ArticleJournal of the American College of Surgeons2016
Prospective Validation of the National Field Triage Guidelines for Identifying Seriously Injured Persons.
Article in Journal of the American College of Surgeons, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.
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Who cites it
43 citing papers in PubMed, 1 synthesis or guideline pooled it.
- National guideline for the field triage of injured patients: Recommendations of the National Expert Panel on Field Triage, 2021.The journal of trauma and acute care surgery · 2022Guideline
- RapidNeuroGuide: an NLP-enhanced AI platform for digital headache triage and clinical decision support.BMC emergency medicine · 2026Article
- Article
- Therapeutic target of high fresh frozen plasma to red blood cell ratio in severe blunt trauma.Critical care (London, England) · 2025Article
- Biomarkers help identify critically injured patients with only moderate risk of severe injuries in trauma team activation.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- A Machine Learning Trauma Triage Model for Critical Care Transport.JAMA network open · 2025Article
- Words to live by: Using medic impressions to identify the need for prehospital lifesaving interventions.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Article
- System-Level Variability in Trauma Center Utilization for Seriously Injured Older Adults.The Journal of surgical research · 2025Article
- Enhancing Performance of the National Field Triage Guidelines Using Machine Learning: Development of a Prehospital Triage Model to Predict Severe Trauma.Journal of medical Internet research · 2024Article
- Assessing and Addressing Model Trustworthiness Trade-offs in Trauma Triage.International journal of artificial intelligence tools : architectures, languages, algorithms · 2024Article
- Massive transfusion protocol reactivation as a novel marker of physician team under-triage after injury.Transfusion · 2024Article
- Article
- Accuracy of Prehospital Triage of Adult Patients With Traumatic Injuries Following Implementation of a Trauma Triage Intervention.JAMA network open · 2023Article
- Accuracy and influencing factors of the Field Triage Decision Scheme for adult trauma patients at a level-1 trauma center in Korea.BMC emergency medicine · 2022Article
- Locating trauma centers considering patient safety.Health care management science · 2022Article
- A Prehospital Triage System to Detect Traumatic Intracranial Hemorrhage Using Machine Learning Algorithms.JAMA network open · 2022Article
- The impact of regionalized trauma care on the distribution of severely injured patients in the Netherlands.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Priority accuracy by dispatch centers and Emergency Medical Services professionals in trauma patients: a cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Observational
- Association of traumatic brain injury severity and time to definitive care in three low-middle-income European countries.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2022Article
- An economic evaluation of triage tools for patients with suspected severe injuries in England.BMC emergency medicine · 2022Article
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Authors and funding
18 authors.
Funding
Abstract
backgroundThe national field trauma triage guidelines have been widely implemented in US trauma systems, but never prospectively validated. We sought to prospectively validate the guidelines, as applied by out-of-hospital providers, for identifying high-risk trauma patients. STUDY
designThis was an out-of-hospital prospective cohort study from January 1, 2011 through December 31, 2011 with 44 Emergency Medical Services agencies in 7 counties in 2 states. We enrolled injured patients transported to 28 acute care hospitals, including 7 major trauma centers (Level I and II trauma hospitals) and 21 nontrauma hospitals. The primary exposure term was Emergency Medical Services' use of one or more field triage criteria in the national field triage guidelines. Outcomes included Injured Severity Score ≥16 (primary) and critical resource use within 24 hours of emergency department arrival (secondary).
resultsWe enrolled 53,487 injured children and adults transported by Emergency Medical Services to an acute care hospital, 17,633 of which were sampled for the primary analysis; 13.9% met field triage guidelines, 3.1% had Injury Severity Score ≥16, and 1.7% required early critical resources. The sensitivity and specificity of the field triage guidelines were 66.2% (95% CI, 60.2-71.7%) and 87.8% (95% CI, 87.7-88.0%) for Injury Severity Score ≥16 and 80.1% (95% CI, 65.8-89.4%) and 87.3% (95% CI 87.1-87.4%) for early critical resource use. Triage guideline sensitivity decreased with age, from 87.4% in children to 51.8% in older adults.
conclusionsThe national field triage guidelines are relatively insensitive for identifying seriously injured patients and patients requiring early critical interventions, particularly among older adults.
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