scholarly journals Effect of requiring a general practitioner at scenes of serious injury: A systematic review

2018 ◽  
Vol 62 (9) ◽  
pp. 1194-1199
Author(s):  
G. S. H. Straumann ◽  
A. Austvoll-Dahlgren ◽  
H. H. Holte ◽  
T. Wisborg
Keyword(s):  
Systematic Review ◽  
General Practitioner ◽  
Serious Injury

scholarly journals 42 Effects of a general practitioner at scenes of serious injury: a systematic review

2018 ◽  
Author(s):  
Gyri Synnøve Hval Straumann ◽  
Astrid Austvoll-Dahlgren ◽  
Hilde Helene Holte ◽  
Torben Wisborg
Keyword(s):  
Systematic Review ◽  
General Practitioner ◽  
Serious Injury

PP39 What is the risk of major trauma following a fall down stairs? – A systematic review

2021 ◽  
Vol 38 (9) ◽  
pp. A16.2-A16
Author(s):  
Christopher Holt ◽  
Samuel Keating ◽  
Michael Tonkins ◽  
Daniel Bradbury ◽  
Gordon Fuller
Keyword(s):  
Systematic Review ◽  
Major Trauma ◽  
Alcohol Intoxication ◽  
Grey Literature ◽  
Developed Countries ◽  
Risk Of Bias ◽  
Qualitative Synthesis ◽  
Increased Risk ◽  
Study Heterogeneity ◽  
Serious Injury

BackgroundSpecific mechanisms of injury are stated in pre-hospital triage tools to identify suspected cases of major trauma. Falls down stairs are common presentations in UK emergency departments, yet are frequently overlooked as a causative mechanism of major trauma. No prior systematic review has examined this association.MethodsSeven internationally recognised literature databases and seven grey literature databases were screened utilising a common search strategy from inception until 31 December 2019. Abstracts were screened for relevance by a single reviewer. Full texts were screened and subsequently extracted by 3 separate reviewers against strict inclusion/exclusion criteria. A risk of bias assessment based on GRADE recommendations was performed. In the absence of study heterogeneity, a narrative synthesis was planned. The reporting of this systematic review followed PRISMA 2009 statement guidelines.Results5240 articles were identified from database searching, 89 articles had their full texts assessed for eligibility and 6 articles were included for qualitative synthesis. All studies were retrospective in nature and originated from more economically developed countries. 7431 patients who fell down stairs were analysed, of which, 707 (9.5%) met major trauma definitions. Falls down stairs resulted in a significantly increased risk of serious injury compared to other fall mechanisms (OR: 1.621, 95% CI: 1.381 – 1.902, p<0.0005). Analysis of confounding factors demonstrated age (OR: 2.59, 95% CI: 1.57 – 4.28, p<0.001) and alcohol intoxication (OR: 2.6, 95% CI: 1.4 – 4.7, p=0.001) to be significantly associated with major trauma. Risk of bias was moderate to high across all 6 studies.ConclusionThis systematic review highlighted the paucity of literature surrounding the incidence of major trauma following falls down stairs.A retrospective cohort study is currently being undertaken to analyse the risk of major trauma following falls down stairs. On completion, the results will be incorporated with the results of this systematic review.

scholarly journals A systematic review of supervisory relationships in general practitioner training

2019 ◽  
Vol 53 (9) ◽  
pp. 874-885 ◽  
Author(s):  
Dawn Jackson ◽  
Ian Davison ◽  
Rachel Adams ◽  
Adaeze Edordu ◽  
Aled Picton
Keyword(s):  
Systematic Review ◽  
General Practitioner ◽  
Supervisory Relationships ◽  
Practitioner Training

scholarly journals The role of the general practitioner in return to work after cancer—a systematic review

2018 ◽  
Vol 35 (5) ◽  
pp. 531-541 ◽  
Author(s):  
Femke de Jong ◽  
Monique H Frings-Dresen ◽  
Nynke van Dijk ◽  
Faridi S van Etten-Jamaludin ◽  
Kristel M van Asselt ◽  
...  
Keyword(s):  
Systematic Review ◽  
General Practitioner ◽  
Return To Work ◽  
After Cancer

General practitioner involvement in follow-up of childhood cancer survivors: A systematic review

2013 ◽  
Vol 60 (10) ◽  
pp. 1565-1573 ◽  
Author(s):  
Sarah Singer ◽  
Micòl E. Gianinazzi ◽  
Anna Hohn ◽  
Claudia E. Kuehni ◽  
Gisela Michel
Keyword(s):  
Systematic Review ◽  
General Practitioner ◽  
Cancer Survivors ◽  
Childhood Cancer ◽  
Childhood Cancer Survivors

scholarly journals A systematic review of statistical models and outcomes of predicting fatal and serious injury crashes from driver crash and offense history data

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Reneta Slikboer ◽  
Samuel D. Muir ◽  
S. S. M. Silva ◽  
Denny Meyer
Keyword(s):  
Systematic Review ◽  
Quality Assessment ◽  
Statistical Models ◽  
Assessment Tool ◽  
Systematic Evaluation ◽  
Future Research ◽  
Alternative Measure ◽  
Quality Assessment Tool ◽  
Serious Injury ◽  
The Impact

Abstract Background Expenditure on driver-related behavioral interventions and road use policy is often justified by their impact on the frequency of fatal and serious injury crashes. Given the rarity of fatal and serious injury crashes, offense history, and crash history of drivers are sometimes used as an alternative measure of the impact of interventions and changes to policy. The primary purpose of this systematic review was to assess the rigor of statistical modeling used to predict fatal and serious crashes from offense history and crash history using a purpose-made quality assessment tool. A secondary purpose was to explore study outcomes. Methods Only studies that used observational data and presented a statistical model of crash prediction from offense history or crash history were included. A quality assessment tool was developed for the systematic evaluation of statistical quality indicators across studies. The search was conducted in June 2019. Results One thousand one hundred and five unique records were identified, 252 full texts were screened for inclusion, resulting in 20 studies being included in the review. The results indicate substantial and important limitations in the modeling methods used. Most studies demonstrated poor statistical rigor ranging from low to middle quality. There was a lack of confidence in published findings due to poor variable selection, poor adherence to statistical assumptions relating to multicollinearity, and lack of validation using new data. Conclusions It was concluded that future research should consider machine learning to overcome correlations in the data, use rigorous vetting procedures to identify predictor variables, and validate statistical models using new data to improve utility and generalizability of models. Systematic review registration PROSPERO CRD42019137081

Perceived barriers and facilitators for general practitioner–patient communication in palliative care: A systematic review

2011 ◽  
Vol 25 (6) ◽  
pp. 613-629 ◽  
Author(s):  
W Slort ◽  
BPM Schweitzer ◽  
AH Blankenstein ◽  
EA Abarshi ◽  
Il Riphagen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
General Practitioner ◽  
Patient Communication ◽  
Perceived Barriers ◽  
Barriers And Facilitators

Early Vocational Rehabilitation After Serious Injury or Illness: A Systematic Review

2020 ◽  
pp. 003435522096221
Author(s):  
Vanette McLennan ◽  
Dominika Ludvik
Keyword(s):  
Systematic Review ◽  
Vocational Rehabilitation ◽  
Cochrane Library ◽  
Eligibility Criteria ◽  
Vocational Assessment ◽  
Rehabilitation Professionals ◽  
Rehabilitation Programs ◽  
Full Text Review ◽  
Serious Injury ◽  
Vocational Goals

The aim of this systematic review was to compile the evidence for early vocational rehabilitation interventions for people with major injury or illness. Embase, Scopus, Cochrane Library, Medline, CINAHL, and Psycinfo databases were searched. Five hundred abstracts were reviewed for eligibility. Full-text review of 125 studies revealed a total of 25 published studies that met the eligibility criteria to be included in this review evaluating early approaches to vocational rehabilitation and return to work. Findings suggest that intervening early with respect to an individual’s vocational goals is imperative, although the definition of “early” varies. Programs achieve better vocational outcomes when specifically employing comprehensive vocational interventions, including vocational assessment, individualized planning, and follow-up support, to ensure a person’s return to employment is timely and sustained. Integration of vocational rehabilitation professionals within a multidisciplinary team and access to advocacy services were shown to be effective inclusions in early vocational rehabilitation programs for people with a serious injury or illness.

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