island-wide septicemia-related emergency department (ED) visits.

methodsSegmented regression techniques were utilized to assess the differences in annual rates and changes in septicemia-related ED visits between 1998 and 2012. We considered annual incidence of two medical comorbidities as potential confounders: metastatic malignant neoplasms and malignant neoplasms of the lymphatic and hematopoietic tissues.

resultsThe EGDT protocol was associated with decreased septicemia-related ED visits in 2002 (level change;

conclusionsThe EGDT protocol and SSC education program were associated with significant immediate changes and lagged intervention effects on island-wide septicemia-related ED visits.

Indexed as

CVC, Central Venous CatheterizationCVP, Central Venous PressureED, Emergency DepartmentEGDT, Early Goal-Directed TherapyEmergency careEMS, Emergency Medicine ServiceGRHAC, Grading Responsible Hospitals for Acute CareICD-9-CM, International Classification of Diseases, 9th Revision, Clinical ModificationICU, Intensive Care UnitsMAP, Mean Arterial PressureMERS, Middle East Respiratory SyndromeMOHW, Ministry of Health and WelfareMOI, Ministry of the InteriorNHI, National Health InsurancePolicy interventionProgram evaluationSARS, Severe Acute Respiratory SyndromeScvO2, Central Venous Oxygen SaturationSegmented regression analysisSepticemiaSSC, Surviving Sepsis Campaign

Identifiers

PMID32289003
PMCPMC7104157
OpenAlexW2793948021

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.