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| Name | Class |
|---|---|
| Societe Française de Medecine d'urgence | OTHER |
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This prospective multicenter observational study aims to describe resuscitation room activity in France and to compare critical care admission within 24 hours between patients directly admitted to the resuscitation room and those admitted secondarily after initial emergency department management. Adult patients admitted to the resuscitation room over a 72-hour period in participating centers will be included. Data collection includes patient characteristics, triage severity, physiological parameters, critical interventions, and outcomes at 24 hours.
This is a prospective, multicenter, observational cohort study including all consecutive adult patients admitted to the resuscitation room in participating emergency departments over a predefined 72-hour study period. Patients are categorized according to their mode of admission to the resuscitation room (direct or secondary after initial emergency department management). No intervention is assigned by the study, and patient care follows usual practice and local protocols. Data collection includes patient-level clinical and physiological variables, resuscitation room processes of care, organizational characteristics at the center level, and practitioner-level characteristics. The primary outcome is critical care admission or death within 24 hours after resuscitation room admission.
Statistical analysis Analyses will be conducted in adult patients (≥18 years) admitted to the resuscitation room. Patients will be categorized according to the mode of resuscitation room admission (direct vs secondary).
The primary outcome is critical care admission or death within 24 hours after resuscitation room admission. The primary analysis will compare the proportion of patients meeting the primary outcome between groups using logistic regression, with adjustment for prespecified baseline variables and center effects. Results will be reported as odds ratios with 95% confidence intervals. Secondary and prespecified outcomes will be analyzed descriptively. Missing data will be described and analyses performed on available data.
An ancillary analysis will be conducted among patients who receive blood transfusion during resuscitation room management. This ancillary study will use the same prospective observational dataset and will not involve any additional data collection or modification of patient management. Analyses will focus on patient characteristics, indications for transfusion, transfusion practices, and short-term outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Direct resuscitation room admission | Adult patients (≥18 years old) admitted directly to the resuscitation room from the prehospital setting or immediately upon arrival at the emergency department, without prior clinical management in another emergency department area. |
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| Secondary resuscitation room admission | Adult patients (≥18 years old) admitted to the resuscitation room secondarily, after an initial evaluation or management in another emergency department area (e.g., standard treatment area, waiting area, imaging unit, or other hospital sector), before transfer to the resuscitation room. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Emergency resuscitation room management (observational) | Other | Patients receive standard emergency care in the resuscitation room according to local protocols and clinician judgment. No intervention is assigned by the study. Clinical management, diagnostic procedures, and therapeutic interventions are recorded for observational purposes only. |
| Measure | Description | Time Frame |
|---|---|---|
| Critical care admission within 24 hours after resuscitation room admission | Proportion of patients admitted to critical care (intensive care unit or intermediate care unit) or deceased within 24 hours following admission to the resuscitation room, comparing direct versus secondary resuscitation room admission. | Within 24 hours after resuscitation room admission |
| Measure | Description | Time Frame |
|---|---|---|
| All-cause mortality within 24 hours | All-cause mortality occurring within 24 hours after resuscitation room admission. | Within 24 hours after resuscitation room admission |
| Use of critical care interventions in the resuscitation room |
| Measure | Description | Time Frame |
|---|---|---|
| Time from emergency department arrival to resuscitation room admission | Time interval between emergency department arrival and resuscitation room admission | Day 1 |
| Blood transfusion during resuscitation room management |
Inclusion Criteria:
Exclusion Criteria:
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The study population consists of adult patients (≥18 years old) admitted to the resuscitation room of participating emergency departments during the study period. All eligible patients admitted directly or secondarily to the resuscitation room are included consecutively, without intervention assignment. Patients are managed according to usual care and local protocols.
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| Name | Affiliation | Role |
|---|---|---|
| Romain Genre Grandpierre, MD | Nîmes University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Nîmes | Nîmes | 30029 | France |
Individual participant data will not be shared because this observational study does not include a data sharing plan and data use is restricted to the objectives defined in the protocol.
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Proportion of patients receiving at least one critical care intervention in the resuscitation room, including airway management, mechanical ventilation or non-invasive ventilation, vasopressor therapy, transfusion, renal replacement therapy, or cardiopulmonary resuscitation.
| Day 1 |
| Center-level organizational characteristics | Description of resuscitation room organizational characteristics, including material resources, human resources, and availability of critical care equipment. | Baseline (during study period) |
| Physiological severity at resuscitation room admission-part 1 | Blood pressure at admission | Baseline |
| Physiological severity at resuscitation room admission-part 2 | Heart rate at admission | Baseline |
| Physiological severity at resuscitation room admission-part 3 | Respiratory rate at admission | Baseline |
| Physiological severity at resuscitation room admission-part 4 | Pulsed oxygen saturation at admission | Baseline |
| Physiological severity at resuscitation room admission-part 5 | Temperature at admission | Baseline |
| Physiological severity at resuscitation room admission-part 6 | Glasgow Coma Scale at admission | Baseline |
| Physiological severity at resuscitation room admission-part 7 | Capillary blood glucose at admission | Baseline |
| Physiological severity at resuscitation room admission-part 8 | Capillary blood glucose at admission | Baseline |
Proportion of patients receiving at least one blood product transfusion during resuscitation room management.
| Day 1 |
| Specialist consultation in the resuscitation room | Proportion of patients requiring at least one specialist consultation during resuscitation room management. | Day 1 |
| ID | Term |
|---|---|
| D016638 | Critical Illness |
| D012769 | Shock |
| D014947 | Wounds and Injuries |
| D012131 | Respiratory Insufficiency |
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
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