Evidence map›Paper›PMID 33929555›Full record

Observational studyDie Anaesthesiologie2022

Early in-hospital course of critically ill nontrauma patients in a resuscitation room of a German emergency department (OBSERvE2 study).

C Grahl, T Hartwig, L Weidhase, S Laudi, S Petros, A Gries, M Bernhard

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Die Anaesthesiologie, 2022. 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.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
8.8field-weighted citation impact, top 1% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

C GrahlEmergency Department, University Hospital of Leipzig, Leipzig, Germany.
T HartwigEmergency Department, University Hospital of Leipzig, Leipzig, Germany.
L WeidhaseMedical Intensive Care Unit, University Hospital of Leipzig, Leipzig, Germany.
S LaudiDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Leipzig, Leipzig, Germany.
S PetrosMedical Intensive Care Unit, University Hospital of Leipzig, Leipzig, Germany.
A GriesEmergency Department, University Hospital of Leipzig, Leipzig, Germany.
M BernhardEmergency Department, University Hospital of Düsseldorf, Heinrich-Heine-University, Moorenstraße 5, 40225, Düsseldorf, Germany. Michael.Bernhard@med.uni-duesseldorf.de.
University Hospital Leipzig · DEHeinrich Heine University Düsseldorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundManagement of critically ill nontrauma (CINT) patients in the resuscitation room of the emergency department (ED) is very challenging. Detailed data describing the patient characteristics and management of this population are lacking. This observational study describes the epidemiology, management and outcome in CINT ED patients in the resuscitation room.

methodsThis prospective, single center observational study included all adult patients who were consecutively admitted to the ED resuscitation room during 2 periods of 1 year (September 2014-August 2015 vs. September 2017- August 2018). Patient characteristics, out-of-hospital/in-hospital treatment, admission-related conditions, time intervals for diagnostics and interventions and outcome were recorded using a self-developed questionnaire.

resultsA total of 34,303 patients in the first and 35,039 patients in the second study period were admitted to the ED, of whom 532 and 457 patients, respectively, were admitted to the nontrauma resuscitation room due to acute life-threatening conditions. The patient characteristics did not differ significantly between the study periods (male: 58% vs. 59%, age: 68 ± 17 years vs. 65 ± 17 years). Time intervals for diagnostic and therapeutic interventions were similar. The CINT patients during the second study period were treated faster compared to the first study period (end of ED management: 53 ± 33 min vs. 41 ± 24 min, p < 0.0001). The 30-day all-cause mortality was comparable (34.0% vs. 36.3%).

conclusionObservation of critically ill patient management in the ED resuscitation room showed reliable results between both study periods. Structured ED management guidelines for CINT patients may provide comparable results at one institution.

Indexed as

Critical IllnessEmergency Service, HospitalAcute DiseaseAdultAgedAged, 80 and overHospitalizationHospitalsHumansMaleMiddle AgedProspective StudiesClinical pathwayEmergency departmentMortalityNontraumatic critically ill patientsShock room

Identifiers

PMID33929555
PMCPMC9525338
OpenAlexW3157381976

What OpenQuestion holds

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LicenceCC BY
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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.