Evidence map›Paper›PMID 36590754›Full record

Observational studyUpsala journal of medical sciences2022

Admission of patients with chest pain and/or breathlessness from the emergency department in relation to risk assessment and copeptin levels - an observational study.

Lee Ti Davidson, Emilia Gauffin, Preben Henanger, Maciej Wajda, Daniel Wilhelms, Bertil Ekman, Hans J Arnqvist, Martin Schilling, Simona I Chisalita

Open access · greenAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Upsala journal of medical sciences, 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
0.3field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Observational
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

9 authors at 1 institution in 1 country.

Lee Ti DavidsonDepartment of Emergency Medicine in Linköping, Local Health Care Services in Central Östergötland, Region Östergötland & Department of Biomedical and Clinical Sciences, Linköping University, Sweden.
Emilia GauffinDepartment of Endocrinology in Linköping, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Preben HenangerDepartment of Endocrinology in Linköping, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Maciej WajdaDepartment of Emergency Medicine in Linköping, Local Health Care Services in Central Östergötland, Region Östergötland & Department of Biomedical and Clinical Sciences, Linköping University, Sweden.
Daniel WilhelmsDepartment of Emergency Medicine in Linköping, Local Health Care Services in Central Östergötland, Region Östergötland & Department of Biomedical and Clinical Sciences, Linköping University, Sweden.
Bertil EkmanDepartment of Endocrinology in Linköping, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Hans J ArnqvistDepartment of Endocrinology in Linköping, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Martin SchillingClinicum and Innovations Centrum, Department of Emergency Medicine and Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
Simona I ChisalitaDepartment of Endocrinology in Linköping, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Linköping University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: One of the most critical decisions that emergency department (ED) physicians make is the discharge versus admission of patients. We aimed to study the association of the decision in the ED to admit patients with chest pain and/or breathlessness to a ward with risk assessment using the Rapid Emergency Triage and Treatment System (RETTS), the National Early Warning Score (NEWS), and plasma levels of the biomarkers copeptin, midregional proadrenomedulin (MR-proADM), and midregional proatrial natriuretic peptide (MR-proANP). Methods: Patients presenting at the ED with chest pain and/or breathlessness with less than one week onset were enrolled. Patients were triaged according to RETTS. NEWS was calculated from the vital signs retrospectively. Results: Three hundred and thirty-four patients (167 males), mean age 63.8 ± 16.8 years, were included. Of which, 210 (62.8%) patients complained of chest pain, 65 (19.5%) of breathlessness, and 59 (17.7%) of both. Of these, 176 (52.7%) patients were admitted to a ward, and 158 (47.3%) patients were discharged from the ED. In binary logistic models, age, gender, vital signs (O Conclusions: Emergency physicians' decisions to admit patients with chest pain and/or breathlessness from the ED to a ward are related to age, O

Indexed as

Chest PainDyspneaAgedAged, 80 and overBiomarkersEmergency Service, HospitalGlycopeptidesHumansMaleMiddle AgedRetrospective StudiesRisk AssessmentBiomarkerscopeptinsGlycopeptidesbreathlessnesschest paincopeptinEmergency departmentMR-proADMMR-proANP

Identifiers

PMID36590754
PMCPMC9793763
OpenAlexW4313454241

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.