Evidence map›Paper›PMID 37075056›Full record

ArticlePloS one2023

Video triage of children with respiratory symptoms at a medical helpline is safe and feasible-a prospective quality improvement study.

Caroline Gren, Asbjoern Boerch Hasselager, Gitte Linderoth, Marianne Sjølin Frederiksen, Fredrik Folke, Annette Kjær Ersbøll, Hejdi Gamst-Jensen, Dina Cortes

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Observational
  4. Review
  5. Review
  6. 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

8 authors at 5 institutions in 1 country.

Caroline GrenDepartment of Pediatrics and Adolescence Medicine, Copenhagen University Hospital-Amager and Hvidovre, Copenhagen, Denmark.ORCID 0000-0003-0676-3650
Asbjoern Boerch HasselagerDepartment of Pediatrics and Adolescence Medicine, Copenhagen University Hospital-Nordsjællands Hospital, Hillerød, Denmark.
Gitte LinderothDepartment of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Marianne Sjølin FrederiksenDepartment of Pediatrics and Adolescence Medicine, Copenhagen University Hospital-Herlev and Gentofte, Copenhagen, Denmark.
Fredrik FolkeDepartment of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Annette Kjær ErsbøllCopenhagen University Hospital-Copenhagen Emergency Medical Services, Copenhagen, Denmark.ORCID 0000-0002-9407-3387
Hejdi Gamst-JensenDepartment of Clinical Research, Copenhagen University Hospital-Amager and Hvidovre, Copenhagen, Denmark.
Dina CortesDepartment of Pediatrics and Adolescence Medicine, Copenhagen University Hospital-Amager and Hvidovre, Copenhagen, Denmark.
University of Copenhagen · DKAmager Hospital · DKCopenhagen University Hospital · DKGentofte Hospital · DKUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundYoung children are among the most frequent patients at medical call centers, even though they are rarely severely ill. Respiratory tract symptoms are among the most prevalent reasons for contact in pediatric calls. Triage of children without visual cues and through second-hand information is perceived as difficult, with risks of over- and under-triage.

objectiveTo study the safety and feasibility of introducing video triage of young children with respiratory symptoms at the medical helpline 1813 (MH1813) in Copenhagen, Denmark, as well as impact on patient outcome.

methodsProspective quality improvement study including 617 patients enrolled to video or standard telephone triage (1:1) from February 2019-March 2020. Data originated from MH1813 patient records, survey responses, and hospital charts. Primary outcome was difference in patients staying at home eight hours after the call. Secondary outcomes weas hospital outcome, feasibility and acceptability. Adverse events (intensive care unit admittance, lasting injuries, death) were registered. Logistic regression was used to test the effect on outcomes. The COVID-19 pandemic shut the study down prematurely.

resultsIn total, 54% of the included patients were video-triaged., and 63% of video triaged patients and 58% of telephone triaged patients were triaged to stay at home, (p = 0.19). Within eight and 24 hours, there was a tendency of fewer video-triaged patients being assessed at hospitals: 39% versus 46% (p = 0.07) and 41% versus 49% (p = 0.07), respectively. At 24 hours after the call, 2.8% of the patients were hospitalized for at least 12 hours. Video triage was highly feasible and acceptable (>90%) and no adverse events were registered.

conclusionVideo triage of young children with respiratory symptoms at a medical call center was safe and feasible. Only about 3% of all children needed hospitalization for at least 12 hours. Video triage may optimize hospital referrals and increase health care accessibility.

Indexed as

COVID-19TriageChildChild, PreschoolHospitals, PediatricHumansPandemicsProspective StudiesQuality ImprovementTelephone

Identifiers

PMID37075056
PMCPMC10115256
OpenAlexW4366353526

What OpenQuestion holds

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LicenceCC BY
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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.