Evidence map›Paper›PMID 33000076›Full record

ArticleJournal of the American College of Emergency Physicians open2020

Rapid influenza diagnostic test at triage can decrease emergency department length of stay.

Tsutomu Iwasaki, Toru Hifumi, Kuniyoshi Hayashi, Norio Otani, Shinichi Ishimatsu

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Rapid influenza diagnostic test at triage can decrease emergency department length of stay.Journal of the American College of Emergency Physicians open · 2020
    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.

Tsutomu IwasakiEmergency and Critical Care medicine St. Luke's International Hospital Tokyo Japan.ORCID https://orcid.org/0000-0002-2179-6971
Toru HifumiEmergency and Critical Care medicine St. Luke's International Hospital Tokyo Japan.
Kuniyoshi HayashiGraduate School of Public Health St. Luke's International University Tokyo Japan.
Norio OtaniEmergency and Critical Care medicine St. Luke's International Hospital Tokyo Japan.
Shinichi IshimatsuEmergency and Critical Care medicine St. Luke's International Hospital Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEven if performing rapid influenza diagnostic tests test will not change clinical decision making, we sometimes perform at triage to reduce length of stay in Japan. Whether performing rapid influenza diagnostic tests at triage may shorten emergency department (ED) length of stay (LOS) is remains unclear. We aimed to determine the utility of rapid influenza diagnostic tests at triage in shortening ED length of stay LOS.

methodsWe retrospectively reviewed medical records of patients discharged from our ED after receiving results from rapid influenza diagnostic tests during the influenza season from December, 2013 to March, 2019. Eligibility criteria were a walk-in visit, age ≥15 years, triage performed, rapid influenza diagnostic test administered, and no admission. The triage group received rapid influenza diagnostic tests at triage. The after-examination group received their tests only after examination by a doctor. The primary outcome was ED LOS after propensity score matching to adjust for several covariates.

resultsOf 2,768 eligible patients, 2,554 patients were enrolled in the triage group (n = 363) or after examination group (n = 2,191). There were 329 matched pairs after propensity score matching. Median ED LOS was significantly shorter in the triage group than in the after-examination group after propensity score matching (81 min (interquartile range [IQR] 60 to 111) vs 106 min (IQR 80-142); median difference 24 min (95% confidence interval 17-30)).

conclusionsPerforming rapid influenza diagnostic tests at triage was associated with shorter ED LOS during the influenza season.

Indexed as

crowdingemergency departmentinfluenzalength of staypoint‐of‐care testingpropensity scoretriage

Identifiers

PMID33000076
PMCPMC7493520

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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.