ArticleCritical care (London, England)2015
A regional trauma system to optimize the pre-hospital triage of trauma patients.
Article in Critical care (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06551350 (Retrospective Assessment of Referral of a Major Trauma Patient in Val-d'Oise), which is not on this map. Cited by 43 papers, 5 of them syntheses that pooled it.
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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.
Retrospective Assessment of Referral of a Major Trauma Patient in Val-d'Oise
Who cites it
43 citing papers in PubMed, 5 syntheses or guidelines pooled it, 131 citations in OpenAlex.
- The effectiveness of trauma care systems at different stages of development in reducing mortality: a systematic review and meta-analysis.World journal of emergency surgery : WJES · 2021Pooled it
- Accuracy of pre-hospital triage tools for major trauma: a systematic review with meta-analysis and net clinical benefit.World journal of emergency surgery : WJES · 2021Pooled it
- Practices in Triage and Transfer of Critically Ill Patients: A Qualitative Systematic Review of Selection Criteria.Critical care medicine · 2020Pooled it
- Determination of mis-triage in trauma patients: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019Pooled it
- A Consensus-Based Criterion Standard for the Requirement of a Trauma Team.World journal of surgery · 2018Guideline
- Impact of a comprehensive trauma pathway on workflow and clinical processes in a level III trauma center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Severe trauma care: advances and future directions in diagnostic and therapeutic techniques and information technology support.Medical review (2021) · 2026Article
- Sonorheometry to detect traumatic induced coagulopathy during initial management of trauma patients: an observational, multi-center study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Observational
- Injury patterns and predictors of surgical intervention in road traffic accident patients presenting to the emergency department.BMC emergency medicine · 2026Article
- Article
- On-scene predictors of injury severity, deterioration, and death following road injury: a systematic scoping review of information available to responders and its use in triage tools.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Can leukocyte count predict the presence of post-traumatic lesions on the WBCT in clinically stable severe trauma patients? A retrospective study.BMC emergency medicine · 2025Observational
- Comparison of machine learning and human prediction to identify trauma patients in need of hemorrhage control resuscitation (ShockMatrix study): a prospective observational study.The Lancet regional health. Europe · 2025Article
- The construction and application of a trauma limb salvage map in Shaanxi province.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Review
- The Norwegian national trauma registry: development process and essential data insights.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Prognosis of major trauma in patients older than 85 years admitted to the ICU, a registry-based study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Observational
- Frailty and 6-month trajectory of elderly trauma patients over the age of 65 years admitted to intensive care unit for severe trauma: experience of a level 1 trauma center.BMC geriatrics · 2024Observational
- Development and validation of the tic score for early detection of traumatic coagulopathy upon hospital admission: a cohort study.Critical care (London, England) · 2024Article
- Identifying Trauma Patients in Need for Emergency Surgery in the Prehospital Setting: The Prehospital Prediction of In-Hospital Emergency Treatment (PROPHET) Study.Journal of clinical medicine · 2023Article
- Relationship between systolic blood pressure and mortality in older vs younger trauma patients - a retrospective multicentre observational study.BMC emergency medicine · 2023Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPre-hospital triage is a key element in a trauma system that aims to admit patients to the most suitable trauma center, and may decrease intra-hospital mortality. We evaluated the performance of a pre-hospital procedure in a regional trauma system through measurements of the quality of pre-hospital medical assessment and the efficacy of a triage protocol.
methodsOur regional trauma system included 13 hospitals categorized as Level I, II or III trauma centers according to their technical facilities. Each patient was graded A, B or C by an emergency physician, according to the seriousness of their injuries at presentation on scene. The triage was performed according to this grading and the categorization of centers. This study is a registry analysis of a three-year period (2009 to 2011).
resultsOf the 3,428 studied patients, 2,572 were graded using the pre-hospital grading system (Graded group). The pre-hospital gradation was closely related with injury severity score (ISS) and intra-hospital mortality rate. The triage protocol had a sensitivity of 92% (95% confidence interval (CI) 90% to 93%) and a specificity of 41% (95% CI 39% to 44%) to predict adequate admission of patients with ISS more than 15. A total of 856 patients were not graded at the scene (Non-graded group). Undertriage rate was significantly reduced in the Graded group compared with the Non-graded group, with a relative risk of 0.47 (95% CI 0.40 to 0.56) according to the definition of the American College of Surgeons Committee on Trauma (P <0.001). Where adjusted for trauma severity, the expected mortality rate at discharge from hospital was higher than observed mortality, with a difference of +2.0% (95% CI 1.4 to 2.6%; P <0.01).
conclusionsImplementation of a regional trauma system with a pre-hospital triage procedure was effective in detecting severe trauma patients and in lowering the rate of pre-hospital undertriage. A beneficial effect on outcome of such an organization is suggested.
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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.