Evidence map›Paper›PMID 35819357›Full record

ArticleThe European journal of general practice2022

Frequency and management of emergencies in primary care offices: A cross-sectional study in northwestern Germany.

Max Melzel, Falk Hoffmann, Michael H Freitag, Ove Spreckelsen

Open access · goldAbstract read
In one paragraph

Article in The European journal of general practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% 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, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

4 authors at 1 institution in 1 country.

Max MelzelDivision of General Practice, Department of Health Services Research, Carl von Ossietzky University of Oldenburg, Oldenburg, Germany.ORCID 0000-0002-2857-9793
Falk HoffmannDivision of Outpatient Care and Pharmacoepidemiology, Department of Health Services Research, Carl von Ossietzky University of Oldenburg, Oldenburg, Germany.ORCID 0000-0003-0182-5373
Michael H FreitagDivision of General Practice, Department of Health Services Research, Carl von Ossietzky University of Oldenburg, Oldenburg, Germany.ORCID 0000-0002-7572-2011
Ove SpreckelsenDivision of General Practice, Department of Health Services Research, Carl von Ossietzky University of Oldenburg, Oldenburg, Germany.ORCID 0000-0002-5782-2756
Carl von Ossietzky Universität Oldenburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle literature exists on emergencies within primary care offices.

objectivesWe aimed to study the occurrence of emergencies and confidence in dealing with them among primary care physicians (PCPs) in Germany.

methodsWe conducted a cross-sectional study among all PCPs with licences to practice with an own office (

resultsAnswers from 375 PCPs could be analysed (response: 41.0%); 95.7% reported at least one emergency in their office within the last 12 months (mean 12.9). PCPs from rural offices reported more emergencies (on average 13.7 vs. 9.6). Acute coronary syndrome, cardiac arrhythmia and dyspnoea were the most common emergencies. A greater likelihood of feeling more confident in managing medical emergencies was found among male physicians, general internists, PCPs additionally qualified as emergency physicians and those with previous training in the emergency department and intensive care unit. In contrast, more general practitioners felt secure treating paediatric emergencies than general internists (highest level of confidence 22.1% vs. 16.3%).

conclusionIn Germany, emergencies in primary care offices occur on average once a month and more often in rural than urban areas. While most PCPs are confident in managing medical emergencies, some differences related to the training path became apparent. Ongoing training programmes may be tailored to improve emergency skills.

Indexed as

EmergenciesHealth PersonnelChildCross-Sectional StudiesGermanyHumansMalePrimary Health Careemergency and out-of-hours caregeneralgeneral practice/family medicineincl. modellingmedical educationMultivariate analysissurveys

Identifiers

PMID35819357
PMCPMC9291701
OpenAlexW4285041505

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.