Evidence map›Paper›PMID 34974842›Full record

ArticleBMC health services research2022

Response to winter pressures in acute services: analysis from the Winter Society for Acute Medicine Benchmarking Audit.

Catherine Atkin, Thomas Knight, Chris Subbe, Mark Holland, Tim Cooksley, Daniel Lasserson

Abstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
  6. Mechanisms for Integrating Real Data into Search Game Simulations: An Application to Winter Health Service Pressures and Preventative Policies.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2024
    Article
  7. 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

6 authors.

Catherine AtkinBirmingham Acute Care Research Group, Institute of Inflammation and Ageing, University of Birmingham, Edgbaston, Birmingham, B15 2GW, UK. c.atkin@nhs.net.ORCID https://orcid.org/0000-0003-0596-8515
Thomas KnightDepartment of Acute Medicine, Sandwell and West Birmingham NHS Trust, City Hospital, Birmingham, B18 7QH, UK.
Chris SubbeSchool of Medical Sciences, Bangor University & Consultant Acute, Respiratory & Critical Care Medicine, Ysbyty Gwynedd, Bangor, LL57 2PW, UK.ORCID https://orcid.org/0000-0002-3110-8888
Mark HollandClinical and Biomedical Sciences, Faculty of Health and Wellbeing, University of Bolton, Bolton, BL3 5AB, UK.ORCID https://orcid.org/0000-0001-8336-5336
Tim CooksleyDepartment of Acute Medicine, Manchester University NHS Foundation Trust, Manchester, M23 9LT, UK.ORCID https://orcid.org/0000-0001-6114-1956
Daniel LassersonDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is increased demand for urgent and acute services during the winter months, placing pressure on acute medicine services caring for emergency medical admissions. Hospital services adopt measures aiming to compensate for the effects of this increased pressure. This study aimed to describe the measures adopted by acute medicine services to address service pressures during winter.

methodsA survey of acute hospitals was conducted during the Society for Acute Medicine Benchmarking Audit, a national day-of-care audit, on 30th January 2020. Survey questions were derived from national guidance. Acute medicine services at 93 hospitals in the United Kingdom completed the survey, evaluating service measures implemented to mitigate increased demand, as well as markers of increased pressure on services.

resultsAll acute internal medicine services had undertaken measures to prepare for increased demand, however there was marked variation in the combination of measures adopted. 81.7% of hospitals had expanded the number of medical inpatient beds available. 80.4% had added extra clinical staff. The specialty of the physicians assigned to provide care for extra inpatient beds varied. A quarter of units had reduced beds available for providing Same Day Emergency Care on the day of the survey. Patients had been waiting in corridors within the emergency medicine department in 56.3% of units.

conclusionWinter pressure places considerable demand on acute services, and impacts the delivery of care. Although increased pressure on acute hospital services during winter is widely recognised, there is considerable variation in the approach to planning for these periods of increased demand.

Indexed as

BenchmarkingMedical AuditEmergency Service, HospitalHospitalizationHospitalsHumansUnited KingdomAcute medicineSame day emergency careService planningWinter pressure

Identifiers

PMID34974842
PMCPMC8722290

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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.