Cardiac arrest & resuscitation

Telemedical support for prehospital emergency medical service in severe emergencies: an open-label randomised non-inferiority clinical trial

Crit CarePublished Randomised controlled trial

Authors' conclusion

Among severe emergency cases, tele-emergency medical service was non-inferior to conventional physician-based emergency medical service in terms of the occurrence of adverse events.

Study context

Population
Routine severe emergency patients aged ≥ 18 years, ground-based ambulance service of Aachen, Germany3,220 in primary analysis
Participants
3,531 patients
Comparison
Tele-emergency medical service vs Control
  • Tele-emergency medical servicen = 1,764
  • Controln = 1,767reference
Primary endpoint
Intervention-related adverse events with suspected causality to the group assignment
Methodological detailsopen-label, parallel-group, non-inferiority, Reported per CONSORT statement for non-inferiority trials
  • Open-label
  • Parallel-group
  • Non-inferiority
  • Reported per CONSORT statement for non-inferiority trials

Primary result

As reported in the abstract

Intervention-related adverse events with suspected causality to group assignment
  • Primary endpoint occurred only once, in the tele-EMS group
  • Non-inferiority margin of - 0.015
  • Non-inferiority confirmed
  • 97.5% CI
  • Primary analysis: 3220 patients

Further findings

Physician not deemed necessary

  • Physician not deemed necessary: 893 of 1544 vs 108 of 1676

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Telemedical support for prehospital emergency medical service in severe emergencies: an open-label randomised non-inferiority clinical trial. Crit Care. Published 30 June 2023. doi:10.1186/s13054-023-04545-z

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