PhEAR-Prehospital Emergency Airway Research.
概览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- Centro de Emergencias Sanitarias 061 Andalucía
- 入组人数
- 4,300
- 试验地点
- 1
- 主要终点
- Calculate First-pass intubation success rate
概览
简要总结
The creation of an airway registry will allow an improvement in the quality of care, the safety of critically ill patients in pre-hospital situations, and a reduction in morbidity and mortality related to airway management.
详细描述
In the care of critically ill patients in prehospital emergency settings, advanced airway management (AAM) is essential to maintain airway patency and ensure adequate oxygenation and ventilation. In Andalusia, prehospital emergency teams are composed of a physician, a nurse, and an emergency medical technician (EMT), and they operate both ground units (advanced life support ambulances) and air units (medical helicopters).
AAM encompasses a wide range of processes, techniques, and complex decision-making interventions that can be key to favorable patient outcomes. However, if not performed correctly, these procedures can also lead to adverse events, poor prognosis, or preventable mortality.
The increasing complexity and technological sophistication of healthcare require health systems to improve and adapt in order to deliver safe, high-quality care, where continuity and an integrated vision of care are essential.
This comprehensive approach is made possible through the analysis of incidents recorded in registries, which play a key role in identifying failures in clinical practice and implementing new strategies to address them.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients attended by the 061 Emergency Teams of Andalusia, with an "Assistance" type of request, who underwent any of the following techniques: manual ventilation, orotracheal intubation, supraglottic device insertion, or cricothyroidotomy
排除标准
- •interhospital transfers,
- •patients who recieve this techniques before de emergency team arrives
结局指标
主要结局
Calculate First-pass intubation success rate
时间窗: 2 years
Intubations performed on the first attempt divided by the total number of intubations
次要结局
- Development and validation of an artificial intelligence-based predictive algorithm for prehospital difficult airway(2 years)
- Identify early and late complications in patients undergoing prehospital advanced airway management(from admission until day 28 of hospitalization)
- calculate 28-day mortality(from admission until day 28 of hospitalization)
- hospital length of stay(one year)
研究者
Cristina López López
MD Doctor of Medicine
Centro de Emergencias Sanitarias 061 Andalucía