Evidence map›Paper›PMID 35289365›Full record

ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2022

Effect of a prioritization score on the inter-hospital transfer time management of severe COVID-19 patients: a quasi-experimental intervention study.

Silvia Solà-Muñoz, Youcef Azeli, Josep Trenado, Xavier Jiménez, Roger Bisbal, Àngels López, Jorge Morales, Xaime García, Bernat Sánchez, José Fernández and 4 more

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 1 country.

Silvia Solà-MuñozArea of Research and Development, Clinical Department, Sistema d'Emergències Mèdiques de Catalunya, C. Pablo Iglesias 101-155, L'Hospitalet de Llobregat, Barcelona 08908, Spain.
Youcef AzeliArea of Research and Development, Clinical Department, Sistema d'Emergències Mèdiques de Catalunya, C. Pablo Iglesias 101-155, L'Hospitalet de Llobregat, Barcelona 08908, Spain.
Josep TrenadoArea of Research and Development, Clinical Department, Sistema d'Emergències Mèdiques de Catalunya, C. Pablo Iglesias 101-155, L'Hospitalet de Llobregat, Barcelona 08908, Spain.
Xavier JiménezArea of Research and Development, Clinical Department, Sistema d'Emergències Mèdiques de Catalunya, C. Pablo Iglesias 101-155, L'Hospitalet de Llobregat, Barcelona 08908, Spain.
Roger BisbalArea of Research and Development, Clinical Department, Sistema d'Emergències Mèdiques de Catalunya, C. Pablo Iglesias 101-155, L'Hospitalet de Llobregat, Barcelona 08908, Spain.
Àngels LópezArea of Research and Development, Clinical Department, Sistema d'Emergències Mèdiques de Catalunya, C. Pablo Iglesias 101-155, L'Hospitalet de Llobregat, Barcelona 08908, Spain.
Jorge MoralesArea of Research and Development, Clinical Department, Sistema d'Emergències Mèdiques de Catalunya, C. Pablo Iglesias 101-155, L'Hospitalet de Llobregat, Barcelona 08908, Spain.
Xaime GarcíaArea of Research and Development, Clinical Department, Sistema d'Emergències Mèdiques de Catalunya, C. Pablo Iglesias 101-155, L'Hospitalet de Llobregat, Barcelona 08908, Spain.
Bernat SánchezArea of Research and Development, Clinical Department, Sistema d'Emergències Mèdiques de Catalunya, C. Pablo Iglesias 101-155, L'Hospitalet de Llobregat, Barcelona 08908, Spain.
José FernándezFundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Av. Colom 16-20, Tortosa, Tarragona 43500, Spain.
Maria Ángeles SotoArea of Research and Development, Clinical Department, Sistema d'Emergències Mèdiques de Catalunya, C. Pablo Iglesias 101-155, L'Hospitalet de Llobregat, Barcelona 08908, Spain.
Yolanda FerreresArea of Research and Development, Clinical Department, Sistema d'Emergències Mèdiques de Catalunya, C. Pablo Iglesias 101-155, L'Hospitalet de Llobregat, Barcelona 08908, Spain.
Cristina CanteroArea of Research and Development, Clinical Department, Sistema d'Emergències Mèdiques de Catalunya, C. Pablo Iglesias 101-155, L'Hospitalet de Llobregat, Barcelona 08908, Spain.
Javier JacobHospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Universitat de Barcelona, Carrer de la Feixa Llarga, s/n, Barcelona 08907, Spain.
Sociedad Española de Medicina Interna · ESInstitut Català de la Salut · ESMútua Terrassa · ESUniversitat de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe overburdening of the healthcare system during the coronavirus disease 19 (COVID-19) pandemic is driving the need to create new tools to improve the management of inter-hospital transport for patients with a severe COVID-19 infection.

objectiveThe aim of this study was to analyse the usefulness of the application of a prioritization score (IHTCOVID-19) for inter-hospital transfer of patients with COVID-19 infection.

methodsThe study has a quasi-experimental design and was conducted on the Medical Emergency System, the pre-hospital emergency department of the public company belonging to the Autonomous Government of Catalonia that manages urgent healthcare in the region. Patients with a severe COVID-19 infection requiring inter-hospital transport were consecutively included. The pre-intervention period was from 1 to 31 March 2020, and the intervention period with the IHTCOVID-19 score was from 1 to 30 April 2020 (from 8 am to 8 pm). The prioritization score comprises four priority categories, with Priority 0 being the highest and Priority 3 being the lowest. Inter-hospital transfer (IHT) management times (alert-assignment time, resource management time and total central management time) and their variability were evaluated according to whether or not the IHTCOVID-19 score was applied.

resultsA total of 344 IHTs were included: 189 (54.9%) in the pre-intervention period and 155 (45.1%) in the post-intervention period. The majority of patients were male and the most frequent age range was between 50 and 70 years. According to the IHTCOVID-19 score, 12 (3.5%) transfers were classified as Priority 0, 66 (19.4%) as Priority 1, 247 (71.8%) as Priority 2 and 19 (5.6%) as Priority 3. Overall, with the application of the IHTCOVID-19 score, there was a significant reduction in total central management time [from 112.4 (inter-quartile range (IQR) 281.3) to 89.8 min (IQR 154.9); P = 0.012]. This significant reduction was observed in Priority 0 patients [286.2 (IQR 218.5) to 42.0 min (IQR 58); P = 0.018] and Priority 1 patients [130.3 (IQR 297.3) to 75.4 min (IQR 91.1); P = 0.034]. After applying the IHTCOVID-19 score, the average time of the process decreased by 22.6 min, and variability was reduced from 618.1 to 324.0 min.

conclusionThe application of the IHTCOVID-19 score in patients with a severe COVID-19 infection reduces IHT management times and variability.

Indexed as

COVID-19AgedFemaleHospitalsHumansMaleMiddle AgedTime ManagementCOVID-19critical illnessdispatch centreemergency caretriage management

Identifiers

PMID35289365
PMCPMC8992311
OpenAlexW4220759077

What OpenQuestion holds

Textmetadata
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.