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
2025

Benefits of Physician-Led Pre-Hospital Teams for Critically Ill Patients

Sample size: 332533 publication Evidence: moderate

Author Information

Author(s): Lavery Matthew D., Aulakh Arshbir, Christian Michael D.

Primary Institution: University of British Columbia

Hypothesis

Does the deployment of physician-led interprofessional teams improve outcomes for critically ill and injured patients compared to paramedic-only care?

Conclusion

The study found that physician-led interprofessional teams significantly improve patient outcomes in critically ill or injured patients.

Supporting Evidence

  • Physician-led teams reduced mortality risk significantly compared to paramedic-only care.
  • Survival rates increased for critically ill patients receiving care from physician-led teams.
  • The study included a pooled sample size of 332,533 patients.

Takeaway

Having doctors in emergency teams helps sick and hurt people get better faster.

Methodology

A systematic review and meta-analysis were conducted using PRISMA 2020 guidelines, analyzing articles from three databases and snowballing references.

Potential Biases

Some concerns regarding bias due to deviations from intended intervention and selection of reported results.

Limitations

The study is limited to articles published after 2010 and primarily focuses on mortality and survival outcomes, potentially missing other important factors.

Participant Demographics

The studies included various patient categories needing pre-hospital care, such as those with traumatic injuries and out-of-hospital cardiac arrest.

Statistical Information

P-Value

0.001

Confidence Interval

[0.68, 0.91]

Statistical Significance

p<0.00001

Digital Object Identifier (DOI)

10.1186/s13049-024-01298-8

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