Evidence map›Paper›PMID 41788490›Full record

ArticleAnnals of intensive care2026

Guidelines for the Initial Assessment of Respiratory Distress in the Emergency Department.

P Le Borgne, A W Thille, J Guenezan, N Aissaoui, A-S Boureau, C Bally, F Balen, A Basset, P Bilbault, F Boissier and 21 more

Abstract read
In one paragraph

Article in Annals of intensive care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Observational
  2. 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

31 authors.

P Le BorgneUniversité de Strasbourg, Service des Urgences, Hôpitaux Universitaires de Strasbourg, F-67000 Strasbourg, France.
A W ThilleUniversité de Poitiers, Service de Médecine Intensive Réanimation, CHU de Poitiers, F- 86000 Poitiers, France.
J GuenezanUniversité de Poitiers, Service des Urgences, SAMU, SMUR, CHU de Poitiers; Faculté de Médecine et de Pharmacie, F- 86000 Poitiers, France.
N AissaouiUniversité Paris Cité, Service de Cardiologie, Hôpitaux Européens Georges Pompidou, AP-HP, F-75010 Paris, France.
A-S BoureauUniversité de Nantes, Pole de Gérontologie Clinique, CHU Nantes, F-44000 Nantes, France.
C BallyService de Réanimation polyvalente/USC/Déchocage, Centre Hospitalier Annecy Genevois, F74000 Annecy, France.
F BalenUniversité Toulouse III, Pôle de Médecine d'Urgence, CHU Toulouse, F-31000 Toulouse, France.
A BassetDépartement de Médecine d'Urgence, CHRU Brest, F-29200 Brest, France.
P BilbaultUniversité de Strasbourg, Service des Urgences, Hôpitaux Universitaires de Strasbourg, F-67000 Strasbourg, France.
F BoissierUniversité de Poitiers, Service de Médecine Intensive Réanimation, CHU de Poitiers, F- 86000 Poitiers, France.
Y-E ClaessensDépartement de Médecine d'Urgence, Centre Hospitalier Princesse Grace, MC-98002, Monaco.
M DecavèleSorbonne Université, Service de Médecine Intensive - Réanimation (Département R3S), Site Pitié-Salpêtrière, AP-HP, F-75010 Paris, France.
J-L DiehlUniversité Paris Cité, Service de Médecine Intensive Réanimation, Hôpitaux Européens Georges Pompidou, AP-HP, F-75010 Paris, France.
D DouilletUniversité d'Angers, Département de Médecine d'Urgence, CHU Angers, F-49100, Angers, France.
A GuillonUniversité de Tours, Service de Médecine Intensive Réanimation, CHU Tours, F-37000, Tours, France.
P HausfaterSorbonne Université, Service des Urgences, APHP-Sorbonne Université, Site Pitié-Salpêtrière, AP-HP, F-75010 Paris, France.
F JavaudinUniversité de Nantes, Service des Urgences, CHU de Nantes, F-44000 Nantes, France.
M JezequelService de Réanimation Médicale, Centre Hospitalier de St Brieuc, F-22000 St Brieuc, France.
K KuteifanService de Réanimation Médicale, GHRMSA, Hôpital Emile Muller, F-68100 Mulhouse, France.
E L'HerUniversité de Brest, Service de Médecine Intensive et de Réanimation, CHRU de Brest, F-29200 Brest, France.
N MarjanovicUniversité de Poitiers, Service des Urgences, SAMU, SMUR, CHU de Poitiers; Faculté de Médecine et de Pharmacie, F- 86000 Poitiers, France.
E MaurySorbonne Université, Service de Médecine Intensive et de Réanimation, Hôpital Saint-Antoine, AP-HP, F-75571 Paris, France.
M OhanaService de Radiologie, Nouvel Hôpital Civil, Hôpitaux Universitaires de Strasbourg, F-67000 Strasbourg, France.
C PichereauService de Médecine Intensive Réanimation, Centre Hospitalier Intercommunal de Poissy Saint Germain, F-78300, Poissy, France.
P RayDépartement Universitaire de Médecine d'Urgence, Université Bourgogne Europe, CHU de Dijon, Dijon, France.
P-G ReuterUniversité de Rennes, Service SAMU 35/SMUR/Urgences Adultes, CHU Rennes, F-35000 Rennes, France.
N TibertiAix-Marseille Université, Structure des Urgences, Centre Hospitalier Intercommunal Aix-Pertuis, F-13616 Aix-en-Provence, France.
G VoiriotSorbonne Université, Service de Médecine Intensive Réanimation, Hôpital Tenon, AP-HP, F-75020 Paris, France.
Y YordanovUniversité de Lyon, Service des Urgences-SAMU 69, Hôpital Edouard Herriot, HCL, F-69001 Lyon, France.
P Le ConteUniversité de Nantes, Service des Urgences, CHU de Nantes, F-44000 Nantes, France.
N TerziUniversité de Rennes, Service de Médecine Intensive - Réanimation, CHU de Rennes, F-35033, Rennes, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The French Society of Emergency Medicine (SFMU) and the French Intensive Care Society (SRLF) present formalized expert recommendations from a multidisciplinary panel on the initial assessment of respiratory distress in adult patients presenting to the Emergency Department. Design: A group of 30 French experts from the SFMU and FICS was assembled. Any potential conflicts of interest were officially declared at the start of the guidelines development process, which was conducted independently of any industry funding. The authors followed the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) methodology to assess the level of evidence from the literature. Methods: The aim of this expert panel was to define evidence-based recommendations for the initial assessment of respiratory distress in the emergency setting. Three key areas were defined: (1) assessment of severity in respiratory distress; (2) initial assessment and triage in respiratory distress; (3) diagnostic approach for respiratory distress. For each area, the goal of the recommendations was to address a set of questions formulated by the experts following the PICO model ("Population, Intervention, Comparison, Outcome"). Based on these questions, a comprehensive literature search was conducted for the last 20 years using predefined keywords according to PRISMA guidelines. The quality of the data was analyzed using the GRADE method. The recommendations were formulated using the GRADE methodology, and then voted on by all experts using the GRADE Grid method. Results: The expert consensus process, based on the GRADE methodology, resulted in 13 clinical questions yielding 20 recommendations. For three of these questions, however, no recommendation could be issued due to insufficient evidence. After two rounds of voting and several amendments, a strong consensus was reached on the recommendations. Among these, two were supported by high-quality evidence and resulted in a strong recommendation (GRADE 1); six were based on moderate-quality evidence and led to a conditional recommendation (GRADE 2); and twelve were based on expert opinion, reflecting a low level of evidence. Finally, for 3 questions, no recommendation could be formulated. Conclusion: A strong consensus was reached among the experts on 20 of the recommendations. This work provides updated recommendations for the initial assessment of respiratory distress in adult patients presenting to the Emergency Department.

Indexed as

Acute respiratory failureDyspneaEmergency departmentRespiratory distressSeverity assessmentTriage

Identifiers

PMID41788490
PMCPMC12934415

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.