ArticleFuture healthcare journal2020
Process of care and activity in a clinically inclusive ambulatory emergency care unit: progressive effect over time on clinical outcomes and acute medical admissions.
Article in Future healthcare journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Impact of same day emergency care services on urgent and emergency care delivery outcomes: a systematic review.Emergency medicine journal : EMJ · 2025Pooled it
- Article
- Same-day emergency care: a retrospective observational study of the incidence and predictors of venous thromboembolism following hospital-based acute ambulatory medical care.Journal of thrombosis and haemostasis : JTH · 2025Observational
- Expert decision-making in clinicians: An auto-analytic ethnographic study of operational decision-making in urgent care.PloS one · 2025Article
- What is the existing evidence base for adult medical Same Day Emergency Care in UK NHS hospitals? A scoping review.Future healthcare journal · 2024Article
- Care pathways in older patients seen in a multidisciplinary same day emergency care (SDEC) unit.Age and ageing · 2024Article
- What is the existing evidence base for adult medical same day emergency care in UK NHS hospitals? A scoping review protocol.BMJ open · 2023Article
- Variation in general practice referral rate to acute medicine services and association with hospital admission. A retrospective observational study.Family practice · 2023Observational
- Ambulatory management of diabetic foot complications.Clinical medicine (London, England) · 2022Article
- Possible futures of acute medical care in the NHS: a multispecialty approach.Future healthcare journal · 2022Article
- How do we identify acute medical admissions that are suitable for same day emergency care?Clinical medicine (London, England) · 2022Review
- Impact of the COVID-19 pandemic on emergency department attendances and acute medical admissions.BMC emergency medicine · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Clinically relevant outcomes for same-day emergency care provided by ambulatory emergency care units (AECs) are largely unknown. We report the activity and outcomes for a large UK adult AEC operating an ambulatory-care-by-default model without specific exclusion criteria. The AEC consultant triaged all acute medical referrals to either the AEC or the standard non-ambulatory 'take' pathway during AEC opening hours. The proportion of acute medical referrals seen in the AEC increased to 42% (mean 700 referrals seen per month) in the last 6 months of the study and numbers seen in the non-ambulatory pathway fell. The most common diagnoses were for chest pain, pneumonia, cellulitis, heart failure and urinary system disorders. Seventy-four point eight per cent of patients completed their care in a single visit. In the last calendar year, the conversion rate from AEC to inpatient admission was 12%, and the 30-day readmission rate was 6.9% and 18% for the AEC and non-ambulatory pathways, respectively. Across the whole study period, the 30-day mortality was 1.6% and 6.9% for the AEC and non-ambulatory pathway, respectively. This ambulatory approach is safe and effective.
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Registered trials
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.