ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2017
Trauma team activation criteria in managing trauma patients at an emergency room in Thailand.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Thefeasibility, appropriateness, and applicability of trauma scoring systems in low and middle-income countries: a systematic review.Trauma surgery & acute care open · 2020Pooled it
- Trauma referral audit impact assessment on the outcomes of injured patients via an interrupted time-series analysis: an 11-year before-and-after study of trauma cases at the Maharaj Nakorn Chiang Mai hospital, Thailand.BMC emergency medicine · 2025Article
- Are we ready? Emergency unit capacity at selected district level hospitals in Lusaka Province, Zambia: Barriers and facilitators for improving trauma care: a mixed methods approach.PLOS global public health · 2025Article
- Failure to initiate trauma team activation for patients who meet the criteria in a level 1 paediatric trauma centre: which patients are missing out?ANZ journal of surgery · 2022Article
- Association of In-Hospital Mortality and Trauma Team Activation: A 10-Year Study.Diagnostics (Basel, Switzerland) · 2022Article
- [Increasing overhead ressources of the trauma room].Der Unfallchirurg · 2019Article
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Authors and funding
1 author at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundTrauma team activation (TTA) criteria were first implemented in the Emergency Department (ED) of Songklanagarind Hospital in 2009 to treat severe trauma patients. PURPOSE: To determine the efficacy of the TTA criteria on the acute trauma care process in the ED and the 28-day mortality rate.
methodsA 1-year prospective cohort study was conducted at the ED. Trauma patients who were 18 years old and over who met the TTA criteria were enrolled. Demographic data, physiologic parameters, ED length of stay (EDLOS), and the injury severity score (ISS) were recorded. Multiple logistic regression was used to determine the factors affecting 28-day mortality. Institutional review board approval was obtained from the Prince of Songkla University.
resultsA total of 80 patients (74 male and 6 female) were eligible with a mean age of 34.3 years old. Shock, penetrating torso injury, and pulse rate >120 beats per minute were the three most common criteria for trauma team consultation. At the ED, 9 patients (11.3 %) were non-survivors, 30 patients (37.5 %) needed immediate operation, and 41 patients (51.2 %) were admitted. All of the arrest patients died (p < 0.0001). The median time of EDLOS was 85 min: 68 min in the non-survivor group and 120 min in the survivor group (p = 0.028). The median ISS was 21.0 (1-75): 25.0 in the non-survivor group and 17.0 in the survivor group. When compared with pilot data prior to TTA implementation, the median time of EDLOS improved from 184 to 85 min and the 28-day mortality rate decreased from 66.7 to 46.3 %. The high ISS was a predictor of death.
conclusionThe trauma team activation criteria improved acute trauma care in the ED which was demonstrated by the decreased EDLOS and mortality rate. A high ISS is the sole parameter predicting mortality.
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