Observational studyScandinavian journal of trauma, resuscitation and emergency medicine2018
Evaluating the ability of a trauma team activation tool to identify severe injury: a multicentre cohort study.
Observational study in Scandinavian journal of trauma, resuscitation and emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Accuracy of pre-hospital triage tools for major trauma: a systematic review with meta-analysis and net clinical benefit.World journal of emergency surgery : WJES · 2021Pooled 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
- Feasibility and diagnostic accuracy of fast whole-body MRI in slightly to moderately injured trauma patients.European radiology · 2025Article
- Adherence to national trauma triage criteria in Norway: a cross-sectional study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Observational
- Refining triage practices by predicting the need for emergent care following major trauma: the experience of a level 1 adult trauma center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- 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
- Isolated vehicle rollover is not an independent predictor of trauma injury severity.Journal of the American College of Emergency Physicians open · 2021Article
- Evaluating mechanism and severity of injuries among trauma patients admitted to Sina Hospital, the National Trauma Registry of Iran.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2021Article
- Undertriage in trauma: an ignored quality indicator?Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSensitive decision making tools should assist prehospital personnel in the triage of injured patients, identifying those who require immediate lifesaving interventions and safely reducing unnecessary under- and overtriage. In 2014 a new trauma team activation (TTA) tool was implemented in Central Norway. The overall objective of this study was to evaluate the ability of the new TTA tool to identify severe injury.
methodsThis was a multi-center observational cohort study with retrospective data analysis. All patients received by trauma teams at seven hospitals in Central Norway between 01.01.2015 to 31.12.2015 were included. Severe injury was defined as Injury Severity Score (ISS) > 15. Overtriage was defined as the rate of patients with TTA and ISS < 15, whilst patients with TTA and ISS > 15 were defined as correctly triaged.
resultsA total of 1141 patients were identified, of which 998 were eligible for triage criteria analysis. Median age was 35 years (IQR 20-58) and the male proportion was 67%. Mechanism of injury was predominantly blunt trauma (96%) with transport related accidents (62%) followed by falls (22%) the most common. Overall, median injury severity score (ISS) was low and severely injured patients (ISS > 15) comprised 13% of the cohort. Utility of specific TTA criteria were: physiology 20%, anatomical injury 21%, mechanism of injury (MOI) 53% and special causes 6%. Overtriage among all patients was 87%, and for those with physiologic criteria 66%, anatomical injury 82%, mechanism of injury 97% and special causes criteria 92%, respectively.
conclusionsSevere injury was infrequent and there was a substantial rate of overtriage. The ability of the TTA tool was relatively insensitive in identifying severe injury, but showed increased performance when utilizing physiologic and anatomical injury criteria. Many of the TTA mechanism of injury criteria might be considered for removal from the triage tool due to substantial rates of overtriage. This has relevance for the proposed development of national Norwegian TTA criteria.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.