Overnight calls in primary care: randomised controlled trial of management using nurse telephone consultation

Management outcome Intervention group Control group Relative risk (95% CI) Total No of calls 100 (100) 123 (100) NA Calls managed with nurse telephone advice 59 (59) NA NA Calls managed with GP telephone advice 19 (19) 76 (62) 0.31 (0.2 to 0.47) Patient attended a primary care centre 1 (1) 6 (5) 0.2...

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Published inBMJ Vol. 319; no. 7222; p. 1408
Main Authors Thompson, Felicity, George, Steve, Lattimer, Val, Smith, Helen, Moore, Michael, Turnbull, Joanne, Mullee, Mark, Thomas, Eileen, Bond, Hugh, Glasper, Alan
Format Journal Article
LanguageEnglish
Published London British Medical Journal Publishing Group 27.11.1999
British Medical Association
BMJ Publishing Group LTD
British Medical Journal
Subjects
Adult
Biological and medical sciences
Confidence interval
Confidence intervals
Consulting services
Control groups
Emergency management
Emergency Medical Services - organization & administration
England
Experimentation
Family Practice - organization & administration
General aspects
Health outcomes
Health systems. Social services
Hotlines
Humans
Medical sciences
Nurses
Nursing Care - organization & administration
Primary care
Primary health care
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk management
Surgery
Telephone hotlines
Telephones
Workloads
United Kingdom
Europe
England
Human
Randomization
Night
Telephone
Health
Primary health care
Public health organization
Consultation
Controlled therapeutic trial
Service
Public health
Nurse
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Summary:Management outcome Intervention group Control group Relative risk (95% CI) Total No of calls 100 (100) 123 (100) NA Calls managed with nurse telephone advice 59 (59) NA NA Calls managed with GP telephone advice 19 (19) 76 (62) 0.31 (0.2 to 0.47) Patient attended a primary care centre 1 (1) 6 (5) 0.2 (0.03 to 1.67) Patient were visited at home by duty GP 21 (21) 41 (33) 0.63 (0.4 to 0.99) Patient died within 7 days 2 (2) 2 (2) 1.23 (0.18 to 8.58) Patient admitted to hospital within 24 hours 2 (2) 8 (6.5) 0.31 (0.07 to 1.42) Patient admitted to hospital within 3 days 5 (5) 8 (6.5) 0.77 (0.26 to 2.28) Patient attended A&E department within 3 days 3 (3) 2 (2) 1.84 (0.31 to 10.82) Patient attended daytime surgery within 3 days 8 (8) 18 (15) 0.55 (0.25 to 1.2) NA=not applicable; GP=general practitioner; A&E=accident and emergency.
Bibliography:PMID:10574857
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Correspondence to: Dr George
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Correspondence to: Dr George pluto@soton.ac.uk
Contributors: SG, VL, HS, ET, and EAG initiated the study and obtained funding. M Moore and FT facilitated the piloting; VL, FT, M Moore, and HB were responsible for running the service. Data collection was done by VL, FT, and JT and data analysis by FT, JT, M Mullee and SG. All authors participated in the discussion about and interpretation of the results. FT and SG wrote the paper, with comments from all authors. SG is the guarantor.
ISSN:0959-8138
0959-8146
1468-5833
1756-1833
DOI:10.1136/bmj.319.7222.1408