Admission for Respiratory Disease And VIdeo Regulation System

NCT ID: NCT06335940

Last Updated: 2024-04-02

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Total Enrollment: 588 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2024-04-08
• Study Completion Date: 2024-10-18

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.

Conditions

Pediatric Respiratory Diseases

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Study Groups

No videoregulation

An initial period of 40 days during which we leave the use of video-regulation to the discretion of the regulating physicians (emergency physicians or general practitioners) when they are faced with a call labelled by a medical regulation assistant (ARM) "Pediatric dyspnea in a child under 10 years of age" or when they themselves judge that the call falls into this category; as is the case in the current practice of the SAMU38.

No interventions assigned to this group

Videoregulation

A 40-day period during which we will encourage regulating physicians to use video-regulation for every call concerning "pediatric dyspnea in a child aged \< 10 years".

Videoregulation

Intervention Type: OTHER

To encourage the use of video-regulation, several measures will be taken to reinforce its use as much as possible:

• Posters visible to all in the dispatch room.
• Regular mailings to all dispatching physicians.
• On-site presence of interns and the study investigator to help doctors who are not used to video-regulation to get to grips with the computer tool.
• Involvement of ARMs to remind doctors to use video-regulation.

Interventions

Videoregulation

To encourage the use of video-regulation, several measures will be taken to reinforce its use as much as possible:

• Posters visible to all in the dispatch room.
• Regular mailings to all dispatching physicians.
• On-site presence of interns and the study investigator to help doctors who are not used to video-regulation to get to grips with the computer tool.
• Involvement of ARMs to remind doctors to use video-regulation.

Intervention Type: OTHER

Eligibility Criteria

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.

• Maximum Eligible Age: 10 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University Hospital, Grenoble

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Central Contacts

Guillaume Debaty

Role: CONTACT

gdebaty@chu-grenoble.fr

0476634256 ext. +33

Johanna Boeuf

Role: CONTACT

jboeuf1@chu-grenoble.fr

0476634256 ext. +33

Other Identifiers

38RC23.0376

Identifier Type: -

Identifier Source: org_study_id