A Scoping Review of Current Social Emergency Medicine Research

Introduction: Social emergency medicine (EM) is an emerging field that examines the intersection of emergency care and social factors that influence health outcomes. We conducted a scoping review to explore the breadth and content of existing research pertaining to social EM to identify potential areas where future social EM research efforts should be directed. Methods: We conducted a comprehensive PubMed search using Medical Subject Heading terms and phrases pertaining to social EM topic areas (e.g., “homelessness,” “housing instability”) based on previously published expert consensus. For searches that yielded fewer than 100 total publications, we used the PubMed “similar publications” tool to expand the search and ensure no relevant publications were missed. Studies were independently abstracted by two investigators and classified as relevant if they were conducted in US or Canadian emergency departments (ED). We classified relevant publications by study design type (observational or interventional research, systematic review, or commentary), publication site, and year. Discrepancies in relevant publications or classification were reviewed by a third investigator. Results: Our search strategy yielded 1,571 publications, of which 590 (38%) were relevant to social EM; among relevant publications, 58 (10%) were interventional studies, 410 (69%) were observational studies, 26 (4%) were systematic reviews, and 96 (16%) were commentaries. The majority (68%) of studies were published between 2010–2020. Firearm research and lesbian, gay, bisexual, transgender, and queer (LGBTQ) health research in particular grew rapidly over the last five years. The human trafficking topic area had the highest percentage (21%) of interventional studies. A significant portion of publications -- as high as 42% in the firearm violence topic area – included observational data or interventions related to children or the pediatric ED. Areas with more search results often included many publications describing disparities known to predispose ED patients to adverse outcomes (e.g., socioeconomic or racial disparities), or the influence of social determinants on ED utilization. Conclusion: Social emergency medicine research has been growing over the past 10 years, although areas such as firearm violence and LGBTQ health have had more research activity than other topics. The field would benefit from a consensus-driven research agenda.

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234 A Scoping Review of Current Social Emergency Medicine Research

Annals of Emergency Medicine ◽

10.1016/j.annemergmed.2020.09.247 ◽

2020 ◽

Vol 76 (4) ◽

pp. S91

Author(s):

R. Shah ◽

S. Leung ◽

M. Samuels-Kalow ◽

E. Schoenfeld ◽

L. Richardson ◽

...

Keyword(s):

Emergency Medicine ◽

Scoping Review ◽

Medicine Research

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Evaluating Reproducibility and Transparency in Emergency Medicine Publications (Preprint)

10.2196/preprints.15639 ◽

2019 ◽

Author(s):

Bradley Johnson ◽

Shelby Rauh ◽

Daniel Tritz ◽

Michael Schiesel ◽

Ben Matthew Vassar

Keyword(s):

Emergency Medicine ◽

Data Analysis ◽

English Language ◽

Data Extraction ◽

Inclusion Criteria ◽

Raw Data ◽

Medicine Research ◽

Funding Agencies ◽

Pubmed Search ◽

Peer Reviewers

BACKGROUND Reproducibility is the backbone to ensuring reliable and transparent research. However, evidence reveals reproducibility may be lacking within emergency medicine. Reproducibility is defined by the replication of a study design and obtaining similar findings. Studies that share research components such as raw data, protocols, and analysis scripts increase the overall reproducibility by aiding study replication. Due to the evidence reproducibility in emergency medicine research may be lacking, investigation of the sharing of these research components is warranted. OBJECTIVE We aimed to assess the reproducibility of empirical research by determining the availability of components required for replication of a study, including materials, raw data, analysis scripts, protocols, and preregistration. METHODS The National Library of Medicine catalog was used to identify English language and MEDLINE-indexed emergency medicine journals. From 30 journals that met the inclusion criteria, 300 publications from January 1, 2014, to December 31, 2018, were randomly sampled using a refined PubMed search. Two investigators were trained for data extraction and analysis and were blinded for independent extraction of data. Extracted data included statements regarding the availability of materials, data, analysis scripts, protocols, and registration. RESULTS After search criteria were set, 25,473 articles were found, from which we randomly selected a sample of 300. Of the 300 articles, only 290 articles were accessible, and of these, 178 articles contained empirical data to analyze. Of the empirical articles eligible for each type of statement, 3.94% (95% confidence interval [95% CI] 1.74% to 6.14%) provided a materials statement, 9.42% (95% CI 6.11% to 12.73%) provided a data statement, 0.72% (95% CI 0% to 1.68%) provided access to the analysis scripts, 2.17% (95% CI 0.52% to 3.82%) linked the protocol, and 7.25% (95% CI 4.31% to 10.18%) were preregistered. CONCLUSIONS Emergency medicine studies are lacking indicators required for reproducibility. The vast majority of studies fail to report factors needed to reproduce research to ensure credibility, which requires an intervention that can be achieved through the collaboration of researchers, peer reviewers, funding agencies, and journals.

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Applied sport science and medicine of women’s rugby codes: a systematic-scoping review and consensus on future research priorities protocol

BMJ Open Sport & Exercise Medicine ◽

10.1136/bmjsem-2021-001108 ◽

2021 ◽

Vol 7 (3) ◽

pp. e001108

Author(s):

Omar Heyward ◽

Stacey Emmonds ◽

Gregory Roe ◽

Sean Scantlebury ◽

Keith Stokes ◽

...

Keyword(s):

Scoping Review ◽

Research Priorities ◽

Consensus Method ◽

Future Research ◽

Delphi Consensus ◽

Medicine Research ◽

Sport Science ◽

Priority Areas ◽

Wide Range ◽

Scoping Reviews

Women’s rugby (rugby league, rugby union and rugby sevens) has recently grown in participation and professionalisation. There is under-representation of women-only cohorts within applied sport science and medicine research and within the women’s rugby evidence base. The aims of this article are: Part 1: to undertake a systematic-scoping review of the applied sport science and medicine of women’s rugby, and Part 2: to develop a consensus statement on future research priorities. This article will be designed in two parts: Part 1: a systematic-scoping review, and Part 2: a three-round Delphi consensus method. For Part 1, systematic searches of three electronic databases (PubMed (MEDLINE), Scopus, SPORTDiscus (EBSCOhost)) will be performed from the earliest record. These databases will be searched to identify any sport science and medicine themed studies within women’s rugby. The Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for Scoping Reviews will be adhered to. Part 2 involves a three-round Delphi consensus method to identify future research priorities. Identified experts in women’s rugby will be provided with overall findings from Part 1 to inform decision-making. Participants will then be asked to provide a list of research priority areas. Over the three rounds, priority areas achieving consensus (≥70% agreement) will be identified. This study has received institutional ethical approval. When complete, the manuscript will be submitted for publication in a peer-reviewed journal. The findings of this article will have relevance for a wide range of stakeholders in women’s rugby, including policymakers and governing bodies.

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Military spouses with deployed partners are at greater risk of poor perinatal mental health: a scoping review

Journal of the Royal Army Medical Corps ◽

10.1136/jramc-2018-001069 ◽

2019 ◽

Vol 165 (5) ◽

pp. 363-370 ◽

Cited By ~ 1

Author(s):

Lauren Rose Godier-McBard ◽

L Ibbitson ◽

C Hooks ◽

M Fossey

Keyword(s):

Mental Health ◽

Social Support ◽

Scoping Review ◽

Healthcare Providers ◽

Well Being ◽

Perinatal Period ◽

Poor Mental Health ◽

Adverse Outcomes ◽

Military Spouses ◽

Perinatal Mental Health

BackgroundPoor mental health in the perinatal period is associated with a number of adverse outcomes for the individual and the wider family. The unique circumstances in which military spouses/partners live may leave them particularly vulnerable to developing perinatal mental health (PMH) problems.MethodsA scoping review was carried out to review the literature pertaining to PMH in military spouses/partners using the methodology outlined by Arksey and O’Malley (2005). Databases searched included EBSCO, Gale Cengage Academic OneFile, ProQuest and SAGE.ResultsThirteen papers fulfilled the inclusion criteria, all from the USA, which looked a PMH or well-being in military spouses. There was a strong focus on spousal deployment as a risk factor for depressive symptoms and psychological stress during the perinatal period. Other risk factors included a lack of social/emotional support and increased family-related stressors. Interventions for pregnant military spouses included those that help them develop internal coping strategies and external social support.ConclusionsUS literature suggests that military spouses are particularly at risk of PMH problems during deployment of their serving partner and highlights the protective nature of social support during this time. Further consideration needs to be made to apply the findings to UK military spouses/partners due to differences in the structure and nature of the UK and US military and healthcare models. Further UK research is needed, which would provide military and healthcare providers with an understanding of the needs of this population allowing effective planning and strategies to be commissioned and implemented.

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Recommendations for patient engagement in patient-oriented emergency medicine research

CJEM ◽

10.1017/cem.2018.370 ◽

2018 ◽

Vol 20 (3) ◽

pp. 435-442 ◽

Cited By ~ 6

Author(s):

Patrick M. Archambault ◽

Colleen McGavin ◽

Katie N. Dainty ◽

Shelley L. McLeod ◽

Christian Vaillancourt ◽

...

Keyword(s):

Emergency Medicine ◽

Literature Review ◽

Patient Engagement ◽

Qualitative Interviews ◽

Future Research ◽

Translation Strategies ◽

Medicine Research ◽

Canadian Association ◽

Knowledge Translation Strategies ◽

National Patient

AbstractObjectiveTo make pragmatic recommendations on best practices for the engagement of patients in emergency medicine (EM) research.MethodsWe created a panel of expert Canadian EM researchers, physicians, and a patient partner to develop our recommendations. We used mixed methods consisting of 1) a literature review; 2) a survey of Canadian EM researchers; 3) qualitative interviews with key informants; and 4) feedback during the 2017 Canadian Association of Emergency Physicians (CAEP) Academic Symposium.ResultsWe synthesized our literature review into categories including identification and engagement, patients’ roles, perceived benefits, harms, and barriers to patient engagement; 40/75 (53% response rate) invited researchers completed our survey. Among respondents, 58% had engaged patients in research, and 83% intended to engage patients in future research. However, 95% stated that they need further guidance to engage patients. Our qualitative interviews revealed barriers to patient engagement, including the need for training and patient partner recruitment.Our panel recommends 1) an overarching positive recommendation to support patient engagement in EM research; 2) seven policy-level recommendations for CAEP to support the creation of a national patient council, to develop, adopt and adapt training material, guidelines, and tools for patient engagement, and to support increased patient engagement in EM research; and 3) nine pragmatic recommendations about engaging patients in the preparatory, execution, and translational phases of EM research.ConclusionPatient engagement can improve EM research by helping researchers select meaningful outcomes, increase social acceptability of studies, and design knowledge translation strategies that target patients’ needs.

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