Evidence map›Paper›PMID 40370704›Full record

ArticleFrontiers in digital health2025

Comparison of the diagnostic concordance of tele-EMS and EMS physicians in the emergency medical service-a subanalysis of the TEMS-trial.

Patrick P Hess, Michael Czaplik, Johanna Hess, Hanna Schröder, Stefan K Beckers, Andreas Follmann, Mark Pitsch, Marc Felzen

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Frontiers in digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02617875 (Telemedical Support for Prehospital Emergency Medical Service - a Prospective Randomized Controlled Trial), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT02617875 nacompletednot on this map

Telemedical Support for Prehospital Emergency Medical Service - a Prospective Randomized Controlled Trial

TypeinterventionalSponsorRWTH Aachen UniversityRan2018 to 2019Enrolled3,534ConditionsEmergencyArmsconventional EMS physician, tele-EMS physician
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

8 authors.

Patrick P HessDepartment of Anesthesiology, Medical Faculty, RWTH Aachen University, University Hospital RWTH Aachen, Aachen, Germany.
Michael CzaplikDepartment of Anesthesiology, Medical Faculty, RWTH Aachen University, University Hospital RWTH Aachen, Aachen, Germany.
Johanna HessDepartment of Anesthesiology, Medical Faculty, RWTH Aachen University, University Hospital RWTH Aachen, Aachen, Germany.
Hanna SchröderDepartment of Anesthesiology, Medical Faculty, RWTH Aachen University, University Hospital RWTH Aachen, Aachen, Germany.
Stefan K BeckersDepartment of Anesthesiology, Medical Faculty, RWTH Aachen University, University Hospital RWTH Aachen, Aachen, Germany.
Andreas FollmannDepartment of Anesthesiology, Medical Faculty, RWTH Aachen University, University Hospital RWTH Aachen, Aachen, Germany.
Mark PitschDepartment of Anesthesiology, Medical Faculty, RWTH Aachen University, University Hospital RWTH Aachen, Aachen, Germany.
Marc FelzenDepartment of Anesthesiology, Medical Faculty, RWTH Aachen University, University Hospital RWTH Aachen, Aachen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The emergency medical services (EMS) in Germany are facing several challenges in the near future. Due to the increasing number of emergency missions, the availability of EMS physicians is becoming more limited, resulting in longer response times. To maintain the high quality of EMS, telemedical support systems have shown potential as a valuable complement to the existing system for specific diagnoses. Since 2014, a tele-EMS system has been implemented in Aachen as an integrated telemedical solution alongside standard EMS. Accurate prehospital diagnosis plays a crucial role in ensuring appropriate hospital admission and reducing the time to clinical treatment for time-sensitive conditions. The main TEMS study demonstrated the overall non-inferiority of tele-EMS physicians compared to on-site EMS physicians. This sub-analysis focuses on comparing the diagnostic accuracy between these two groups. Methods: Up to four prehospital diagnoses were selected, coded according to the ICD-10 system, and compared with all admission and discharge diagnoses. Results: The comparison between diagnoses made by tele-EMS physicians and on-site EMS physicians with admission diagnoses showed no significant difference ( Discussion: This randomized controlled analysis demonstrated that there is no difference in diagnostic accuracy between on-site EMS physicians and remote tele-EMS physicians. The significantly longer hospital stays for patients treated by tele-EMS physicians suggest that EMS physicians may be called too frequently for non-severe cases. Clinical Trial Registration: clinicaltrials.gov, identifier (NCT02617875).

Indexed as

diagnostic concordanceEMS-physicianparamedicstelemedicineTEMS-study

Identifiers

PMID40370704
PMCPMC12075532

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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.