Evidence map›Paper›PMID 39112933›Full record

ArticleBMC emergency medicine2024

A retrospective analysis of the need for on-site emergency physician presence and mission characteristics of a rural ground-based emergency medical service.

Josef Michael Lintschinger, Daniel Laxar, Lorenz Kapral, Stefan Ulbing, Thomas Glock, Sybille Behrens, Christoph Frimmel, Reinhold Renner, Daniel Alexander Klaus, Harald Willschke and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC emergency medicine, 2024. 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
–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

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. 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

11 authors.

Josef Michael LintschingerLudwig Boltzmann Institute Digital Health and Patient Safety, Waehringer Strasse 104/10, Vienna, A-1180, Austria.ORCID http://orcid.org/0000-0001-9827-2773
Daniel LaxarLudwig Boltzmann Institute Digital Health and Patient Safety, Waehringer Strasse 104/10, Vienna, A-1180, Austria.ORCID http://orcid.org/0000-0003-4059-9647
Lorenz KapralLudwig Boltzmann Institute Digital Health and Patient Safety, Waehringer Strasse 104/10, Vienna, A-1180, Austria.ORCID http://orcid.org/0000-0003-3316-9024
Stefan UlbingLudwig Boltzmann Institute Digital Health and Patient Safety, Waehringer Strasse 104/10, Vienna, A-1180, Austria.ORCID http://orcid.org/0000-0002-3543-9342
Thomas GlockDepartment of Anaesthesia, General Intensive Care Medicine and Pain Medicine, Medical University of Vienna, Waehringer Guertel 18-20, Vienna, A-1090, Austria.ORCID http://orcid.org/0009-0002-9561-0399
Sybille BehrensLudwig Boltzmann Institute Digital Health and Patient Safety, Waehringer Strasse 104/10, Vienna, A-1180, Austria.ORCID http://orcid.org/0009-0002-1501-730X
Christoph FrimmelAustrian Red Cross, State Association of Burgenland, Henri-Dunant-Strasse 4, Eisenstadt, A-7000, Austria.
Reinhold RennerAustrian Red Cross, State Association of Burgenland, Henri-Dunant-Strasse 4, Eisenstadt, A-7000, Austria.
Daniel Alexander KlausDepartment of Anaesthesia, General Intensive Care Medicine and Pain Medicine, Medical University of Vienna, Waehringer Guertel 18-20, Vienna, A-1090, Austria.ORCID http://orcid.org/0000-0002-0933-9997
Harald WillschkeLudwig Boltzmann Institute Digital Health and Patient Safety, Waehringer Strasse 104/10, Vienna, A-1180, Austria.ORCID http://orcid.org/0000-0002-9093-7563
Christina HafnerLudwig Boltzmann Institute Digital Health and Patient Safety, Waehringer Strasse 104/10, Vienna, A-1180, Austria. christina.hafner@meduniwien.ac.at.ORCID http://orcid.org/0000-0002-4075-1787

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to address the challenges faced by rural emergency medical services in Europe, due to an increasing number of missions and limited human resources. The primary objective was to determine the necessity of having an on-site emergency physician (EP), while the secondary objectives included analyzing the characteristics of rural EP missions.

methodsA retrospective study was conducted, examining rural EP missions carried out between January 1st, 2017, and December 2nd, 2021 in Burgenland, Austria. The need for physical presence of an EP was classified based on the National Advisory Committee for Aeronautics (NACA) score into three categories; category A: no need for an EP (NACA 1-3); category B: need for an EP (NACA 1-3 along with additional medical interventions beyond the capabilities of emergency medical technicians); and category C: definite need for an EP (NACA 4-7). Descriptive statistics were used for analysis.

resultsOut of 16,971 recorded missions, 15,591 were included in the study. Approximately 32.3% of missions fell into category A, indicating that an EP's physical presence was unnecessary. The diagnoses made by telecommunicators matched those of the EPs in only 52.8% of cases.

conclusionThe study suggests that about a third of EP missions carried out in rural areas might not have a solid medical rationale. This underscores the importance of developing an alternative care approach for these missions. Failing to address this could put additional pressure on already stretched EMS systems, risking their collapse.

Indexed as

Emergency Medical ServicesRural Health ServicesAdolescentAdultAgedAustriaChildFemaleHumansMaleMiddle AgedPhysiciansRetrospective StudiesAnesthesiologyEmergency medical servicesEmergency medicineRural medicineTelemedicine

Identifiers

PMID39112933
PMCPMC11304556

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.