Evidence map›Paper›PMID 32787404›Full record

ArticleAfrican journal of primary health care & family medicine2020

What presents to a rural district emergency department: A case mix.

Nadishani T Meyer, Gareth D Meyer, Charles B Gaunt

Open access · goldAbstract read
In one paragraph

Article in African journal of primary health care & family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Non-urgent patients in emergency centres in Western Cape district health services.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025
    Article
  2. Developing an Emergency Medicine assessment tool for medical interns within the South African context - A Modified Delphi Study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024
    Article
  3. Article
  4. Article
  5. A descriptive analysis of the casemix presenting to a tertiary hospital emergency centre in East London, South Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022
    Article
  6. 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

3 authors at 1 institution in 1 country.

Nadishani T MeyerJabulani Rural Health Foundation, Mqanduli, South Africa; and, Zithulele Hospital, Mqanduli. nadishanip@gmail.com.
Gareth D Meyer
Charles B Gaunt
Zithulele Hospital · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is little information available on the range of conditions presenting to generalist run rural district hospital emergency departments (EDs) which are the first point of acute care for many South Africans.

aimThis study aims to assess the range of acute presentations as well as the types of procedures required by patients in a rural district hospital context.

settingZithulele is a 147-bed district hospital in rural Eastern Cape.

methodsThis is a cross-sectional study assessing all patients presenting to the Zithulele hospital emergency department from 01 October 2015 to 31 December 2015. Data collected included the triage acuity using the South African Triage Scale system, patient demographics, diagnosis, outcome and procedures performed. Diagnoses were coded retrospectively according to the international statistical classification of diseases and related health problems version 10 (ICD 10).

resultsOf the 4 002 patients presenting to the ED during the study period, 2% were triaged as emergencies and 45% as non-urgent. The most common diagnostic categories were injuries, infections and respiratory illnesses respectively. Diagnoses from all broad categories of the ICD-10 were represented. 67% of patients required no procedure. Diagnostic procedures (n = 877) were more prevalent than therapeutic procedures (n = 377). Only 2.4% of patients were transferred to a referral centre acutely.

conclusionPatients with conditions from all categories of the ICD-10 present for management at rural district hospitals. Healthcare professionals working in this setting need to independently diagnose and manage a wide range of ED presentations and execute an assortment of procedures.

Indexed as

AdolescentAdultAgedChildChild, PreschoolCross-Sectional StudiesDiagnosis-Related GroupsEmergency Service, HospitalFemaleHospitals, DistrictHospitals, RuralHumansInfantMaleMiddle AgedReferral and Consultationcase mixrural healthrural hospital emergency departmentrural medicineSpecialist Emergency Medicine

Identifiers

PMID32787404
PMCPMC7433284
OpenAlexW3045791949

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.