Evidence map›Paper›PMID 39191918›Full record

Trial reportInternational journal of legal medicine2025

Clinical forensic medicine in emergency departments: a pilot study of a forensic training and evaluation of its effectiveness in an Italian hospital.

Stefano Tambuzzi, Cecilia Rossi, Donatella Pavanello, Riccardo Primavera, Giorgio Costantino, Cristina Cattaneo

Erratum issuedAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of legal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Stefano TambuzziIstituto Di Medicina Legale, Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, Via Luigi Mangiagalli, 37, 20133, Milan, Italy. stefano.tambuzzi@unimi.it.ORCID http://orcid.org/0000-0003-4711-5545
Cecilia RossiFondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
Donatella PavanelloFondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
Riccardo PrimaveraIstituto Di Medicina Legale, Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, Via Luigi Mangiagalli, 37, 20133, Milan, Italy.
Giorgio CostantinoFondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
Cristina CattaneoIstituto Di Medicina Legale, Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, Via Luigi Mangiagalli, 37, 20133, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Because emergency departments are often the first point of contact for victims of violence, it is critical to provide the appropriate treatment in compliance with all necessary medicolegal precautions. For this reason, a randomized controlled trial was conducted at the Policlinico Hospital of Milan (Italy) in which an intervention group (12 physicians) received a 6-h course on clinical forensic medicine and their performance in medicolegal procedures in claimed cases of violence was compared with that of a control group (13 physicians) by means of a 16-item assessment scale over the 3 months before and the 3 months after the course. Overall, 195 medical records were included in the statistical analysis. Out of these cases, 105 occurred before the course (60 analyzed by the control group and 45 by the intervention group) and 90 occurred after the course (45 analyzed by the control group and 45 by the intervention group). The results showed that the overall mean score of physicians who participated to the course increased from 14.0 (IQR 7.0) to 19.0 (IQR 8.0) with a p-value < 0.0001 and that the comparison between the intervention group and the control group after the course was 19.0 (IQR = 8.0) and 14.0 (IQR = 7.0), respectively, with a p-value < 0.0001. The improvement was very little and below the expectations pointing out that educational courses, although they can be a first step towards raising the ED physicians' awareness of clinical forensics, may not be enough and that more structured training and new strategies should be implemented.

Indexed as

Emergency Service, HospitalForensic MedicineAdultClinical CompetenceFemaleHumansItalyMaleMiddle AgedPilot ProjectsViolenceClinical forensic medicineEmergency departmentsForensic in hospitalsForensic trainingViolence by others

Identifiers

PMID39191918
PMCPMC11732858

What OpenQuestion holds

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Registered trials

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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.