Evidence map›Paper›PMID 35439949›Full record

ArticleBMC emergency medicine2022

ABCD approach at the #7119 center, telephone triage system in Tokyo, Japan; a retrospective cohort study.

Atsushi Sakurai, Sachiko Ohta, Jun Oda, Takashi Muguruma, Takeru Abe, Naoto Morimura

Abstract read
In one paragraph

Article in BMC emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Atsushi SakuraiEmergency Telephone Consultation Centre, Tokyo Medical Association, 2-5 Kandasurugadai, Chiyoda-ku, Tokyo, 101-8328, Japan. sakurai.atsushi@nihon-u.ac.jp.
Sachiko OhtaDepartment of Pharmaceutical and Medical Business Sciences, Nihon Pharmaceutical University, 3-15-9 Yushima, Bunkyo-ku, Tokyo, 113-0034, Japan.
Jun OdaEmergency Telephone Consultation Centre, Tokyo Medical Association, 2-5 Kandasurugadai, Chiyoda-ku, Tokyo, 101-8328, Japan.
Takashi MugurumaEmergency Telephone Consultation Centre, Tokyo Medical Association, 2-5 Kandasurugadai, Chiyoda-ku, Tokyo, 101-8328, Japan.
Takeru AbeEmergency Telephone Consultation Centre, Tokyo Medical Association, 2-5 Kandasurugadai, Chiyoda-ku, Tokyo, 101-8328, Japan.
Naoto MorimuraEmergency Telephone Consultation Centre, Tokyo Medical Association, 2-5 Kandasurugadai, Chiyoda-ku, Tokyo, 101-8328, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe algorithm and protocol of the #7119 telephone triage in Tokyo, Japan, had been originally established and consists of three steps. In this study, we investigated the outcome of patients treated with physiological abnormality (ABCD approach: A, airway; B, breathing; C, circulation, and D, dysfunction of central nervous system) in step 2 during the #7119 telephone triage and clarified the meaning of evaluation of this approach.

methodsWe retrospectively reviewed data from the Tokyo Fire Department from January 2016 to December 2017. Almost all the patients triaged using the ABCD approach were transferred to the hospital by ambulance and assigned severity by a physician. We divided patients into groups with combinations of 15 patterns including A, B, C, D, AB, AC, AD, BC, BD, CD, ABC, ABD, ACD, BCD, and ABCD. We compared the proportion of severe cases in each group using a Fisher's exact test, followed by residual analysis.

resultsWe analyzed 13,793 cases triaged using the ABCD approach. In this analysis, 31% of total cases were assessed as severe cases. Groupwise analysis showed that the proportion of severe cases was significantly higher in the AD, BC, CD, ABD, and ABCD groups, while it was significantly less in the C and AB groups than in the total cases.

conclusionAt the #7119 telephone triage, we can pick up the severe cases by the ABCD approach. This may contribute to the prompt transportation of severe patients to hospitals by dispatching ambulance cars using the #7119 telephone triage methods.

Indexed as

TelephoneTriageHumansJapanRetrospective StudiesTokyoABCD approachDispatchTelephone triage

Identifiers

PMID35439949
PMCPMC9020061

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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.