• Catherine Atkin, Rhea Khosla, John Belsham, Hannah Hegarty, Cait Hennessy, and Elizabeth Sapey.
• Birmingham Acute Care Research Group, Institute of Inflammation and Ageing, University of Birmingham, Birmingham B15 2GW, UK; Department of Acute Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2GW, UK. Electronic address: c.e.atkin@bham.ac.uk.
• Clin Med (Lond). 2024 Jul 1; 24 (4): 100230100230.

AbstractSame-day emergency care (SDEC) in unplanned and emergency care is an NHS England (NHSE) priority. Optimal use of these services requires rapid identification of suitable patients. NHSE suggests the use of one tool for this purpose. This systematic review compares studies that evaluate the performance of selection tools for SDEC pathways. Nine studies met the inclusion criteria. Three scores were evaluated: the Amb score (seven studies), Glasgow Admission Prediction Score (GAPS) (six studies) and Sydney Triage to Admission Risk Tool (START) (two studies). There was heterogeneity in the populations assessed, exclusion criteria used and definitions used for SDEC suitability, with proportions of patients deemed 'suitable' for SDEC ranging from 20 to 80%. Reported score sensitivity and specificity ranged between 18-99% and 10-89%. Score performance could not be compared due to heterogeneity between studies. No studies assessed clinical implementation. The current evidence to support the use of a specific tool for SDEC is limited and requires further evaluation.Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.

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