{"id":"https://openalex.org/W7225797344","doi":"https://doi.org/10.5152/eurasianjmed.2026.261802","title":"The Effect of Employing an Emergency Medicine Specialist in the Emergency Department of a Rural District State Hospital on Transfer to a Higher-Level Center and Hospital Admission in Pediatric Patients: A Retrospective Before\u2013After Study","display_name":"The Effect of Employing an Emergency Medicine Specialist in the Emergency Department of a Rural District State Hospital on Transfer to a Higher-Level Center and Hospital Admission in Pediatric Patients: A Retrospective Before\u2013After Study","publication_year":2026,"publication_date":"2026-11-11","ids":{"openalex":"https://openalex.org/W7225797344","doi":"https://doi.org/10.5152/eurasianjmed.2026.261802"},"language":"en","primary_location":{"id":"doi:10.5152/eurasianjmed.2026.261802","doi":"https://doi.org/10.5152/eurasianjmed.2026.261802","is_oa":true,"landing_page_url":"https://doi.org/10.5152/eurasianjmed.2026.261802","pdf_url":"https://www.eajm.org/index.php/pub/article/download/3341/3324","source":{"id":"https://openalex.org/S95733880","display_name":"Eurasian Journal of Medicine","issn_l":"1308-8734","issn":["1308-8734","1308-8742"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","poland-40","russia-white-list-2","tr-dizin"],"host_organization":"https://openalex.org/P4310318253","host_organization_name":"AVES","host_organization_lineage":["https://openalex.org/P4310318253"],"host_organization_lineage_names":["AVES"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Eurasian Journal of Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.eajm.org/index.php/pub/article/download/3341/3324","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161419236","display_name":"Egemen Tavrak","orcid":"https://orcid.org/0000-0002-5335-3681","observed_orcids":["https://orcid.org/0000-0002-5335-3681"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Egemen Tavrak","raw_affiliation_strings":["Department of Emergency Medicine, Oltu State Hospital, Erzurum, Tu\u0308rkiye"],"raw_orcid":"https://orcid.org/0000-0002-5335-3681","affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Oltu State Hospital, Erzurum, Tu\u0308rkiye","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092932342","display_name":"\u00d6mer Faruk \u0130\u015fleyen","orcid":"https://orcid.org/0009-0002-3137-9634","observed_orcids":["https://orcid.org/0009-0002-3137-9634"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"\u00d6mer Faruk \u0130\u015fleyen","raw_affiliation_strings":["Department of Emergency Medicine, Oltu State Hospital, Erzurum, Tu\u0308rkiye"],"raw_orcid":"https://orcid.org/0009-0002-3137-9634","affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Oltu State Hospital, Erzurum, Tu\u0308rkiye","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5087147684","display_name":"Fatma Tortum","orcid":"https://orcid.org/0000-0002-1876-5998","observed_orcids":["https://orcid.org/0000-0002-1876-5998"]},"institutions":[{"id":"https://openalex.org/I64134780","display_name":"Atat\u00fcrk University","ror":"https://ror.org/03je5c526","country_code":"TR","type":"education","lineage":["https://openalex.org/I64134780"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Fatma Tortum","raw_affiliation_strings":["Department of Emergency Medicine, Atatu\u0308rk University Research Hospital, Erzurum, Tu\u0308rkiye"],"raw_orcid":"https://orcid.org/0000-0002-1876-5998","affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Atatu\u0308rk University Research Hospital, Erzurum, Tu\u0308rkiye","institution_ids":["https://openalex.org/I64134780"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"58","issue":"4","first_page":"1","last_page":"11"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.9663000106811523,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.9663000106811523,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.015699999406933784,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14354","display_name":"Emergency Medicine Education and Research","score":0.012500000186264515,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8838000297546387},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.6596999764442444},{"id":"https://openalex.org/C534262118","wikidata":"https://www.wikidata.org/wiki/Q177719","display_name":"Medical diagnosis","level":2,"score":0.6204000115394592},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.6007999777793884},{"id":"https://openalex.org/C20387591","wikidata":"https://www.wikidata.org/wiki/Q930752","display_name":"Specialty","level":2,"score":0.5913000106811523},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5300999879837036},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.526199996471405},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.46869999170303345},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.4684999883174896},{"id":"https://openalex.org/C2778954079","wikidata":"https://www.wikidata.org/wiki/Q24190247","display_name":"Pediatric emergency medicine","level":4,"score":0.4514999985694885},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.42399999499320984},{"id":"https://openalex.org/C3019871722","wikidata":"https://www.wikidata.org/wiki/Q718944","display_name":"Hospital admission","level":2,"score":0.38420000672340393},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.32989999651908875},{"id":"https://openalex.org/C2780358146","wikidata":"https://www.wikidata.org/wiki/Q5908738","display_name":"Hospital medicine","level":2,"score":0.32199999690055847},{"id":"https://openalex.org/C545288138","wikidata":"https://www.wikidata.org/wiki/Q860447","display_name":"Emergency medical services","level":2,"score":0.30630001425743103},{"id":"https://openalex.org/C2776175482","wikidata":"https://www.wikidata.org/wiki/Q1195816","display_name":"Transfer (computing)","level":2,"score":0.30219998955726624},{"id":"https://openalex.org/C3020552793","wikidata":"https://www.wikidata.org/wiki/Q644264","display_name":"Pediatric hospital","level":2,"score":0.26170000433921814},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.25119999051094055}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.5152/eurasianjmed.2026.261802","doi":"https://doi.org/10.5152/eurasianjmed.2026.261802","is_oa":true,"landing_page_url":"https://doi.org/10.5152/eurasianjmed.2026.261802","pdf_url":"https://www.eajm.org/index.php/pub/article/download/3341/3324","source":{"id":"https://openalex.org/S95733880","display_name":"Eurasian Journal of Medicine","issn_l":"1308-8734","issn":["1308-8734","1308-8742"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","poland-40","russia-white-list-2","tr-dizin"],"host_organization":"https://openalex.org/P4310318253","host_organization_name":"AVES","host_organization_lineage":["https://openalex.org/P4310318253"],"host_organization_lineage_names":["AVES"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Eurasian Journal of Medicine","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.5152/eurasianjmed.2026.261802","doi":"https://doi.org/10.5152/eurasianjmed.2026.261802","is_oa":true,"landing_page_url":"https://doi.org/10.5152/eurasianjmed.2026.261802","pdf_url":"https://www.eajm.org/index.php/pub/article/download/3341/3324","source":{"id":"https://openalex.org/S95733880","display_name":"Eurasian Journal of Medicine","issn_l":"1308-8734","issn":["1308-8734","1308-8742"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","poland-40","russia-white-list-2","tr-dizin"],"host_organization":"https://openalex.org/P4310318253","host_organization_name":"AVES","host_organization_lineage":["https://openalex.org/P4310318253"],"host_organization_lineage_names":["AVES"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Eurasian Journal of Medicine","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225797344.pdf","grobid_xml":"https://content.openalex.org/works/W7225797344.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Background:":[0],"In":[1],"rural":[2,274],"Tu\u0308rkiye,":[3],"district":[4,275],"state":[5,276],"hospital":[6,32,109,172,277,285],"emergency":[7,26,54,99,125,224,265,270],"departments":[8],"are":[9],"staffed":[10],"by":[11,56,108,127],"general":[12],"practitioners,":[13],"who":[14],"decide":[15],"on":[16,33,74,278],"transfers.":[17,45],"The":[18,78,134,260],"authors":[19],"investigated":[20],"the":[21,63,69,171,210,232,269],"effect":[22,261],"of":[23,44,93,102,262,272],"a":[24,31,37,84,167,191,273,281,290],"full-time":[25],"medicine":[27,225,266],"specialist":[28,70,226,267],"in":[29,62,268,287],"such":[30],"pediatric":[34,230,288],"transfer":[35,82,135,211,234,243,279],"to":[36,83,140,176,184,196,209,216,280],"higher-level":[38,85],"center,":[39],"admission,":[40,90],"and":[41,67,98,114,152,154,158,178,236,245,284],"diagnostic":[42,91],"profile":[43,92,235],"Methods:":[46],"This":[47],"single-center,":[48],"retrospective":[49,291],"before\u2013after":[50,292],"study":[51],"compared":[52],"all":[53],"visits":[55,126,200],"patients":[57],"younger":[58],"than":[59],"18":[60],"years":[61],"12":[64,128],"months":[65],"before":[66],"after":[68],"took":[71],"up":[72],"duty":[73],"June":[75],"1,":[76],"2025.":[77],"primary":[79],"outcome":[80],"was":[81],"center;":[86],"secondary":[87],"outcomes":[88],"were":[89,106,119,132,161],"transfers,":[94,164],"72-hour":[95,155],"return":[96,156],"visits,":[97],"department":[100,271],"length":[101],"stay.":[103],"Transfer":[104],"diagnoses":[105,165,180],"classified":[107],"capacity.":[110],"Multivariable":[111],"logistic":[112],"regression":[113],"interrupted":[115],"time":[116,208,239],"series":[117],"models":[118],"used.":[120],"Results:":[121],"Overall,":[122],"36":[123],"064":[124],"184":[129],"unique":[130],"children":[131],"included.":[133],"rate":[136],"increased":[137,193,213],"from":[138,174,182,194,214],"1.20%":[139],"1.47%":[141],"(adjusted":[142,201],"odds":[143],"ratio":[144],"[OR]:":[145],"1.27;":[146],"95%":[147,204],"CI:":[148,205],"1.05-1.53);":[149],"admission":[150,286],"(1.12%":[151],"1.01%)":[153],"(7.08%":[157],"7.02%)":[159],"rates":[160],"unchanged.":[162],"Among":[163],"requiring":[166,190],"specialty":[168,192],"unavailable":[169],"at":[170],"rose":[173],"14.0%":[175],"26.6%":[177],"nonspecific":[179],"fell":[181],"71.9%":[183],"57.1%":[185],"(P":[186,219],"=":[187,220],".001).":[188],"Transfers":[189],"1.7":[195],"3.9":[197],"per":[198],"1000":[199],"OR:":[202],"2.07;":[203],"1.33-3.24).":[206],"Median":[207],"decision":[212,238],"45":[215],"65":[217],"minutes":[218],".02).":[221],"Conclusion:":[222],"An":[223],"did":[227],"not":[228],"reduce":[229],"transfers;":[231],"changed":[233],"longer":[237],"potentially":[240],"indicate":[241],"improved":[242],"selection":[244],"more":[246],"extensive":[247],"on-site":[248],"evaluation.":[249],"Cite":[250],"this":[251],"article":[252],"as:":[253],"Tavrak":[254],"E,":[255],"\u0130\u015fleyen":[256],"\u00d6F,":[257],"Tortum":[258],"F.":[259],"employing":[263],"an":[264],"higherlevel":[282],"center":[283],"patients:":[289],"study.":[293],"Eurasian":[294],"J":[295],"Med.":[296],"2026,":[297],"58(4),":[298],"1802,":[299],"doi:":[300],"10.5152/eurasianjmed.2026.261802.":[301]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-11-12T00:00:00"}