Admission for Respiratory Disease And VIdeo Regulation System (ARAVIS-PED)

Grenoble Alpes University Hospital Center (CHU)

Status: Not yet enrolling

Conditions: Pediatric Respiratory Diseases

Treatments: Other: Videoregulation

Study type: Observational

Funder types: Other

Identifiers

NCT06335940

38RC23.0376

Details and patient eligibility

About

Pediatric dyspnea is a major health problem, accounting for up to 27% of admissions to emergency departments in winter. It is estimated that a significant number (13%) of patients presenting to emergency departments are outpatients, at a time when emergency departments are having to cope with an ever-increasing flow of patients.

Proper referral of patients calling the SAMU Centre-15 takes on its full meaning in this context, but regulating paediatric calls is more difficult. Indeed, the regulating doctor is most often in contact with the parents, who describe what they see and pass on their concerns, and it is difficult to have direct contact with patients who are often very young. Obtaining objective criteria such as saturation and respiratory rate is also a real challenge.

To overcome the complexity of medical regulation, a number of tools and aids have been developed, including visio or video-regulation (regulation via the camera on the caller's smartphone).

This device has been evaluated in a number of situations, enabling it to take its place in the daily practice of many doctors, but there is very little data concerning pediatric visio-regulation, particularly with regard to dyspnea.

To the best of the investigator knowledge, there is no prospective study looking at the impact of Video-Regulation on the outcome of patients requiring the advice of SAMU Centre-15 for pediatric dyspnea.

Enrollment: 588 estimated patients

Sex: All

Ages: Under 10 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age strictly less than 10 years
• Applicant calling the SAMU38 for a child with dyspnea announced or presumed by the interrogation.
• Patients for whom no opposition from parents has been obtained.
• Patients affiliated to social security

Exclusion criteria

• Call to organize a secondary intervention (or Inter-Hospital Transfer (TIH/TIIH)).
• Unsuccessful call (hung up when the dispatcher took the call, without the possibility of medical regulation).
• Refusal to take charge on arrival of rescue vector
• Call-back for a patient with an initial call to SAMU38 < 48h
• Means engaged by the CTA or an ARM even before medical regulation.

Trial design

588 participants in 2 patient groups

No videoregulation

Description:

An initial period of 40 days during which we leave the use of video-regulation to the discretion of the regulating physicians (emergency physicians or general practitioners) when they are faced with a call labelled by a medical regulation assistant (ARM) "Pediatric dyspnea in a child under 10 years of age" or when they themselves judge that the call falls into this category; as is the case in the current practice of the SAMU38.

Videoregulation

Description:

A 40-day period during which we will encourage regulating physicians to use video-regulation for every call concerning "pediatric dyspnea in a child aged \< 10 years".

Treatment:

Other: Videoregulation