Admission for Respiratory Disease And VIdeo Regulation System
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 588
- Primary Endpoint
- To determine in children under 10 years of age for whom a call to the SAMU38 for dyspnea is made, whether the use of Visio-Regulation reduces the percentage of emergency room admissions compared with standard telephone medical regulation.
Study Overview
Brief Summary
Pediatric dyspnea is a major health problem, accounting for up to 27% of admissions to emergency departments in winter. It is estimated that a significant number (13%) of patients presenting to emergency departments are outpatients, at a time when emergency departments are having to cope with an ever-increasing flow of patients.
Proper referral of patients calling the SAMU Centre-15 takes on its full meaning in this context, but regulating paediatric calls is more difficult. Indeed, the regulating doctor is most often in contact with the parents, who describe what they see and pass on their concerns, and it is difficult to have direct contact with patients who are often very young. Obtaining objective criteria such as saturation and respiratory rate is also a real challenge.
To overcome the complexity of medical regulation, a number of tools and aids have been developed, including visio or video-regulation (regulation via the camera on the caller's smartphone).
This device has been evaluated in a number of situations, enabling it to take its place in the daily practice of many doctors, but there is very little data concerning pediatric visio-regulation, particularly with regard to dyspnea.
To the best of the investigator knowledge, there is no prospective study looking at the impact of Video-Regulation on the outcome of patients requiring the advice of SAMU Centre-15 for pediatric dyspnea.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- — to 10 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age strictly less than 10 years
- •Applicant calling the SAMU38 for a child with dyspnea announced or presumed by the interrogation.
- •Patients for whom no opposition from parents has been obtained.
- •Patients affiliated to social security
Exclusion Criteria
- •Call to organize a secondary intervention (or Inter-Hospital Transfer (TIH/TIIH)).
- •Unsuccessful call (hung up when the dispatcher took the call, without the possibility of medical regulation).
- •Refusal to take charge on arrival of rescue vector
- •Call-back for a patient with an initial call to SAMU38 < 48h
- •Means engaged by the CTA or an ARM even before medical regulation.
Outcomes
Primary Outcomes
To determine in children under 10 years of age for whom a call to the SAMU38 for dyspnea is made, whether the use of Visio-Regulation reduces the percentage of emergency room admissions compared with standard telephone medical regulation.
Time Frame: 24 hours
Percentage of participants with computerized admission to pediatric emergency departments
Secondary Outcomes
- Evaluate whether the use of video-regulation has an impact on the dispatcher's referral decision between ambulatory medicine and the emergency department.(through call completion, an average of 5 minutes)
- Determine whether the use of video-regulation leads to an increase in call time with the regulating doctor(through call completion, an average of 5 minutes)
- Evaluate the number of rescue vectors (fire brigade, private ambulance) triggered but whose decision will ultimately be to "leave on the spot" after the rescue worker's assessment.(through out-of-hospital care completion, an average of 1 hour)
- Evaluate whether the increased use of video-regulation is not associated with a higher rate of hospitalization in a conventional ward or intensive care unit(24 hours)
- Evaluate parents' satisfaction with videoregulation compared with a standard call(15 days)