Study of Pre Hospital Management of Polytrauma Patients by Medical Teams From a Department in the Parisian Region

NCT07414186 | Not Yet Recruiting

• 1 other identifier: 2025/0016
• Study Type: observational
• Target: 400
• Locations: 1 country
• Sites: 1

Brief Summary

To study the impact of prehospital management duration by SMUR teams in the Essonne department (91) on early patient mortality (within 24 hours) and to analyze the procedures performed on scene. The study hypothesis is that all-cause in-hospital mortality may be associated with the duration of prehospital care, with either a beneficial impact related to the performance of life-saving interventions or a negative impact due to prolonged time to access definitive treatment. Identifying potential factors associated with prolonged prehospital management times could help define possible areas for improvement and future interventions.

Conditions

Traumatic Injuries; Prehospital Emergency Care; Early Mortality

Keywords

prehospital emergency care; emergency medical services; wounds and injuries; trauma severity; time-to-treatment; on-scene time; early mortality; in-hospital mortality; advanced life support; emergency medical procedures

Outcome Measures

Primary Outcomes (1)

• Mortality

  All-cause in-hospital mortality within 24 hours

  at day 0

Secondary Outcomes (1)

• Length of hospital stay and neurological outcome

  Up to one year

Study Arms (1)

Patients managed prehospital by a SMUR team from the Essonne department (91) and transported to a Le

Patients managed prehospital by a SMUR team from the Essonne department (91) and transported to a Level 1 trauma center according to the predefined inclusion criteria.

Eligibility Criteria

• Age: 15 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients managed prehospital by a SMUR team from the Essonne department (91) and transported to a Level 1 trauma center according to the predefined inclusion criteria

You may qualify if:

• Age ≥ 15 years (upper age limit for the pediatric population)
• Severe trauma, defined as any road traffic accident, defenestration, fall from a height greater than 3 meters, stab wound, or ballistic injury requiring medically supervised transport to one of the Level 1 trauma centers in the Île-de-France region
• Prehospital management provided by one of the SMUR teams in the Essonne department (91)

You may not qualify if:

• Patients declared dead at initial medical contact, without resuscitation initiated, or with resuscitation attempted and subsequently discontinued (non-return of spontaneous circulation)
• Secondary inter-hospital transfer from another hospital to a Level 1 trauma center
• Transport to a hospital for local computed tomography imaging only (without direct admission to a Level 1 trauma center)
• Cases regulated (dispatched) by emergency coordination centers other than the Essonne (91) medical dispatch center

Sponsors & Collaborators

• Centre Hospitalier Sud Francilien: lead

Study Sites (1)

Centre Hospitalier Sud Francilien

Corbeil-Essonnes, 91106, France

Location

MeSH Terms

Conditions

Wounds and Injuries

Study Officials

• Romain BARDELAY, MD

  Centre Hospitalier Sud Francilien

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Romain BARDELAY, MD

CONTACT

01 61 69 31 50; r.bardelay@gmail.com

Caroline TOURTE

CONTACT

01 61 69 31 50; caroline.tourte@chsf.fr

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 28, 2026
• First Posted: February 17, 2026
• Study Start: March 1, 2026
• Primary Completion (Estimated): December 31, 2026
• Study Completion (Estimated): December 31, 2026
• Last Updated: February 17, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)