Evidence map›Paper›PMID 36242052›Full record

Trial reportScandinavian journal of trauma, resuscitation and emergency medicine2022

Photography tele-transmission by regular ambulance staff for the management of mild traumatic injury: the NiCEPHORE randomised-controlled trial.

E Magimel-Pelonnier, N Marjanovic, R Couvreur, B Drugeon, O Mimoz, J Guenezan

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Scandinavian journal of trauma, resuscitation and emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04034797 (AmbulaNCE Teletransmited PHOtography for Trauma REgulation), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 17% 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.

NCT04034797 nacompletednot on this map

AmbulaNCE Teletransmited PHOtography for Trauma REgulation

TypeinterventionalSponsorPoitiers University HospitalRan2019 to 2021Enrolled179ConditionsTrauma, TelemedicineArmsPhotography teletransmission, No photo
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
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

6 authors at 1 institution in 1 country.

E Magimel-PelonnierEmergency Department and Pre-Hospital Care, University Hospital of Poitiers, Service des Urgences, CHU de Poitiers, 2 rue de la Mileterie, 86000, Poitiers, France. edouard.magimel-pelonnier@chu-poitiers.fr.ORCID http://orcid.org/0000-0003-3992-7308
N MarjanovicEmergency Department and Pre-Hospital Care, University Hospital of Poitiers, Service des Urgences, CHU de Poitiers, 2 rue de la Mileterie, 86000, Poitiers, France.
R CouvreurEmergency Department and Pre-Hospital Care, University Hospital of Poitiers, Service des Urgences, CHU de Poitiers, 2 rue de la Mileterie, 86000, Poitiers, France.
B DrugeonEmergency Department and Pre-Hospital Care, University Hospital of Poitiers, Service des Urgences, CHU de Poitiers, 2 rue de la Mileterie, 86000, Poitiers, France.
O MimozEmergency Department and Pre-Hospital Care, University Hospital of Poitiers, Service des Urgences, CHU de Poitiers, 2 rue de la Mileterie, 86000, Poitiers, France.
J GuenezanEmergency Department and Pre-Hospital Care, University Hospital of Poitiers, Service des Urgences, CHU de Poitiers, 2 rue de la Mileterie, 86000, Poitiers, France.
Centre Hospitalier Universitaire de Poitiers · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHandling emergency calls in French emergency medical call centres (EMCCs) can be challenging considering the frequent lack of relevant information. Tele-transmission device use in regular ambulances seems like a good solution to provide the EMCC physician with a more accurate assessment of the scene, particularly for mild traumatic injury (MTI). We measured the impact of ambulance staff tele-transmitted photography on prehospital dispatching optimisation for patients calling the EMCC with MTI.

methodsWe conducted a prospective, single-centre, randomised-controlled trial comparing two groups of patients calling the EMCC with MTI who were or were not allocated to photography tele-transmission by ambulance staff. The primary outcome was the proportion of patients referred away from the nearest hospital (left at home for outpatient care; referred to a higher-level hospital; handled by a medical intensive care ambulance for advanced pre-hospital care) used as a marker of better orientation.

resultsBetween 29 April 2019 and 21 July 2020, 165 patients were randomised and 152 analysed. Photography tele-transmission resulted in better patient dispatching (24/73 [33%] patients in the intervention group vs 9/79 [11%] patients in the control group, OR 3.80 [1.63-8.90]; p = 0.03), without increasing the proportion of patients initially left at home for outpatient care and visiting an ED within 10 days for secondary trauma-related care (1/14 [7%] vs 1/4 [25%], OR 0.25 [0.01-24.1]; p = 0.41). The proportion of patients unnecessarily referred to an ED was 7% [4/59 patients] in the intervention group vs 16% [12/75 patients] in the control group (OR 0.38 [0.09-1.36]; p = 0.10).

conclusionPhotography tele-transmission by regular ambulance staff could improve the dispatching of patients calling French EMCCs with MTI. Trial registration The study is registered with Clinicaltrials.gov (NCT04034797).

Indexed as

AmbulancesEmergency Medical ServicesHospitalsHumansPhotographyProspective StudiesReferral and ConsultationEmergency departmentPre-hospital careTele-medicineTrauma

Identifiers

PMID36242052
PMCPMC9569019
OpenAlexW4306249480

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.