Australasian Emergency Care最新文献

{"title":"Physiotherapy contact in the emergency department and hospital re‑presentation rates: A systematic review and meta‑regression.","authors":"J L Citroen, M G King, E C Bell, D Crompton, A Semciw","doi":"10.1016/j.auec.2026.10.002","DOIUrl":"https://doi.org/10.1016/j.auec.2026.10.002","url":null,"abstract":"<p><strong>Objective: </strong>To determine if physiotherapy input in the Emergency Department (ED) impacts patient re-presentation rates.</p><p><strong>Design: </strong>Systematic review with meta-analysis and meta-regression.</p><p><strong>Methods: </strong>Three electronic databases (Medline (Ovid), EMBASE (Ovid) and CINAHL) were searched from inception to November 16th, 2025. Included articles were peer-reviewed randomised controlled trials, observational studies or audits evaluating re-presentation rates for physiotherapy intervention in ED compared to an ED physician. Risk of bias was assessed using The Newcastle-Ottawa Scale The Grading of Recommendations Assessment, Development and Evaluation (GRADE) tool was used to assess level of evidence for the meta-analysis.</p><p><strong>Results: </strong>Sixteen studies were included in the systematic review. Overall pooled results from ten studies included in the 30-day re-presentation meta-analysis provided low-quality evidence of no difference in the risk of re-presentation following physiotherapy intervention compared with ED physician management (RR 1.04, 95% CI 0.69-1.55). Subgroup analysis by presenting condition demonstrated a lower risk of 30-day re-presentation following physiotherapy intervention for fall presentations (RR 0.66, 95% CI 0.59-0.74), with no differences observed for musculoskeletal presentations (RR 1.17, 95% CI 0.61-2.22) or general ED presentations (RR 0.93, 95% CI 0.66-1.33) compared with ED physician management.</p><p><strong>Conclusion: </strong>Irrespective of included condition, physiotherapy intervention in ED does not increase the risk of re-presentation within 30 days of initial presentation, and potentially reduces re-presentation rates for fall patients. Further research is required to determine the most effective component of physiotherapy intervention to reduce re-presentation rates and its impact on ED crowding.</p>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149208205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient-facing communication strategies used in emergency department waiting rooms: A scoping review.","authors":"Amelia Batty, Elizabeth Forster, Brandon Meikle, Bronwyn Griffin","doi":"10.1016/j.auec.2026.10.001","DOIUrl":"https://doi.org/10.1016/j.auec.2026.10.001","url":null,"abstract":"<p><strong>Objective: </strong>To identify and map key concepts, gaps and evidence relating to patient-facing communication strategies used during the ED waiting period and to synthesise these findings into a conceptual framework describing complementary approaches to ED waiting room communication.</p><p><strong>Introduction: </strong>Communication during ED waiting periods influences patient satisfaction and perceptions of care. However, evidence regarding effective communication interventions has not been comprehensively synthesised.</p><p><strong>Methods: </strong>A scoping review was conducted using Joanna Briggs Institute (JBI) methodology. MEDLINE, PubMed, Embase, CINAHL, Cochrane Library and JBI Database were searched for studies published between 2014 and 2025. Eligible studies examined communication strategies delivered to patients and/or caregivers in ED waiting rooms. Data were extracted and synthesised using a convergent synthesis approach.</p><p><strong>Results: </strong>Twenty studies were included (8 quantitative, 3 qualitative and 9 mixed-methods). Three themes emerged: (1) interpersonal communication, (2) environmental and informational supports and (3) digital communication. Interventions generally improved understanding, satisfaction and perceptions of care. Patients consistently valued timely wait time information, although implementation barriers included staffing and resource limitations.</p><p><strong>Conclusion: </strong>Communication is a modifiable component of the ED waiting room experience. Multimodal strategies that provide timely information and support may improve person-centred care, although further research is needed to identify sustainable and scalable approaches.</p>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multidisciplinary perspectives on managing functional/dissociative seizures in the emergency department: A survey of medical, nursing, and allied health clinicians.","authors":"Lana Higson, Biswadev Mitra, Rebecca Hope, Terence J O'Brien, Toby Winton-Brown","doi":"10.1016/j.auec.2026.10.003","DOIUrl":"https://doi.org/10.1016/j.auec.2026.10.003","url":null,"abstract":"<p><strong>Background: </strong>Patients with functional/dissociative seizures (FDS) commonly present to emergency departments (ED), but the practices of the multidisciplinary emergency care workforce have not been described.</p><p><strong>Methods: </strong>A cross-sectional survey was administered to medical, nursing, and allied health clinicians at two EDs of an Australian metropolitan tertiary health service, between August-December 2025. Closed items were analysed descriptively; open-ended responses were analysed using conventional qualitative content analysis.</p><p><strong>Results: </strong>Of 930 clinicians invited, 101 participated (55 medical, 36 nursing, 10 allied health); 93 (92%) had witnessed a FDS in their ED work, yet 88 (87%) reported little to no training and 73 (72%) had little to no understanding of FDS. Management approaches employed included reassurance (49%), a safe low-stimulus environment (28%) and watchful waiting (29%), with deliberately conservative pharmacology amongst more experienced medical staff. Challenges included treatment disagreement (30%), patient or family expectations (30%) and stigma (21%). Three priorities emerged: a departmental pathway (32%), patient-specific management plans (18%), and multidisciplinary training (18%).</p><p><strong>Conclusions: </strong>Multidisciplinary emergency care clinicians manage FDS based on clinical experience rather than formal training. The three priorities identified by ED clinicians for practice development require prospective evaluation.</p>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of a structured framework on Thai emergency nursing workforce capability: A quasi-experimental study.","authors":"Phornsawan Chuajedton, Chittraphorn Suthipong, Kate Curtis, Nantanit Van Gulik, Warangkhana Dhuvakham, Sophit Wiangosot, Kriangsak Pintatham, Ramon Z Shaban, Julie Considine","doi":"10.1016/j.auec.2026.09.005","DOIUrl":"https://doi.org/10.1016/j.auec.2026.09.005","url":null,"abstract":"<p><strong>Aim: </strong>To examine the effect of the HIRAID™ Emergency Nursing Framework ((History including Infection risk, Red flags, Assessment, Interventions, Diagnostics, reassessment and communication) on emergency nursing workforce capability in a Thai emergency department (ED).</p><p><strong>Methods: </strong>In this quasi-experimental study, ED and observation unit nursing and medical staff were surveyed before and after HIRAID™ implementation at Chiangrai Prachanukroh Hospital, Thailand. Validated surveys were used to measure nurses' confidence in patient assessment and communication; nurses' satisfaction with nurse-to-nurse communication; medical staff satisfaction with nurse-to-doctor communication; and perceptions of the practice environment. Data were analysed using descriptive and inferential statistics.</p><p><strong>Results: </strong>Forty-nine nurses (49 pre/48 post: same sample) and 44 doctors (24 pre/20 post: different samples) completed the surveys. There were significant improvements in nurses' confidence in physical assessment, reassessment decisions, performing nursing handover, and nursing documentation. Nurses' satisfaction with nurse-to-nurse communication improved significantly across all measures, but medical staff satisfaction with nurse-to-doctor communication did not change. There were improved perceptions of resources, teamwork and respect for nursing.</p><p><strong>Conclusion: </strong>The HIRAID™ Emergency Nursing Framework improved emergency nursing workforce capability, specifically nurses' confidence in assessment, reassessment decisions and communication; satisfaction with nurse-to-nurse communication, and perceptions of their practice environment.</p>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uptake and useability of a digital solution to assessing behaviours of concern in the emergency department: A multi-methods study.","authors":"Belinda Munroe, Kate Curtis, Sarah Kourouche, Rachel Morland, Anna O'Hare, Emily Pfeffer, Samuel Jones, Kylie Harper, Timothy Wand","doi":"10.1016/j.auec.2026.09.004","DOIUrl":"https://doi.org/10.1016/j.auec.2026.09.004","url":null,"abstract":"<p><strong>Background: </strong>People presenting to emergency departments with behaviours of concern is increasing, placing staff and patients at risk of psychological and physical harm. An electronic Behavioural Assessment Tool (EDBAT) was implemented across four emergency departments to guide nursing assessment and care of these patients. The aim of this study was to determine: 1) Characteristics of patients with an EDBAT completed; 2) the proportion of patients detained involuntarily with an EDBAT completed; and 3) facilitators and barriers to uptake of the EDBAT by emergency nurses.</p><p><strong>Methods: </strong>A multi-method study design was used comprising two studies: a retrospective quantitative descriptive study and implementation survey.</p><p><strong>Results: </strong>There were 743 EDBATs completed over 3-months. Of the 724 patients involuntarily detained, 512 (70.7%) had an EDBAT completed. The survey was completed by 93 (33.2%) nurses. Twelve facilitators and eight barriers were identified. The EDBAT was considered easy to use (n = 73, 78.5%) and 81 nurses (87.1%) intended to continue using it. Inadequate nursing staff (n = 48, 51.6%), lack of time (n = 61, 65.6%) and \"nil clinical space appropriate\" hindered emergency nurses from using the EDBAT.</p><p><strong>Conclusions: </strong>The EDBAT is a useful clinical aid. Adequately trained staff and resources are needed to achieve successful uptake in emergency nursing practice.</p>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stakeholder views on enhancing emergency department service through physiotherapist-led care: A qualitative study.","authors":"Chathurani Sigera, Tarcisio F de Campos, Danielle M Coombs, Abby Haynes, Alla Melman, Eman Abukmail, Chantay Lenord, Sara Alavi, Christopher M Williams, Eileen Rogan, James Edwards, Kirsten J McCaffery, Chris G Maher, Gustavo C Machado","doi":"10.1016/j.auec.2026.09.001","DOIUrl":"https://doi.org/10.1016/j.auec.2026.09.001","url":null,"abstract":"<p><strong>Background: </strong>Musculoskeletal conditions are a common reason for presentation to emergency departments (EDs) and place substantial demand on physicians and nurses. This study explored stakeholders' views on the acceptability and sustainability of physiotherapist-led care for patients presenting to EDs with uncomplicated musculoskeletal conditions.</p><p><strong>Methods: </strong>This qualitative study was nested within the RESHAP-ED trial, which compared physiotherapist-led care with usual physician- or nurse-led care across five Australian EDs. Eighty semi-structured interviews were included, comprising 47 clinicians and 33 patients. Interview transcripts were analysed using a qualitative descriptive approach.</p><p><strong>Results: </strong>Patients reported high satisfaction with physiotherapist-led care, highlighting timely access, reduced waiting times, clear communication, and person-centred management. Clinicians perceived that the model improved ED efficiency, enhanced multidisciplinary collaboration, and optimised workforce utilisation by allowing physicians and nurses to focus on higher-acuity patients. Health service managers reported benefits for patient flow and ED performance. Key requirements for sustaining the model included greater staff awareness of the physiotherapy role, expansion of physiotherapy scope of practice, structured workforce allocation, and dedicated funding.</p><p><strong>Conclusions: </strong>Patients, clinicians, and health service managers viewed physiotherapist-led ED care positively. Future policy and service redesign efforts should focus on workforce planning, clear scopes of practice, and sustainable funding.</p>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149066218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frequent callers and users of ambulance services: An international scoping review using Andersen's Behavioural Model of Health Service Use.","authors":"Stephanie Nixon, Sonja Jane Maria, Judith Crockett","doi":"10.1016/j.auec.2026.09.003","DOIUrl":"https://doi.org/10.1016/j.auec.2026.09.003","url":null,"abstract":"<p><strong>Background: </strong>Frequent callers and users of ambulance services represent a small but complex patient cohort who account for a disproportionate number of emergency medical service contacts. Although frequent use has been examined in emergency department settings, less is known about frequent use in the out-of-hospital ambulance context. Inconsistent terminology and definitions further limit comparison across studies and make it difficult to develop evidence-informed responses.</p><p><strong>Objective: </strong>This scoping review aimed to map the international literature on frequent callers and users of ambulance services, identify how frequent use has been defined, and examine reported factors associated with frequent ambulance use using Andersen's Behavioural Model of Health Service Use.</p><p><strong>Methods: </strong>A scoping review was conducted using Joanna Briggs Institute methodology and reported in accordance with the PRISMA-ScR checklist. Five databases were searched on 17 September 2025: CINAHL, Medline, Emcare, PsycINFO and Scopus. Google Scholar and reference lists of included studies and relevant reviews were also searched. Peer-reviewed English-language studies were eligible if they examined frequent callers or users in the out-of-hospital ambulance context. Data were charted and synthesised descriptively, with reported factors mapped to Andersen's predisposing, enabling, need and health behaviour domains.</p><p><strong>Results: </strong>Forty-one studies from 12 countries were included. Four main terms were used across the literature: frequent caller, frequent user, repeat caller/user and frequent presenter. Twenty different definitions of frequent use were identified, ranging from two or more ambulance contacts in 12 months to 10 or more contacts per month. Most studies reported predisposing factors, particularly age and gender, while enabling factors such as transport access, socioeconomic status, insurance, accessibility and system navigation were less commonly examined. Need factors commonly included chronic medical conditions, mental health concerns, comorbidities and reduced quality of life. Health behaviours included alcohol and other drug use, out-of-hours ambulance use, GP use, patient-provider relationships and calling as a last resort.</p><p><strong>Conclusion: </strong>The ambulance frequent-use literature is heterogeneous and largely descriptive. A consistent definition and reporting framework are needed to support comparison across studies, deepen understanding of the factors driving frequent ambulance use, and inform person-centred interventions for this vulnerable cohort.</p>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing clinician escalation practices for deteriorating patients in an Australian emergency department.","authors":"Na Wang, Ruth Endacott, Simon Cooper, Clifford J Connell","doi":"10.1016/j.auec.2026.09.002","DOIUrl":"https://doi.org/10.1016/j.auec.2026.09.002","url":null,"abstract":"<p><strong>Background: </strong>Physiological deterioration is typically identified through clinical signs and symptoms. There is a growing adoption of emergency department-specific responses to patient deterioration. Although the effectiveness of ward-based Rapid Response Systems is well-documented in the 'failure-to-rescue' literature and widely used in acute medical and surgical wards, their implementation and factors influencing failure-to-rescue in emergency department settings are less well understood.</p><p><strong>Aim: </strong>To explore emergency nurses' and doctors' perceptions and experiences of escalation practices for deteriorating patients, including the factors influencing these practices, in an Australian ED.</p><p><strong>Methods: </strong>A qualitative descriptive study using semi-structured interviews and Framework Analysis. Interviews were conducted with emergency nurses and doctors who had recently cared for deteriorating emergency department patients.</p><p><strong>Results: </strong>Thirty-one emergency nurses (n = 22) and doctors (n = 9) participated in the interviews. Five themes were identified that influenced escalation: i) understanding deterioration and the escalation process, ii) influence of patient factors, iii) influence of environmental factors, iv) influence of staff factors, and v) organisational influences.</p><p><strong>Conclusion: </strong>Clinicians' recognition of patient deterioration and decisions to escalate care transcend formal policy and are influenced by clinical expertise and judgement, interpersonal interactions, environmental pressures and organisational context.</p>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148984272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring patient characteristics and departmental factors for those who 'did not wait' to be seen and treated in the emergency department - the DNW study.","authors":"Alison Partyka, Lesley Fitzpatrick, Margaret Fry, Christopher Partyka","doi":"10.1016/j.auec.2026.08.006","DOIUrl":"https://doi.org/10.1016/j.auec.2026.08.006","url":null,"abstract":"<p><strong>Background: </strong>Patients who did not wait (DNW) for care in Emergency Departments (EDs) are individuals who present seeking treatment but leave before medical assessment. This cohort is an important focus for emergency research, as DNW events may reflect barriers to timely care, pose clinical and safety risks, and provide insight into broader system pressures within emergency services.</p><p><strong>Methods: </strong>Retrospective study of DNW patients presenting to a metropolitan tertiary ED between January 1 and December 31, 2023. Descriptive statistics were generated for clinical and treatment variables, and multivariate logistic regression explored factors influencing 48-hour hospital representation.</p><p><strong>Results: </strong>In total, 813 DNW patients were identified, representing approximately 1% of triaged patients. Most arrived by private transport and were allocated low-priority triage categories. Whilst 4% of cases had their presenting complaint completely managed by triage nursing staff, only 1.4% received nurse-initiated investigation or treatment. Overall, 9% represented to a local health district ED within 48 h. Multivariate logistic regression did not identify clinical factors significantly associated with subsequent hospital representation.</p><p><strong>Conclusion: </strong>DNW patients are common and frequently represent to other facilities to address healthcare needs. Earlier nurse-initiated treatments may accelerate patient care and potentially reduce DNW cases; however, this requires further research.</p>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empathy towards the older person in paramedic-led out-of-hospital healthcare: A scoping review.","authors":"Katie J Tunks Leach, Scott Devenish, Meena Gupta, David Krygger, Tracy Levett-Jones, Robbie King","doi":"10.1016/j.auec.2026.05.003","DOIUrl":"https://doi.org/10.1016/j.auec.2026.05.003","url":null,"abstract":"<p><p>Most patients attended to by emergency ambulance service paramedics in Australia are aged greater than 65 years. Empathy-based interventions have been reported to improve attitudes toward the older person and enhance patient outcomes, yet empathy is reported as an understudied area of paramedic practice and little is known about paramedics' level of empathy, or the impact of empathic care, for the older person. The aim of this study was to identify what is known about the provision of empathic care toward the older person by paramedics and paramedic students, in out-of-hospital healthcare. Following the JBI methodology for scoping reviews, six papers were identified and thematically analysed. Four elements of empathic and non-empathic care were jointly identified by paramedics and the older person: 1) communication, 2) individualised care, 3) time and 4) professionalism. One additional theme identified by paramedics and students was concern for their own wellbeing when providing empathic care. Empathic care of the older person in the paramedic-led out-of-hospital context enhances patient outcomes, strengthens the person-paramedic relationship, and enhances the provision of holistic person-centred care. Programs for student and registered paramedics must include evidence-based education on practicing empathy towards the older person, along with strategies to address barriers to providing empathic care.</p>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}