Evidence map›Paper›PMID 35963843›Full record

Observational studyNPJ primary care respiratory medicine2022

Multi-disciplinary community respiratory team management of patients with chronic respiratory illness during the COVID-19 pandemic.

Emily Turner, Emma Johnson, Kate Levin, Stewart Gingles, Elaine Mackay, Claire Roux, Marianne Milligan, Marion Mackie, Kirsten Farrell, Kirsty Murray and 4 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in NPJ primary care respiratory medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

14 authors at 1 institution in 1 country.

Emily TurnerRespiratory Medicine, NHS Greater Glasgow and Clyde, Glasgow, UK. emily.turner@ggc.scot.nhs.uk.ORCID 0000-0003-1048-6713
Emma JohnsonRespiratory Medicine, NHS Greater Glasgow and Clyde, Glasgow, UK.
Kate LevinPublic Health Directorate, NHS Greater Glasgow and Clyde, Glasgow, UK.
Stewart GinglesRespiratory Medicine, NHS Greater Glasgow and Clyde, Glasgow, UK.
Elaine MackayCommunity Respiratory Response Team, NHS Greater Glasgow and Clyde, Glasgow, UK.
Claire RouxCommunity Respiratory Response Team, NHS Greater Glasgow and Clyde, Glasgow, UK.
Marianne MilliganCommunity Respiratory Response Team, NHS Greater Glasgow and Clyde, Glasgow, UK.
Marion MackieCommunity Respiratory Response Team, NHS Greater Glasgow and Clyde, Glasgow, UK.
Kirsten FarrellCommunity Respiratory Response Team, NHS Greater Glasgow and Clyde, Glasgow, UK.
Kirsty MurrayCommunity Respiratory Response Team, NHS Greater Glasgow and Clyde, Glasgow, UK.
Suzanne AdamsCommunity Respiratory Response Team, NHS Greater Glasgow and Clyde, Glasgow, UK.
Joan BrandCommunity Respiratory Response Team, NHS Greater Glasgow and Clyde, Glasgow, UK.
David AndersonRespiratory Medicine, NHS Greater Glasgow and Clyde, Glasgow, UK.
Hannah BayesRespiratory Medicine, NHS Greater Glasgow and Clyde, Glasgow, UK.
NHS Greater Glasgow and Clyde · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Greater Glasgow & Clyde NHS Trust Community Respiratory Response Team was established to manage patients with chronic respiratory disease at home during the COVID-19 pandemic. The team aimed to avert hospital admission while maximally utilising remote consultations. This observational study analysed outcomes of the triage pathway used, use of remote consultations, hospital admissions and mortality among patients managed by the team. Patients' electronic health records were retrospectively reviewed. Rates of emergency department attendance, hospital admission and death within 28 days of referral were compared across triage pathways. Segmented linear regression was carried out for emergency admissions in Greater Glasgow and Clyde pre- and post- Community Respiratory Response Team implementation, using emergency admissions for chronic obstructive pulmonary disease in the rest of Scotland as control and adjusting for all-cause emergency admissions. The triage category correlated with hospital admission and death. The red pathway had the highest proportion attending the emergency department (21%), significantly higher than the amber and green pathways (p = 0.03 and p = 0.004, respectively). The highest number of deaths were in the blue "end-of-life" pathway (p < 0.001). 87% of interactions were undertaken remotely. Triage severity appropriately led to targeted home visits. No nosocomial COVID-19 infections occurred among patients or staff. The Community Respiratory Response Team was associated with a significant decrease in emergency admissions (RR = 0.96 for each additional month under the Poisson model) compared to the counterfactual if the service had not been in place, suggesting a benefit in reducing secondary care pressures. The Community Respiratory Response Team effectively managed patients with chronic respiratory disease in the community, with an associated reduction in secondary care pressures during the COVID-19 pandemic.

Indexed as

COVID-19HospitalizationHumansPandemicsRetrospective StudiesTriage

Identifiers

PMID35963843
PMCPMC9375196
OpenAlexW4291202089

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.