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Table 2 Factors associated with not reporting interrogation, hypothesis and severity criteria in medical files (univariate analysis)

From: Factors affecting medical file documentation during telephone triage at an emergency call centre: a cross-sectional study of out-of-hours home visits by general practitioners in France

 

Interrogation not reported

Hypothesis not reported

Severity not reported

n = 16/748

n = 432/748

n = 449/748

uOR [95% CI] x

p +

uOR [95% CI]x

p +

uOR [95% CI]x

p +

Patient characteristics

Sex, reference male

1.3 [0.4–3.8]

ns

1.1

ns

0.9 [0.7–1.2]

ns

Age, years

 

ns

 

ns

 

ns

 Infant < 1

0.9 [0.1–8.2]

 

0.8 [0.4–1.4]

 

0.8 [0.5–1.5]

 

 Child < 15

0.9 [0.2–3.5]

 

1.5 [1.0–2.1]

 

1.2 [0.8–1.7]

 

 Adult 15–64

Ref.

 

Ref.

 

Ref.

 

 Adult ≥65

1.1 [0.3–3.8]

 

1.3 [0.9–1.8]

 

1.3 [0.9–1.8]

 

Caller

 

ns

 

ns

 

ns

 Patient

Ref.

 

Ref.

 

Ref.

 

 Bystander

0.3 [0.1–1.0]

 

1.2 [0.8–1.6]

 

1.1 [0.8–1.5]

 

 Other

1.2 [0.3–4.8]

 

1.3 [0.8–2.3]

 

1.0 [0.6–1.8]

 

RFE

 

ns

 

ns

 

ns

 Cardiovascular

2.5 [0.3–21.5]

 

1.2 [0.5–2.8]

 

0.4 [0.2–0.9]

 

 Digestive

1.3 [0.3–5.1]

 

1.5 [1.1–2.3]

 

0.9 [0.6–1.4]

 

 General

(ref)

 

(ref)

 

(ref)

 

 Osteoarticular

0.9 [0.1–7.3]

 

0.8 [0.5–1.4]

 

1.3 [0.7–2.1]

 

 Respiratory

2.8 [0.5–14.2]

 

0.6 [0.3–1.1]

 

1.3 [0.7–2.4]

 

Potentially severe RFEa

2.3 [0.6–8.2]

ns

0.8 [0.5–1.3]

ns

0.8 [0.5–1.3]

ns

Time and day

Time of call

 

ns

 

ns

 

*

 8:00–00:00 am

Ref.

 

Ref.

 

Ref.

 

 00:00–4:00 am

1.1 [0.3–3.3]

 

0.8 [0.6–1.2]

 

0.6 [0.4–0.8]

 

 4:00–8:00 am

0.8 [0.2–3.6]

 

1.1 [0.7–1.6]

 

0.8 [0.5–1.3]

 

Day

 

*

 

ns

 

ns

 Weekday

Ref.

 

Ref.

 

Ref.

 

 Weekend

0.8 [0.1–7.2]

 

1.1 [0.6–1.9]

 

0.5 [0.3–0.9]

 

 Public holiday

14.7 [2.9–73.2]

 

0.8 [0.3–2.2]

 

0.8 [0.3–2.3]

 

 Holiday

1.1 [0.3–3.8]

 

0.9 [0.7–1.3]

 

0.7 [0.5–1.1]

 

Emergency call centre

 Workforce (triage)

  Assistants, n

  3

Ref.

 

Ref.

 

Ref.

 

  > 3

0.9 [0.6–1.4]

ns

0.9 [0.8–1.1]

ns

1.2 [1.1–1.4]

*

Workload

 Incoming calls (monthly), n

  Assistants

  ≤ 30,000

Ref.

 

Ref.

 

Ref.

 

  > 30,000

0.8 [0.5–1.3]

ns

0.9 [0.8–1.1]

ns

1.2 [1.1–1.3]

*

  Physicians

      

  ≤ 9700

Ref.

 

Ref.

 

Ref.

 

  > 9700

0.8 [0.5–1.3]

ns

0.8 [0.7–0.9]

*

1.2 [1.1–1.4]

*

Call duration, s (mean)

  Assistants

  ≤ 48

Ref.

 

Ref.

 

Ref.

 

  > 48

1.1 [1.1–1.1]

*

1.1 [1.1–1.1]

**

1.1 [1.1–1.1]

*

  Physicians

      

  ≤ 147

Ref.

 

Ref.

 

Ref.

 

  > 147

1.3 [0.8–2.5]

ns

1.2 [1.1–1.3]

*

1.1 [0.9–1.1]

ns

Telephone occupation rate, %

 Assistants

  ≤ 26.1

Ref.

 

Ref.

 

Ref.

 

  > 26.1

0.9 [0.5–1.3]

ns

0.9 [0.8–1.1]

ns

1.3 [1.1–1.5]

**

  Physicians

      

  ≤ 33.7

Ref.

 

Ref.

 

Ref.

 

  > 33.7

0.5 [0.3–0.9]

*

0.8 [0.7–0.9]

*

1.1 [1.0–1.3]

ns

Field

 Mobile GPs (per 1-GP increase), n

  1

Ref.

 

Ref.

 

Ref.

 

  > 1

1.0 [0.6–1.6]

ns

1.1 [0.9–1.2]

ns

1.1 [1.0–1.3]

ns

  1. RFE reasons for encounter, uOR unadjusted odds ratio, x: logistic regression, +: Wald test
  2. a: cardiac (chest pain, palpitations, dizziness/fainting/syncope), respiratory (acute dyspnea) or neurological (fainting, seizures, acute headache, meningitis syndrome), ns: non significant
  3. *: p < 0,05, **: p < 0,001
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