ArticleScientific reports2020
Comparing the diagnostic concordance of tele-EMS and on-site-EMS physicians in emergency medical services: a retrospective cohort study.
Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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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.
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Who cites it
16 citing papers in PubMed.
- Telemedical support for prehospital emergency medical service in severe emergencies: an open-label randomised non-inferiority clinical trial.Critical care (London, England) · 2023Trial
- Comparison of Tele-Education and Conventional Cardiopulmonary Resuscitation Training During COVID-19 Pandemic.The Journal of emergency medicine · 2022Trial
- [Medical resource needs and telemedical potential in after-hours care: An exploratory survey among physicians].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2026Article
- An inter-rater reliability study of a modified version of SATS as a prehospital triage tool.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Effectiveness of an Online Body Camera System for Medical Oversight in Prehospital Emergency Care: An 11-Year Retrospective Cohort Study.Archives of academic emergency medicine · 2026Article
- Three years of tele-emergency medicine with mobile on-site audio-video streaming in lower Saxony, Germany - descriptive results of a longitudinal secondary data analysis.BMC emergency medicine · 2025Article
- Comparison of the diagnostic concordance of tele-EMS and EMS physicians in the emergency medical service-a subanalysis of the TEMS-trial.Frontiers in digital health · 2025Article
- Analysis and 15-Year Projections of the Global Burden of Tension-Type Headache by Sex from 1990 to 2021: A Systematic Review of GBD 2021 Data.Journal of pain research · 2025Article
- Global stroke statistics 2023: Availability of reperfusion services around the world.International journal of stroke : official journal of the International Stroke Society · 2024Review
- Long-term effects of a prehospital telemedicine system on structural and process quality indicators of an emergency medical service.Scientific reports · 2024Article
- Comprehensive improvements in the emergency laboratory test process based on information technology.BMC medical informatics and decision making · 2023Article
- Comparing effects and application of telemedicine for different specialties in emergency medicine using the Emergency Talk Application (U-Sim ETA Trial).Scientific reports · 2023Article
- [Update tele-emergency medicine : Status quo and perspectives].Die Anaesthesiologie · 2023Review
- Introduction of Telemedicine in a Prehospital Emergency Care Setting: A Pilot Study.International journal of telemedicine and applications · 2023Article
- [Quality of documentation and treatment in the non-physician staffed ambulance: a retrospective analysis of emergency protocols from the city of Aachen].Die Anaesthesiologie · 2022Article
- Tele-EMS physicians improve life-threatening conditions during prehospital emergency missions.Scientific reports · 2021Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In 2014, a telemedicine system was established in 24-h routine use in the emergency medical service (EMS) of the city of Aachen. This study tested whether the diagnostic concordance of the tele-EMS physician reaches the same diagnostic concordance as the on-site-EMS physician. The initial prehospital diagnoses were compared to the final hospital diagnoses. Data were recorded retrospectively from the physicians' protocols as well as from the hospital administration system and compared. Also, all diagnostic misconcordance were analysed and reviewed in terms of logical content by two experts. There were no significant differences between the groups in terms of demographic data, such as age and gender, as well as regarding the hospital length of stay and mortality. There was no significant difference between the diagnostic concordance of the systems, except the diagnosis "epileptic seizure". Instead, in these cases, "stroke" was the most frequently chosen diagnosis. The diagnostic misconcordance "stroke" is not associated with any risks to patients' safety. Reasons for diagnostic misconcordance could be the short contact time to the patient during the teleconsultation, the lack of personal examination of the patient by the tele-EMS physician, and reversible symptoms that can mask the correct diagnosis.
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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.