Evidence map›Paper›PMID 32859155›Full record

Observational studyBMC emergency medicine2020

Characteristics and outcomes of patients with dyspnoea as the main symptom, assessed by prehospital emergency nurses- a retrospective observational study.

Wivica Kauppi, Johan Herlitz, Carl Magnusson, Lina Palmér, Christer Axelsson

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

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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.

Wivica KauppiPreHospen- Centre for Prehospital Research, Faculty of Caring, Work Life and Social Welfare, University of Borås, SE- 501 90, Borås, Sweden. wivica.kauppi@hb.se.ORCID 0000-0002-2729-1923
Johan HerlitzPreHospen- Centre for Prehospital Research, Faculty of Caring, Work Life and Social Welfare, University of Borås, SE- 501 90, Borås, Sweden.
Carl MagnussonPreHospen- Centre for Prehospital Research, Faculty of Caring, Work Life and Social Welfare, University of Borås, SE- 501 90, Borås, Sweden.
Lina PalmérFaculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.
Christer AxelssonPreHospen- Centre for Prehospital Research, Faculty of Caring, Work Life and Social Welfare, University of Borås, SE- 501 90, Borås, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDyspnoea (breathing difficulty) is among the most commonly cited reasons for contacting emergency medical services (EMSs). Dyspnoea is caused by several serious underlying medical conditions and, based on patients individual needs and complex illnesses or injuries, ambulance staff are independently responsible for advanced care provision. Few large-scale prehospital studies have reviewed patients with dyspnoea. This study aimed to describe the characteristics and final outcomes of patients whose main symptom was classified as dyspnoea by the prehospital emergency nurse (PEN).

methodsThis retrospective observational study included patients aged > 16 years whose main symptom was dyspnoea. All the enrolled patients were assessed in the south-western part of Sweden by PENs during January and December, 2017. Of 7260 assignments (9% of all primary missions), 6354 fulfilled the inclusion criteria. Analysis was performed using descriptive statistics, and the tests used were odds ratios and Kaplan-Meier analysis.

resultsThe patients mean age was 73 years, and approximately 56% were women. More than 400 different final diagnostic codes (International Statistical Classification of Diseases and Related Health Problems [ICD]-10th edition) were observed, and 11% of the ICD-10 codes denoted time-critical conditions. The three most commonly observed aetiologies were chronic obstructive pulmonary disease (20.4%), pulmonary infection (17.1%), and heart failure (15%). The comorbidity values were high, with 84.4% having previously experienced dyspnoea. The overall 30-day mortality was 11.1%. More than half called EMSs more than 50 h after symptom onset.

conclusionsAmong patients assessed by PENs due to dyspnoea as the main symptom there were more than 400 different final diagnoses, of which 11% were regarded as time-critical. These patients had a severe comorbidity and 11% died within the first 30 days.

Indexed as

Emergency Medical ServicesNursing DiagnosisAgedDyspneaFemaleHumansMaleRetrospective StudiesSwedenAetiologyAmbulanceDyspnoeaEmergency medical serviceEpidemiologyMajor incidentsPrehospital emergency nursePrevention

Identifiers

PMID32859155
PMCPMC7456019

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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.