Evidence map›Paper›PMID 33036861›Full record

Observational studyThe American journal of emergency medicine2021

Prehospital management of acute respiratory distress in suspected COVID-19 patients.

Romain Jouffroy, Sabine Lemoine, Clément Derkenne, Romain Kedzierewicz, Marine Scannavino, Kilian Bertho, Benoit Frattini, Frédéric Lemoine, Daniel Jost, Bertrand Prunet

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in The American journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Association Between Prehospital Blood Glucose Levels and Outcomes in Patients With COVID-19 Infection: A Retrospective Cohort Study.Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association · 2023
    Article
  5. Article
  6. Review
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Romain JouffroyEmergency Medicine dpt, Paris Fire Brigade, 1 place Jules Renard, 75017 Paris, France. Electronic address: romain.jouffroy@pompiersparis.fr.
Sabine LemoineEmergency Medicine dpt, Paris Fire Brigade, 1 place Jules Renard, 75017 Paris, France.
Clément DerkenneEmergency Medicine dpt, Paris Fire Brigade, 1 place Jules Renard, 75017 Paris, France.
Romain KedzierewiczEmergency Medicine dpt, Paris Fire Brigade, 1 place Jules Renard, 75017 Paris, France.
Marine ScannavinoEmergency Medicine dpt, Paris Fire Brigade, 1 place Jules Renard, 75017 Paris, France.
Kilian BerthoEmergency Medicine dpt, Paris Fire Brigade, 1 place Jules Renard, 75017 Paris, France.
Benoit FrattiniEmergency Medicine dpt, Paris Fire Brigade, 1 place Jules Renard, 75017 Paris, France.
Frédéric LemoineEmergency Medicine dpt, Paris Fire Brigade, 1 place Jules Renard, 75017 Paris, France.
Daniel JostEmergency Medicine dpt, Paris Fire Brigade, 1 place Jules Renard, 75017 Paris, France.
Bertrand PrunetEmergency Medicine dpt, Paris Fire Brigade, 1 place Jules Renard, 75017 Paris, France.
Brigade des Sapeurs Pompiers de Paris · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn December 2019, coronavirus disease (COVID-19) emerged in China and became a world-wide pandemic in March 2020. Emergency services and intensive care units (ICUs) were faced with a novel disease with unknown clinical characteristics and presentations. Acute respiratory distress (ARD) was often the chief complaint for an EMS call. This retrospective study evaluated prehospital ARD management and identified factors associated with the need of prehospital mechanical ventilation (PMV) for suspected COVID-19 patients.

methodsWe included 256 consecutive patients with suspected COVID-19-related ARD that received prehospital care from a Paris Fire Brigade BLS or ALS team, from March 08 to April 18, 2020. We performed multivariate regression to identify factors predisposing to PMV.

resultsOf 256 patients (mean age 60 ± 18 years; 82 (32%) males), 77 (30%) had previous hypertension, 31 (12%) were obese, and 49 (19%) had diabetes mellitus. Nineteen patients (7%) required PMV. Logistic regression observed that a low initial pulse oximetry was associated with prehospital PMV (ORa = 0.86, 95%CI: 0.73-0.92; p = 0.004).

conclusionsThis study showed that pulse oximetry might be a valuable marker for rapidly determining suspected COVID-19-patients requiring prehospital mechanical ventilation. Nevertheless, the impact of prehospital mechanical ventilation on COVID-19 patients outcome require further investigations.

Indexed as

Ambulatory CareCOVID-19Disease ManagementEmergency Medical ServicesPandemicsRespiration, ArtificialRespiratory Distress SyndromeFollow-Up StudiesFranceHumansRetrospective StudiesSARS-CoV-2

Identifiers

PMID33036861
PMCPMC7489263
OpenAlexW3085095646

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.