ArticleEuropean journal of emergency medicine : official journal of the European Society for Emergency Medicine2018
A criteria-directed protocol for in-hospital triage of trauma patients.
Article in European journal of emergency medicine : official journal of the European Society for Emergency Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 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
- MoMA: a mixture-of-multimodal-agents architecture for enhancing clinical prediction modelling.NPJ digital medicine · 2025Article
- From prediction to action: a retrospective observational study on the real-world implementation of Critical Interventions (CrIs), an AI-based clinical decision support system changing clinical behavior in the emergency department.BMC medical informatics and decision making · 2025Observational
- Limited Accuracy of Mechanism, Glasgow Coma Scale, Age, And Pressure (MGAP) in Polytraumatic Patients: A Cross-sectional Study :.Galen medical journal · 2025Article
- Machine learning-based prediction of mortality in pediatric trauma patients.Frontiers in pediatrics · 2025Article
- Exploring Saudi paramedics' experiences in managing adult trauma cases: a qualitative study.BMC emergency medicine · 2024Article
- Implementation of the WHO Standardized Emergency Unit Form: Trauma at Bashair Teaching Hospital.Cureus · 2024Article
- Trauma team activation and triage of severely injured patients at one non-trauma-center hospital in Stockholm.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- Automated stratification of trauma injury severity across multiple body regions using multi-modal, multi-class machine learning models.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Validation of the Swedish Trauma Registry (SweTrau).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Association between trauma triage and time-to-vaso-occlusive events in patients with sickle cell disease after traumatic injury: a retrospective study.Trauma surgery & acute care open · 2023Article
- Characteristics and outcome of traumatic cardiac arrest at a level 1 trauma centre over 10 years in Sweden.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Article
- Trauma triage criteria as predictors of severe injury - a Swedish multicenter cohort study.BMC emergency medicine · 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
- Transmediastinal penetrating trauma.Mediastinum (Hong Kong, China) · 2021Review
- Impact of gender on post- traumatic intensive care and outcomes.Scandinavian journal of trauma, resuscitation and emergency medicine · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo better match hospital resources to patients' needs of trauma care, a protocol for facilitating in-hospital triage decisions was implemented at a Swedish level I trauma centre. In the protocol, physiological parameters, anatomical injuries and mechanism of injury were documented, and used to activate full or limited trauma team response. The aim of this study was to evaluate the efficacy of the criteria-directed protocol to determine in-hospital trauma triage in an emergency department.
methodsLevel of triage and triage rates were compared before and after implementation of the protocol. Overtriage and undertriage were assessed with injury severity score higher than 15 as the cutoff for defining major trauma. Medical records for undertriaged patients were retrospectively reviewed.
resultsIn 2011, 78% of 1408 trauma team activations required full trauma response, with an overtriage rate of 74% and an undertriage rate of 7%. In 2013, after protocol implementation, 58% of 1466 trauma team activations required full trauma response. Overtriage was reduced to 52% and undertriage was increased to 10%. However, there were no preventable deaths in the undertriaged patients.
conclusionA criteria-directed protocol for use in the emergency department was efficient in reducing overtriage rates without risking undertriaged patients' safety.
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