Evidence map›Paper›PMID 34711635›Full record

SynthesisEmergency medicine journal : EMJ2022

Predicting inhospital admission at the emergency department: a systematic review.

Anniek Brink, Jelmer Alsma, Lodewijk Aam van Attekum, Wichor M Bramer, Robert Zietse, Hester Lingsma, Stephanie Ce Schuit

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Emergency medicine journal : EMJ, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

11 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
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  8. Observational
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  11. A prospective, internal validation of an emergency patient triage tool for use in a low resource setting.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022
    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

7 authors at 1 institution in 1 country.

Anniek BrinkDepartment of Internal Medicine, Erasmus MC, Rotterdam, The Netherlands a.brink@erasmusmc.nl.ORCID http://orcid.org/0000-0001-9072-2469
Jelmer AlsmaDepartment of Internal Medicine, Erasmus MC, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0002-2808-1514
Lodewijk Aam van AttekumDepartment of Internal Medicine, Erasmus MC, Rotterdam, The Netherlands.
Wichor M BramerMedical Library, Erasmus MC, Rotterdam, The Netherlands.
Robert ZietseDepartment of Internal Medicine, Erasmus MC, Rotterdam, The Netherlands.
Hester LingsmaPublic Health, Erasmus MC, Rotterdam, The Netherlands.
Stephanie Ce SchuitDepartment of Internal Medicine, Erasmus MC, Rotterdam, The Netherlands.
Erasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundED crowding has potential detrimental consequences for both patient care and staff. Advancing disposition can reduce crowding. This may be achieved by using prediction models for admission. This systematic review aims to present an overview of prediction models for admission at the ED. Furthermore, we aimed to identify the best prediction tool based on its performance, validation, calibration and clinical usability.

methodsWe included observational studies published in Embase.com, Medline Ovid, Cochrane CENTRAL, Web of Science Core Collection or Google scholar, in which admission models were developed or validated in a general medical population in European EDs including the UK. We used the Critical Appraisal and Data Extraction for Systematic Reviews of Prediction Modelling Studies (CHARMS) checklist to assess quality of model development. Model performance was presented as discrimination and calibration. The search was performed on 11 October 2020.

resultsIn total, 18 539 articles were identified. We included 11 studies, describing 16 different models, comprising the development of 9 models and 12 external validations of 11 models. The risk of bias of the development studies was considered low to medium. Discrimination, as represented by the area under the curve ranged from 0.630 to 0.878. Calibration was assessed in seven models and was strong. The best performing models are the models of Lucke

conclusionNone of the models are yet implemented in EDs. Further research is needed to assess the applicability and implementation of the best performing models in the ED. SYSTEMATIC REVIEW REGISTRATION NUMBER: PROSPERO CRD42017057975.

Indexed as

Emergency Service, HospitalHospitalizationBiasCrowdingHumansacute carecrowdingemergency departmentepidemiologyresearchtriage

Identifiers

PMID34711635
PMCPMC8921564
OpenAlexW3208995063

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.