Prehospital Emergency Airway Research. (PhEAR)

PhEAR-Prehospital Emergency Airway Research.

The creation of an airway registry will allow an improvement in the quality of care, the safety of critically ill patients in pre-hospital situations, and a reduction in morbidity and mortality related to airway management.

Study Overview

• Status: Active, not recruiting
• Conditions: Airway Management; Emergency

Detailed Description

In the care of critically ill patients in prehospital emergency settings, advanced airway management (AAM) is essential to maintain airway patency and ensure adequate oxygenation and ventilation. In Andalusia, prehospital emergency teams are composed of a physician, a nurse, and an emergency medical technician (EMT), and they operate both ground units (advanced life support ambulances) and air units (medical helicopters).

AAM encompasses a wide range of processes, techniques, and complex decision-making interventions that can be key to favorable patient outcomes. However, if not performed correctly, these procedures can also lead to adverse events, poor prognosis, or preventable mortality.

The increasing complexity and technological sophistication of healthcare require health systems to improve and adapt in order to deliver safe, high-quality care, where continuity and an integrated vision of care are essential.

This comprehensive approach is made possible through the analysis of incidents recorded in registries, which play a key role in identifying failures in clinical practice and implementing new strategies to address them.

• Study Type: Observational
• Enrollment (Actual): 4300

Contacts and Locations

Study Locations

• Spain
  • Málaga, Spain, 29590
    • Centro de Emergencias Sanitarias 061 Andalucía

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

All patients attended by the 061 Emergency Teams of Andalusia, with an "Assistance" type of request, who underwent any of the following techniques: manual ventilation, orotracheal intubation, supraglottic device insertion, or cricothyroidotomy

Description

Inclusion Criteria:

• All patients attended by the 061 Emergency Teams of Andalusia, with an "Assistance" type of request, who underwent any of the following techniques: manual ventilation, orotracheal intubation, supraglottic device insertion, or cricothyroidotomy

Exclusion Criteria:

• interhospital transfers,
• patients who recieve this techniques before de emergency team arrives

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Calculate First-pass intubation success rate	Intubations performed on the first attempt divided by the total number of intubations	2 years

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Development and validation of an artificial intelligence-based predictive algorithm for prehospital difficult airway		2 years
Identify early and late complications in patients undergoing prehospital advanced airway management	early complications (during out-of-hospital assistance), late complications (within the first 28 days after hospital admission)	from admission until day 28 of hospitalization
calculate 28-day mortality	Number of patients with mortality within the first 28 days of hospital admission	from admission until day 28 of hospitalization
hospital length of stay	number of days of hospitalization	one year

Collaborators and Investigators

• Sponsor: Centro de Emergencias Sanitarias 061 Andalucía

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2025
• Primary Completion (Actual): July 12, 2025
• Study Completion (Estimated): December 31, 2026

Study Registration Dates

• First Submitted: September 30, 2025
• First Submitted That Met QC Criteria: December 4, 2025
• First Posted (Actual): December 17, 2025

Study Record Updates

• Last Update Posted (Actual): December 17, 2025
• Last Update Submitted That Met QC Criteria: December 4, 2025
• Last Verified: December 1, 2025

More Information

Terms related to this study

• Keywords: endotracheal intubation; critical care; emergency; airway management
• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Pathological Conditions, Signs and Symptoms; Emergencies
• Other Study ID Numbers: 2025_CES_061_REG_PHEAR_V1

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No