ArticleScandinavian journal of trauma, resuscitation and emergency medicine2016
Evaluation of a trauma team activation protocol revision: a prospective cohort study.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Criteria for trauma team activation and staffing requirements for the management of patients with (suspected) multiple and/or severe injuries in the resuscitation room- a systematic review and clinical practice guideline update.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Pooled it
- The potential of point-of-care diagnostics to optimise prehospital trauma triage: a systematic review of literature.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Pooled it
- 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
- Improving prediction accuracy of hospital arrival vital signs using a multi-output machine learning model: a retrospective study of JSAS-registry data.BMC emergency medicine · 2025Article
- Inter-rater Reliability of the Glasgow Coma Scale Between Triage and Resuscitation Nurses After Standardized Training.Journal of nursing management · 2025Observational
- [Analysis of a differentiated resuscitation room activation at a national trauma center].Unfallchirurgie (Heidelberg, Germany) · 2024Article
- Mortality Risk Factors of Severely Injured Polytrauma Patients (Prehospital Mortality Prediction Score).Journal of clinical medicine · 2023Article
- [Trauma team activation-Who should be alerted for which patients?]Unfallchirurgie (Heidelberg, Germany) · 2023Review
- Trauma triage criteria as predictors of severe injury - a Swedish multicenter cohort study.BMC emergency medicine · 2022Article
- [Measurability of the quality of care of the severely injured].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Review
- Application of trauma time axis management in the treatment of severe trauma patients.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2021Article
- Trauma team conformation in a war-influenced middle-income country in South America: is it possible?International journal of emergency medicine · 2020Article
- Undertriage in trauma: an ignored quality indicator?Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Article
- Clinical guided computer tomography decisions are advocated in potentially severely injured trauma patients: a one-year audit in a level 1 trauma Centre with long pre-hospital times.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Article
- Injury coding in a national trauma registry: a one-year validation audit in a level 1 trauma centre.BMC emergency medicine · 2019Article
- A quality-improvement approach to effective trauma team activationCanadian journal of surgery. Journal canadien de chirurgie · 2019Article
- Better compliance with triage criteria in trauma would reduce costs with maintained patient safety.European journal of emergency medicine : official journal of the European Society for Emergency Medicine · 2019Article
- Comparison of Fatal Injuries Resulting from Tractor and High Speed Motorcycle Accidents in Turkey: A Multicenter Study.Emergency medicine international · 2019Article
- [Optimization of criteria for activation of trauma teams : Avoidance of overtriage and undertriage].Der Unfallchirurg · 2018Article
- Undertriage of major trauma patients at a university hospital: a retrospective cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2018Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCorrect triage based on prehospital information contributes to a better outcome for potentially seriously injured patients. In 2011 we changed the trauma team activation (TTA) criteria in our center in order to improve the high over- and undertriage properties of the protocol. Five criteria that were unable to predict severe injury were removed. In the present study, we evaluated the protocol revision by comparing over- and undertriage in the former and present set of criteria.
methodsAll severely injured patients (Injury Severity Score (ISS) > 15) and all patients admitted with TTA in the period of 01.01.2013 - 31.12.2014 were included in the study. We defined overtriage as the fraction of patients with TTA when ISS ≤15 and undertriage as the fraction of patients without TTA when ISS > 15. We also evaluated triage with the occurrence of emergency procedures immediately after admission.
results324 patients were included, 164 patients had ISS>15, 287 were admitted with TTA. Over- and undertriage were 74 % and 28 % respectively. When we used emergency procedure as reference, the figures were 83 % and 15 % respectively. Undertriaged patients had significantly more neurosurgical injuries and were significantly more often transferred from an acute care hospital. DISCUSSION: Over- and undertriage are almost the same as before the criteria were revised, and higher thanrecommended levels.
conclusionsRevision of the TTA criteria has not improved triage, and further measures are necessary to achieveacceptable levels.
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