Evidence map›Paper›PMID 29468262›Full record

GuidelineWorld journal of surgery2018

A Consensus-Based Criterion Standard for the Requirement of a Trauma Team.

Christian Waydhas, Markus Baake, Lars Becker, Boris Buck, Helena Düsing, Björn Heindl, Kai Oliver Jensen, Rolf Lefering, Carsten Mand, T Paffrath and 5 more

Abstract readConsensus StatementPractice Guideline
PubMed Publisher
In one paragraph

Guideline in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. 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 · 2023
    Pooled it
  2. Observational
  3. Article
  4. Article
  5. The influence of socioeconomic status on pre-hospital triage in the Netherlands; a multi-center cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  6. Pediatric trauma management in Switzerland: insights from a nationwide survey.Clinical and experimental emergency medicine · 2025
    Article
  7. Undertriage in geriatric trauma: insights from a multicentre cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Observational
  8. Prospective observation and merging of motor vehicle accident data with patient treatment data - First-time data merging for the TR-DGUEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  9. Article
  10. Article
  11. [Trauma team activation-Who should be alerted for which patients?]Unfallchirurgie (Heidelberg, Germany) · 2023
    Review
  12. Article
  13. Article
  14. 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 · 2022
    Article
  15. Survey on worldwide trauma team activation requirement.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
    Article
  16. Article
  17. Article
  18. Trauma center need: the American College of Surgeons' definition in contrast to Swiss highly specialized medicine regulations-a Swiss trauma center perspective.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Christian WaydhasKlinik und Poliklinik für Chirurgie, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil Bochum, Bürkle-de-la-Camp-Platz 1, 44789, Bochum, Germany. christian.waydhas@bergmannsheil.de.
Markus BaakeUnfall- und Wiederherstellungschirurgie, Krankenhaus der Barmherzigen Brüder, Nordallee 1, 54292, Trier, Germany.
Lars BeckerKlinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Essen, Hufelandstraße 55, 45147, Essen, Germany.
Boris BuckKlinikum der Universität München, Campus Großhadern, Zentrale Notaufnahme, Marchioninistraße 15, 81377, Munich, Germany.
Helena DüsingKlinik und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstraße 1, 48149, Münster, Germany.
Björn HeindlKlinik für Unfallchirurgie, Orthopädie und Handchirurgie, Städt. Klinikum Solingen, Gotenstr. 1, 42653, Solingen, Germany.
Kai Oliver JensenKlinik für Traumatologie, UniversitätsSpital Zürich, Rämistrasse 100, 8091, Zurich, Switzerland.
Rolf LeferingInstitute for Research in Operative Medicine (IFOM), Witten/Herdecke University, Ostmerheimer Strasse 200, 51109, Cologne, Germany.
Carsten MandStandort Marburg, Zentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Gießen und Marburg GmbH, Baldingerstr., 35043, Marburg, Germany.
T PaffrathKlinik für Unfallchirurgie, Orthopädie & Sporttraumatologie, Kliniken der Stadt Köln, Klinikum der Privaten, Universität Witten/Herdecke, Ostmerheimer Str. 200, 51109, Cologne, Germany.
Uwe SchweigkoflerUnfallchirurgie und Orthopädische Chirurgie, BG Unfallklinik Frankfurt am Main gGmbH, Friedberger Landstrasse 430, 60389, Frankfurt am Main, Germany.
Kai SprengelKlinik für Traumatologie, UniversitätsSpital Zürich, Rämistrasse 100, 8091, Zurich, Switzerland.
Heiko TrentzschInstitut für Notfallmedizin und Medizinmanagement - INM, Klinikum der Universität München, Schillerstr. 53, 80336, Munich, Germany.
Bernd WohlrathAbteilung für Unfallchirurgie und Orthopädische Chirurgie, BG Unfallklinik Frankfurt am Main gGmbH, Friedberger Landstraße 430, 60389, Frankfurt am Main, Germany.
Dan BielerKlinik für Unfallchirurgie und Orthopädie, Wiederherstellungs- und Handchirurgie, Verbrennungsmedizin, Bundeswehrzentralkrankenhaus Koblenz, Rübenacher Strasse 170, 56072, Koblenz, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrauma team activation (TTA) represents a considerable expenditure of trauma centre resources. It is mainly triggered by field triage criteria. The overall quality of the criteria may be evaluated based on the rate of over- and undertriage. However, there is no gold standard that defines which adult patients truly require a trauma team. The objective of this study was to develop consensus-based criteria defining the necessity for a trauma team.

methodsA consensus group was formed by trauma specialists experienced in emergency and trauma care with a specific interest in field triage and having previously participated in guideline development. A literature search was conducted to identify criteria that have already been used or suggested. The initial list of criteria was discussed in two Delphi round and two consensus conferences. The entire process of discussion and voting was highly standardized and extensively documented, resulting in a final list of criteria.

resultsInitially 95 criteria were identified. This was subsequently reduced to 20 final criteria to appropriately indicate the requirement for attendance of a trauma team. The criteria address aspects related to injury severity, admission to an intensive care unit, death within 24 h, need for specified invasive procedures, need for surgical and/or interventional radiological procedures, and abnormal vital signs within a defined time period.

conclusionsThe selected criteria may be applied as a tool for research and quality control concerning TTA. However, future studies are necessary to further evaluate for possible redundancy in criteria that may allow for further reduction in criteria.

Indexed as

Health ResourcesHospitalizationHumansPatient Care TeamRadiology, InterventionalTrauma CentersTraumatologyTriageWounds and Injuries

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.