Trial reportThe British journal of surgery2012
Efficacy of a two-tiered trauma team activation protocol in a Norwegian trauma centre.
Trial report in The British journal of surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00876564 (Trauma System Evolution. A Quality Improvement Study of the Trauma System at Stavanger University Hospital, Norway.), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Trauma System Evolution. A Quality Improvement Study of the Trauma System at Stavanger University Hospital, Norway.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Consensus-Based Criterion Standard for the Requirement of a Trauma Team.World journal of surgery · 2018Guideline
- Evaluation of the trauma criteria from the Norwegian national trauma plan: an observational study from a regional trauma centre.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Observational
- Adult trauma centers in Poland: where do we stand?International journal of emergency medicine · 2025Article
- Adherence to national trauma triage criteria in Norway: a cross-sectional study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Observational
- Time Delay in Motor Vehicle Accident Arrival: A Critical Analysis of Trauma Team Activation.Cureus · 2024Article
- Severely injured patients: modern management strategies.EFORT open reviews · 2023Review
- Changing from a two-tiered to a one-tiered trauma team activation protocol: a before-after observational cohort study investigating the clinical impact of undertriage.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Elevated serum lactate levels and age are associated with an increased risk for severe injury in trauma team activation due to trauma mechanism.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- ISS alone, is not sufficient to correctly assign patients post hoc to trauma team requirement.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Trauma-team-activation in Germany: how do emergency service professionals use the activation due to trauma mechanism? Results from a nationwide survey.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Mortality of trauma patients treated at trauma centers compared to non-trauma centers in Sweden: a retrospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Review
- Is there a weekend effect on mortality rate and outcome for moderate and severe traumatic brain injury? A population-based, observational cohort study.Brain & spine · 2022Article
- Structured and Systematic Team and Procedure Training in Severe Trauma: Going from 'Zero to Hero' for a Time-Critical, Low-Volume Emergency Procedure Over Three Time Periods.World journal of surgery · 2021Observational
- Epidemiology of paediatric trauma in Norway: a single-trauma centre observational study.International journal of emergency medicine · 2019Article
- Validation of the Korean criteria for trauma team activation.Clinical and experimental emergency medicine · 2018Article
- Evaluating the ability of a trauma team activation tool to identify severe injury: a multicentre cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2018Observational
- Trauma facilities in Denmark - a nationwide cross-sectional benchmark study of facilities and trauma care organisation.Scandinavian journal of trauma, resuscitation and emergency medicine · 2018Observational
- A criteria-directed protocol for in-hospital triage of trauma patients.European journal of emergency medicine : official journal of the European Society for Emergency Medicine · 2018Article
- Evaluation of a trauma team activation protocol revision: a prospective cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2016Article
- Risk factors and mortality associated with undertriage at a level I safety-net trauma center: a retrospective study.Open access emergency medicine : OAEM · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA registry-based analysis revealed imprecise informal one-tiered trauma team activation (TTA) in a primary trauma centre. A two-tiered TTA protocol was introduced and analysed to examine its impact on triage precision and resource utilization.
methodsInterhospital transfers and patients admitted by non-healthcare personnel were excluded. Undertriage was defined as the fraction of major trauma victims (New Injury Severity Score over 15) admitted without TTA. Overtriage was the fraction of TTA without major trauma.
resultsOf 1812 patients, 768 had major trauma. Overall undertriage was reduced from 28·4 to 19·1 per cent (P < 0·001) after system revision. Overall overtriage increased from 61·5 to 71·6 per cent, whereas the mean number of skilled hours spent per overtriaged patient was reduced from 6·5 to 3·5 (P < 0·001) and the number of skilled hours spent per major trauma victim was reduced from 7·4 to 7·1 (P < 0·001). Increasing age increased risk for undertriage and decreased risk for overtriage. Falls increased risk for undertriage and decreased risk for overtriage, whereas motor vehicle-related accidents showed the opposite effects. Patients triaged to a prehospital response involving an anaesthetist had less chance of both undertriage and overtriage.
conclusionA two-tiered TTA protocol was associated with reduced undertriage and increased overtriage, while trauma team resource consumption was reduced. REGISTRATION NUMBER: NCT00876564 (http://www.clinicaltrials.gov).
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.