Evidence map›Paper›PMID 39757222›Full record

SynthesisScandinavian journal of trauma, resuscitation and emergency medicine2025

Benefits of targeted deployment of physician-led interprofessional pre-hospital teams on the care of critically Ill and injured patients: a systematic review and meta-analysis.

Matthew D Lavery, Arshbir Aulakh, Michael D Christian

Abstract readSystematic ReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Scandinavian journal of trauma, resuscitation and emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Physician-staffed prehospital units for severely injured patients in the Stockholm trauma system - is there a survival benefit?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
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  3. The impact of advanced pre-hospital interventions on scene time.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Matthew D LaverySouthern Medical Program, Faculty of Medicine, University of British Columbia, 3333 University Way, Kelowna, BC, V1V 1V7, Canada.ORCID http://orcid.org/0009-0001-1326-975X
Arshbir AulakhSouthern Medical Program, Faculty of Medicine, University of British Columbia, 3333 University Way, Kelowna, BC, V1V 1V7, Canada.
Michael D ChristianRural Coordination Centre of BC (RCCbc), 1665 W Broadway Suite 620, Vancouver, BC, V6J 1X1, Canada. michael.christian@ubc.ca.ORCID http://orcid.org/0000-0001-9644-9950

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOver the past three decades, more advanced pre-hospital systems have increasingly integrated physicians into targeted roles, forming interprofessional teams. These teams focus on providing early senior decision-making and advanced interventions while also ensuring rapid transport to hospitals based on individual patient needs. This paper aims to evaluate the benefits of an inter-professional care model compared to a model where care is delivered solely by paramedics. METHODOLOGY: A meta-analysis and systematic review were conducted using the guidelines of PRISMA 2020. Articles were identified through a systematic search of three databases and snowballing references. A systematic review was conducted of articles that met the inclusion criteria, and a suitable subset was included in a meta-analysis. The survival and mortality outcomes from the studies were then pooled using the statistical software Review Manager (RevMan) Version 8.2.0.

resultsTwo thousand two hundred ninety-six articles were found from the online databases and 86 from other sources. However, only 23 articles met the inclusion criteria of our study. A pooled analysis of the outcomes reported in these studies indicated that the mortality risk was significantly reduced in patients who received pre-hospital care from interprofessional teams led by physicians compared with those who received care from paramedics alone (AOR 0.80; 95% CI [0.68, 0.91] p = 0.001). The survival rate of critically ill or injured patients who received pre-hospital care from interprofessional teams led by physicians was increased compared to those who received care from paramedics alone (AOR 1.49; 95% CI [1.31, 1.69] P < 0.00001).

conclusionsThe results of our analysis indicate that the targeted deployment of interprofessional teams led by physicians in the pre-hospital care of critically ill or injured patients improves patient outcomes.

Indexed as

Critical IllnessEmergency Medical ServicesPatient Care TeamHumansInterprofessional RelationsPhysiciansWounds and InjuriesOut-of-hospital cardiac arrestPre-hospital carePre-hospital emergency medicinePre-hospital physiciansResuscitationTrauma

Identifiers

PMID39757222
PMCPMC11702211

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.