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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 reportedHypothesis not reportedSeverity not reported
n = 16/748n = 432/748n = 449/748
uOR [95% CI] xp +uOR [95% CI]xp +uOR [95% CI]xp +
Patient characteristics
Sex, reference male1.3 [0.4–3.8]ns1.1ns0.9 [0.7–1.2]ns
Age, years ns ns ns
 Infant < 10.9 [0.1–8.2] 0.8 [0.4–1.4] 0.8 [0.5–1.5] 
 Child < 150.9 [0.2–3.5] 1.5 [1.0–2.1] 1.2 [0.8–1.7] 
 Adult 15–64Ref. Ref. Ref. 
 Adult ≥651.1 [0.3–3.8] 1.3 [0.9–1.8] 1.3 [0.9–1.8] 
Caller ns ns ns
 PatientRef. Ref. Ref. 
 Bystander0.3 [0.1–1.0] 1.2 [0.8–1.6] 1.1 [0.8–1.5] 
 Other1.2 [0.3–4.8] 1.3 [0.8–2.3] 1.0 [0.6–1.8] 
RFE ns ns ns
 Cardiovascular2.5 [0.3–21.5] 1.2 [0.5–2.8] 0.4 [0.2–0.9] 
 Digestive1.3 [0.3–5.1] 1.5 [1.1–2.3] 0.9 [0.6–1.4] 
 General(ref) (ref) (ref) 
 Osteoarticular0.9 [0.1–7.3] 0.8 [0.5–1.4] 1.3 [0.7–2.1] 
 Respiratory2.8 [0.5–14.2] 0.6 [0.3–1.1] 1.3 [0.7–2.4] 
Potentially severe RFEa2.3 [0.6–8.2]ns0.8 [0.5–1.3]ns0.8 [0.5–1.3]ns
Time and day
Time of call ns ns *
 8:00–00:00 amRef. Ref. Ref. 
 00:00–4:00 am1.1 [0.3–3.3] 0.8 [0.6–1.2] 0.6 [0.4–0.8] 
 4:00–8:00 am0.8 [0.2–3.6] 1.1 [0.7–1.6] 0.8 [0.5–1.3] 
Day * ns ns
 WeekdayRef. Ref. Ref. 
 Weekend0.8 [0.1–7.2] 1.1 [0.6–1.9] 0.5 [0.3–0.9] 
 Public holiday14.7 [2.9–73.2] 0.8 [0.3–2.2] 0.8 [0.3–2.3] 
 Holiday1.1 [0.3–3.8] 0.9 [0.7–1.3] 0.7 [0.5–1.1] 
Emergency call centre
 Workforce (triage)
  Assistants, n
  3Ref. Ref. Ref. 
  > 30.9 [0.6–1.4]ns0.9 [0.8–1.1]ns1.2 [1.1–1.4]*
Workload
 Incoming calls (monthly), n
  Assistants
  ≤ 30,000Ref. Ref. Ref. 
  > 30,0000.8 [0.5–1.3]ns0.9 [0.8–1.1]ns1.2 [1.1–1.3]*
  Physicians      
  ≤ 9700Ref. Ref. Ref. 
  > 97000.8 [0.5–1.3]ns0.8 [0.7–0.9]*1.2 [1.1–1.4]*
Call duration, s (mean)
  Assistants
  ≤ 48Ref. Ref. Ref. 
  > 481.1 [1.1–1.1]*1.1 [1.1–1.1]**1.1 [1.1–1.1]*
  Physicians      
  ≤ 147Ref. Ref. Ref. 
  > 1471.3 [0.8–2.5]ns1.2 [1.1–1.3]*1.1 [0.9–1.1]ns
Telephone occupation rate, %
 Assistants
  ≤ 26.1Ref. Ref. Ref. 
  > 26.10.9 [0.5–1.3]ns0.9 [0.8–1.1]ns1.3 [1.1–1.5]**
  Physicians      
  ≤ 33.7Ref. Ref. Ref. 
  > 33.70.5 [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
  1Ref. Ref. Ref. 
  > 11.0 [0.6–1.6]ns1.1 [0.9–1.2]ns1.1 [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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BMC Health Services Research

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