Evidence map›Paper›PMID 33203628›Full record

ArticleBMJ open2020

Level of vital and laboratory values on arrival, and increased risk of 7-day mortality among adult patients in the emergency department: a population-based cohort study.

Peter Bank Pedersen, Daniel Pilsgaard Henriksen, Mikkel Brabrand, Annmarie Touborg Lassen

Abstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Observational
  3. Observational
  4. Organ failure, aetiology and 7-day all-cause mortality among acute adult patients on arrival to an emergency department: a hospital-based cohort study.European journal of emergency medicine : official journal of the European Society for Emergency Medicine · 2021
    Observational
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

4 authors.

Peter Bank PedersenDepartment of Emergency Medicine, Odense University Hospital, Odense C, Denmark peter.bank.pedersen@rsyd.dk.ORCID 0000-0002-2831-674X
Daniel Pilsgaard HenriksenDepartment of Clinical Biochemistry and Pharmacology, Odense University Hospital, Odense C, Denmark.
Mikkel BrabrandDepartment of Emergency Medicine, Odense University Hospital, Odense C, Denmark.
Annmarie Touborg LassenDepartment of Emergency Medicine, Odense University Hospital, Odense C, Denmark.ORCID 0000-0003-4942-6152

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of the study was to provide evidence for, at which vital and laboratory values, increased risk of 7-day mortality in acute adult patients on arrival to an emergency department (ED).

designA population-based cohort study.

settingED at Odense University Hospital, Denmark.

participantsAll patients ≥18 years with a first-time contact within the study period, 1 April 2012 to 31 March 2015. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcome was 7-day all-cause mortality.Variables were first recorded vital and laboratory values included in risk stratification scores; respiratory frequency, blood pressure, heart rate, Glasgow Coma Scale, temperature, saturation, creatinine, PaO

resultsWe included 40 423 patients, 52.5% women, median age 57 (IQR 38-74) years and 7-day mortality 2.8%. Seven-day mortality of 2.5% had thresholds of respiratory frequency <12 and >18/min, systolic blood pressure <112 and >192 mm Hg, heart rate <54 and >102 beats/min, temperature <36.0°C and >39.8°C, saturation <97%, Glasgow Coma Scale score <15, creatinine <41 and >98 µmol/L for PaO

conclusionVital values on arrival, outside the normal ranges for the measures, are indicative of increased risk of short-term mortality, and most of the value thresholds are included in the lowest urgency level in triage and risk stratification scoring systems.

Indexed as

Emergency Service, HospitalLaboratoriesAdultCohort StudiesFemaleHospital MortalityHumansMaleMiddle AgedTriageaccident & emergency medicineepidemiologypublic healthrisk management

Identifiers

PMID33203628
PMCPMC7674080

What OpenQuestion holds

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Registered trials

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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.