Evidence map›Paper›PMID 35998147›Full record

ArticlePloS one2022

Advanced practice providers versus medical residents as leaders of rapid response teams: A 12-month retrospective analysis.

Herman G Kreeftenberg, Ashley J R De Bie, Eveline H J Mestrom, Alexander J G H Bindels, Peter H J van der Voort

Abstract read
In one paragraph

Article in PloS one, 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
–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

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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.

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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

5 authors.

Herman G KreeftenbergDept Internal Medicine, Catharina Hospital Eindhoven, Eindhoven, Netherlands.ORCID 0000-0002-4627-4395
Ashley J R De BieDept Internal Medicine, Catharina Hospital Eindhoven, Eindhoven, Netherlands.
Eveline H J MestromDept of Intensive Care, Catharina Hospital Eindhoven, Eindhoven, Netherlands.
Alexander J G H BindelsDept Internal Medicine, Catharina Hospital Eindhoven, Eindhoven, Netherlands.
Peter H J van der VoortTIAS School for Business and Society, Tilburg University, Tilburg, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn a time of worldwide physician shortages, the advanced practice providers (APPs) might be a good alternative for physicians as the leaders of a rapid response team. This retrospective analysis aimed to establish whether the performance of APP-led rapid response teams is comparable to the performance of rapid response teams led by a medical resident of the ICU. MATERIAL AND

methodsIn a retrospective single-center cohort study, the electronic medical record of a tertiary hospital was queried during a 12-months period to identify patients who had been visited by our rapid response team. Patient- and process-related outcomes of interventions of rapid response teams led by an APP were compared with those of teams led by a medical resident using various parameters, including the MAELOR tool, which measures the performance of a rapid response team.

resultsIn total, 179 responses of the APP-led teams were analyzed, versus 275 responses of the teams led by a resident. Per APP, twice as many calls were handled than per resident. Interventions of teams led by APPs, and residents did not differ in number of admissions (p = 0.87), mortality (p = 0.8), early warning scores (p = 0.2) or MAELOR tool triggering (p = 0.19). Both groups scored equally on time to admission (p = 0.67) or time until any performed intervention.

conclusionThis retrospective analysis showed that the quality of APP-led rapid response teams was similar to the quality of teams led by a resident. These findings need to be confirmed by prospective studies with balanced outcome parameters.

Indexed as

Hospital Rapid Response TeamInternship and ResidencyCohort StudiesHumansProspective StudiesRetrospective Studies

Identifiers

PMID35998147
PMCPMC9398002

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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.