TeLePhone Respiratory (TeLePoR) score to assess the risk of immediate respiratory support through phone call for acute dyspnoea: a prospective cohort study
Abstract Background Acute dyspnea is a frequent cause to call the Emergency Medical Call Center (EMCC). The main challenge for EMCC dispatchers is to quickly identify patients that will require respiratory support in order to provide them with the most accurate prehospital response. Our main objecti...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-05-01
|
| Series: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13049-025-01405-3 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850273335322083328 |
|---|---|
| author | Frederic Balen François Saget Axel Benhamed Oussama-Ibrahim Boudjemline Lisa Girard Elisa Lescanne Pauline Mimouni Paul-Georges Reuter Sandrine Charpentier Nicolas Marjanovic |
| author_facet | Frederic Balen François Saget Axel Benhamed Oussama-Ibrahim Boudjemline Lisa Girard Elisa Lescanne Pauline Mimouni Paul-Georges Reuter Sandrine Charpentier Nicolas Marjanovic |
| author_sort | Frederic Balen |
| collection | DOAJ |
| description | Abstract Background Acute dyspnea is a frequent cause to call the Emergency Medical Call Center (EMCC). The main challenge for EMCC dispatchers is to quickly identify patients that will require respiratory support in order to provide them with the most accurate prehospital response. Our main objective was to derivate a score assessable during the first call to detect the most severe patients needing medical assistance. Methods This prospective observational cohort study was conducted in four different French EMCC from January 22nd to March 7th 2024. Patients over the age of 18 years old that called once the EMCC for acute dyspnea were included in our study. The primary endpoint was an immediate respiratory support requirement (i.e. high-flow oxygen, non-invasive ventilation or mechanical ventilation after intubation) before or at the Emergency Department Registration. Variables of interest to predict respiratory support were prospectively collected in each EMCC. A multivariate analysis by stepwise logistic regression was used to select variables associated with the primary endpoint and to create in the TeLePhon Respiratory Score (TeLePoR score). The TeLePoR score was compared to medical dispatcher intuition for predicting respiratory support. Results Six hundred and forty-nine patients were analyzed, including 49 (8%) that required immediate respiratory support. The risk factors included in the TeLePoR score were: altered ability to speak complete sentences (OR = 8.62; CI95% = [3.49–21.3]), abdominal respiration (OR = 2.42; CI95% = [1.23–4.76]), altered consciousness (OR = 2.05; CI95% = [0.90–4.65]) and self-report breathing discomfort > 7/10 (OR = 1.83; CI95% = [0.96–3.47]) respectively. Considering these factors, TeLePoR score presented a 0.810 AUC. Medical dispatcher intuition was not statistically superior to TelePoR score to predict immediate respiratory support (AUC = 0.836 vs. 0.810; p = 0.431). Conclusion TeLePoR score is a simple scoring system including 4 variables to predict immediate respiratory support in patients calling the EMCC for acute dyspnea. |
| format | Article |
| id | doaj-art-e926809e8ef545d1ba7c60f8aed0e83c |
| institution | OA Journals |
| issn | 1757-7241 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| spelling | doaj-art-e926809e8ef545d1ba7c60f8aed0e83c2025-08-20T01:51:31ZengBMCScandinavian Journal of Trauma, Resuscitation and Emergency Medicine1757-72412025-05-013311710.1186/s13049-025-01405-3TeLePhone Respiratory (TeLePoR) score to assess the risk of immediate respiratory support through phone call for acute dyspnoea: a prospective cohort studyFrederic Balen0François Saget1Axel Benhamed2Oussama-Ibrahim Boudjemline3Lisa Girard4Elisa Lescanne5Pauline Mimouni6Paul-Georges Reuter7Sandrine Charpentier8Nicolas Marjanovic9Emergency Department, Centre Hospitalier Universitaire de ToulouseUniv Rennes, CHU Rennes, SMUR / Urgences AdultesEmergency Department-SAMU69, Centre Hospitalier Universitaire Edouard-Herriot, Hospices Civils de LyonEmergency Department-SAMU69, Centre Hospitalier Universitaire Edouard-Herriot, Hospices Civils de LyonEmergency Department-SAMU69, Centre Hospitalier Universitaire Edouard-Herriot, Hospices Civils de LyonEmergency Department, Centre Hospitalier Universitaire de ToulouseCHU de PoitiersUniv Rennes, CHU Rennes, SMUR / Urgences AdultesEmergency Department, Centre Hospitalier Universitaire de ToulouseCHU de PoitiersAbstract Background Acute dyspnea is a frequent cause to call the Emergency Medical Call Center (EMCC). The main challenge for EMCC dispatchers is to quickly identify patients that will require respiratory support in order to provide them with the most accurate prehospital response. Our main objective was to derivate a score assessable during the first call to detect the most severe patients needing medical assistance. Methods This prospective observational cohort study was conducted in four different French EMCC from January 22nd to March 7th 2024. Patients over the age of 18 years old that called once the EMCC for acute dyspnea were included in our study. The primary endpoint was an immediate respiratory support requirement (i.e. high-flow oxygen, non-invasive ventilation or mechanical ventilation after intubation) before or at the Emergency Department Registration. Variables of interest to predict respiratory support were prospectively collected in each EMCC. A multivariate analysis by stepwise logistic regression was used to select variables associated with the primary endpoint and to create in the TeLePhon Respiratory Score (TeLePoR score). The TeLePoR score was compared to medical dispatcher intuition for predicting respiratory support. Results Six hundred and forty-nine patients were analyzed, including 49 (8%) that required immediate respiratory support. The risk factors included in the TeLePoR score were: altered ability to speak complete sentences (OR = 8.62; CI95% = [3.49–21.3]), abdominal respiration (OR = 2.42; CI95% = [1.23–4.76]), altered consciousness (OR = 2.05; CI95% = [0.90–4.65]) and self-report breathing discomfort > 7/10 (OR = 1.83; CI95% = [0.96–3.47]) respectively. Considering these factors, TeLePoR score presented a 0.810 AUC. Medical dispatcher intuition was not statistically superior to TelePoR score to predict immediate respiratory support (AUC = 0.836 vs. 0.810; p = 0.431). Conclusion TeLePoR score is a simple scoring system including 4 variables to predict immediate respiratory support in patients calling the EMCC for acute dyspnea.https://doi.org/10.1186/s13049-025-01405-3DyspneaTelephoneEmergency medical call centreRisk |
| spellingShingle | Frederic Balen François Saget Axel Benhamed Oussama-Ibrahim Boudjemline Lisa Girard Elisa Lescanne Pauline Mimouni Paul-Georges Reuter Sandrine Charpentier Nicolas Marjanovic TeLePhone Respiratory (TeLePoR) score to assess the risk of immediate respiratory support through phone call for acute dyspnoea: a prospective cohort study Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Dyspnea Telephone Emergency medical call centre Risk |
| title | TeLePhone Respiratory (TeLePoR) score to assess the risk of immediate respiratory support through phone call for acute dyspnoea: a prospective cohort study |
| title_full | TeLePhone Respiratory (TeLePoR) score to assess the risk of immediate respiratory support through phone call for acute dyspnoea: a prospective cohort study |
| title_fullStr | TeLePhone Respiratory (TeLePoR) score to assess the risk of immediate respiratory support through phone call for acute dyspnoea: a prospective cohort study |
| title_full_unstemmed | TeLePhone Respiratory (TeLePoR) score to assess the risk of immediate respiratory support through phone call for acute dyspnoea: a prospective cohort study |
| title_short | TeLePhone Respiratory (TeLePoR) score to assess the risk of immediate respiratory support through phone call for acute dyspnoea: a prospective cohort study |
| title_sort | telephone respiratory telepor score to assess the risk of immediate respiratory support through phone call for acute dyspnoea a prospective cohort study |
| topic | Dyspnea Telephone Emergency medical call centre Risk |
| url | https://doi.org/10.1186/s13049-025-01405-3 |
| work_keys_str_mv | AT fredericbalen telephonerespiratoryteleporscoretoassesstheriskofimmediaterespiratorysupportthroughphonecallforacutedyspnoeaaprospectivecohortstudy AT francoissaget telephonerespiratoryteleporscoretoassesstheriskofimmediaterespiratorysupportthroughphonecallforacutedyspnoeaaprospectivecohortstudy AT axelbenhamed telephonerespiratoryteleporscoretoassesstheriskofimmediaterespiratorysupportthroughphonecallforacutedyspnoeaaprospectivecohortstudy AT oussamaibrahimboudjemline telephonerespiratoryteleporscoretoassesstheriskofimmediaterespiratorysupportthroughphonecallforacutedyspnoeaaprospectivecohortstudy AT lisagirard telephonerespiratoryteleporscoretoassesstheriskofimmediaterespiratorysupportthroughphonecallforacutedyspnoeaaprospectivecohortstudy AT elisalescanne telephonerespiratoryteleporscoretoassesstheriskofimmediaterespiratorysupportthroughphonecallforacutedyspnoeaaprospectivecohortstudy AT paulinemimouni telephonerespiratoryteleporscoretoassesstheriskofimmediaterespiratorysupportthroughphonecallforacutedyspnoeaaprospectivecohortstudy AT paulgeorgesreuter telephonerespiratoryteleporscoretoassesstheriskofimmediaterespiratorysupportthroughphonecallforacutedyspnoeaaprospectivecohortstudy AT sandrinecharpentier telephonerespiratoryteleporscoretoassesstheriskofimmediaterespiratorysupportthroughphonecallforacutedyspnoeaaprospectivecohortstudy AT nicolasmarjanovic telephonerespiratoryteleporscoretoassesstheriskofimmediaterespiratorysupportthroughphonecallforacutedyspnoeaaprospectivecohortstudy |