Evidence map›Paper›PMID 39323695›Full record

ArticleCureus2024

A Multidisciplinary Approach in the Management of Infectious Diarrhea in the Emergency Department.

Muhammad Kalim Ullah, Fahad Dayam, Aamir Ahmed, Sohail Ahmad, Mehrub Munawar, Sidra Jahangir, Muhammad Humayun Daftani, Zeeshan Ali, Bakhtawar Kakar, Ammara Farooq and 1 more

Abstract read
In one paragraph

Article in Cureus, 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.

Muhammad Kalim UllahGeneral Medicine, Rehman Medical Institute, Peshawar, PAK.
Fahad DayamInternal Medicine, Mercy Teaching Hospital, Peshawar, PAK.
Aamir AhmedCommunity Health Sciences, Peshawar Medical College, Peshawar, PAK.
Sohail AhmadInternal Medicine, Lady Reading Hospital, Peshawar, PAK.
Mehrub MunawarAnatomy, Jinnah Medical College, Peshawar, PAK.
Sidra JahangirGeneral Practice, Burjeel Medical Hospital, Abu Dhabi, ARE.
Muhammad Humayun DaftaniInternal Medicine, Lady Reading Hospital, Peshawar, PAK.
Zeeshan AliMedicine and Surgery, Liaquat College of Medicine and Dentistry, Karachi, PAK.
Bakhtawar KakarPulmonology, Lady Reading Hospital, Peshawar, PAK.
Ammara FarooqGeneral Practice, Rahat Family Clinic, Peshawar, PAK.
Naqeeb UllahInternal Medicine, Lady Reading Hospital, Peshawar, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Globally, infectious diarrhea poses a serious threat to public health, especially in emergency department (ED) settings where timely and efficient treatment is essential. The primary objective of this study was to explore and evaluate the efficacy of a multidisciplinary approach (MDA) in the management of infectious diarrhea within the ED setting. Methodology This prospective cohort study was conducted from January to December 2023 at the Lady Reading Hospital ED in Peshawar, Pakistan. Individuals 18 years of age or older with a confirmed diagnosis of infectious diarrhea were included in the study. Those who refused to participate or had non-infectious reasons were excluded from the study. Through successive sampling, 650 patients comprised the study sample. Using a standardized form, demographic information, clinical presentations, test results, treatment methods, and patient outcomes were collected. Descriptive statistics and logistic regression were used in statistical studies to assess treatment outcomes and complications. Results Of the 650 patients, the majority (203 patients, 31.23%) were between the ages of 30 and 39 years. The gender distribution was about equal (332 men, 51.08%; 318 females, 48.92%). Abdominal pain (383 patients, 58.92%) was the most common presenting complaint. In 310 instances, bacterial pathogens were found, 160 had viral infections, and 110 had parasitic infections. There were notable complications, such as sepsis (37 patients, 5.69%), although the response to treatment effectiveness was notably high (593 patients, 91.08%). Upon follow-up, 590 (90.77%) patients had symptom and sign resolution, while 80 (12.31%) patients had a low recurrence rate. Longer symptom duration (odds ratio (OR) = 1.45, 95% confidence interval (CI) 1.12-1.88, p = 0.005) and specific antibiotics (OR = 1.68, 95% CI = 1.25-2.25, p = 0.001) were found to improve treatment success using logistic regression, whereas the risks of complications increased with age (OR = 1.05, 95% CI = 1.01-1.09, p = 0.012) and severe dehydration (OR = 1.75, 95% CI = 1.32-2.31, p < 0.001). Conclusions The MDA to manage infectious diarrhea in the ED significantly improved patient outcomes and reduced complications.

Indexed as

emergency departmentinfection controlinfectious diarrheamultidisciplinary approachespatient outcomes

Identifiers

PMID39323695
PMCPMC11423180

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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.