Table 138Clinical evidence summary table: electronic medical record versus no electronic medical record

OutcomesNumber of studies
(no. of participants)
ImprecisionGRADE ratingAbsolute differenceControl event rate (per 1000)Control event rate
For continuous outcomes
Mortality3
(n=7519)
(n=200)
(n=5999)
No serious imprecisionVERY LOW9 fewer per 1000 (from 1 fewer to 16 fewer)58
2 fewer (from 13 fewer to 11 more)1
30 fewer (46 fewer to 51 more)50
Requiring severe surgery1 (n=200)SeriousVERY LOW58 fewer per 1000
(from 175 fewer to 90 more)
530
Delay in diagnosis1 (n=200)SeriousVERY LOW9 more per 1000
(from 0 more to 20 more)
22
Complications - Airway complication1 (n=5996)Very seriousVERY LOW0 more per 1000
(from 3 fewer to 6 more)
7
Complications - Cardiac arrest1(n=5996)Very seriousVERY LOW3 fewer per 1000
(from 8 fewer to 4 more)
17
Complications - Wound infection1(n=5996)SeriousVERY LOW2 fewer per 1000
(from 7 fewer to 5 more)
16
Complications - Drug complication1(n=5996)No serious imprecisionLOW5 fewer per 1000
(from 2 fewer to 6 fewer)
6
Completeness of data - Floor notes1(n=5996)No serious imprecisionVERY LOW870 more per 1000
(from 623 more to 1000 more)
10
Completeness of data - Procedure notes1(n=5996)No serious imprecisionVERY LOW172 more per 1000
(from 148 more to 187 more)
780
Completeness of data - Resuscitation notes1(n=5996)No serious imprecisionVERY LOW162 more per 1000
(from 146 more to 178 more)
810
Completeness of data - ICU notes1(n=5996)SeriousVERY LOW192 more per 1000
(from 176 more to 208 more)
800
Missing cases - Demographics1 (n=807)No serious imprecisionLOW344 fewer per 1000
(from 327 fewer to 208 more)
8
Missing cases - Diagnosis1(n=807)No serious imprecisionLOW109 fewer per 1000
(from 90 fewer to 115 fewer)
8
Missing cases - Mechanism of injury1(n=807)No serious imprecisionLOW258 fewer per 1000
(from 235 fewer to 269 fewer)
22
Missing cases - Treatment plan1(n=807)No serious imprecisionLOW425 fewer per 1000
(from 90 fewer to 115 fewer)
53
Length of stay ED (minutes)1 (n=200)No serious imprecisionLOWMD 79 lower (98.92 to 59.08 lower)206
Time between admission and completion of care (minutes)1 (n=200)No serious imprecisionLOWMD 49 lower (67.91 to 30.09 lower)149
Time between completion of care and exit from ED (minutes)1 (n=200)No serious imprecisionLOWMD 31 lower (35.92 to 26.08 lower)57

From: 15, Documentation

Cover of Major Trauma: Assessment and Initial Management
Major Trauma: Assessment and Initial Management.
NICE Guideline, No. 39.
National Clinical Guideline Centre (UK).
Copyright © National Clinical Guideline Centre, 2016.

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