Evidence map›Paper›PMID 30181768›Full record

ArticleWorld journal of emergency surgery : WJES2018

Introduction of a mass burn casualty triage system in a hospital during a powder explosion disaster: a retrospective cohort study.

Chip-Jin Ng, Shih-Hao You, I-Lin Wu, Yi-Ming Weng, Chung-Hsien Chaou, Cheng-Yu Chien, Chen-June Seak

Open access · goldAbstract read
In one paragraph

Article in World journal of emergency surgery : WJES, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.4field-weighted citation impact, top 12% of its field
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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Use of the Braden Scale to Predict Injury Severity in Mass Burn Casualties.Medical science monitor : international medical journal of experimental and clinical research · 2022
    Article
  3. Article
  4. Article
  5. Beyond lessons learned: Establishing longitudinal data collection to improve burn disaster response.Burns : journal of the International Society for Burn Injuries · 2020
    Article
  6. Journal of acute medicine · 2019
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Chip-Jin NgDepartment of Emergency Medicine, Chang Gung Memorial Hospital and Chang Gung University, Linko, Taiwan.
Shih-Hao YouDepartment of Emergency Medicine, Chang Gung Memorial Hospital and Chang Gung University, Linko, Taiwan.
I-Lin Wu2Department of Emergency, Taoyuan Armed Forces General Hospital, Taoyuan, Taiwan.
Yi-Ming WengDepartment of Emergency Medicine, Chang Gung Memorial Hospital and Chang Gung University, Linko, Taiwan.
Chung-Hsien ChaouDepartment of Emergency Medicine, Chang Gung Memorial Hospital and Chang Gung University, Linko, Taiwan.
Cheng-Yu ChienDepartment of Emergency Medicine, Ton-Yen General Hospital, Zhubei, Hsinchu County Taiwan.
Chen-June SeakDepartment of Emergency Medicine, Chang Gung Memorial Hospital and Chang Gung University, Linko, Taiwan.
Chang Gung University · TWLinkou Chang Gung Memorial Hospital · TWTaoyuan Armed Forces General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The triage system used during an actual mass burn casualty (MBC) incident is a major focus of concern. This study introduces a MBC triage system that was used by a burn center during an actual MBC incident following a powder explosion in New Taipei City, Taiwan. Methods: This study retrospectively analyzed data from patients who were sent to the study hospital during a MBC incident. The patient list was retrieved from a national online management system. A MBC triage system was developed at the study hospital using the following modifiers: consciousness, breathing, and burn size. Medical records were retrieved from electronic records for analysis. Patient outcomes consisted of emergency department (ED) disposition and intervention. Results: The patient population was predominantly female (56.3%), with an average age of 24.9 years. Mean burn sizes relative to the TBSA of triage level I, II, and III patients were 57.9%, 40.5%, and 8.7%, respectively. ICU length of stay differed markedly according to triage level (mean days for levels I vs II vs III: 57.9 vs 39.9 vs 2.5 days; Conclusions: The current MBC triage algorithm served as a good indicator of ED disposition but might have raised excessive immediate attention and had the potential to exhaust the available resources. These findings add to our knowledge of the MBC triage system and should help future researchers in adjusting the triage criteria to fit actual disasters.

Indexed as

Mass Casualty IncidentsAdultBurnsDisaster PlanningEmergency Medical ServicesExplosive AgentsFemaleHospitalsHumansMaleRetrospective StudiesTaiwanTriageExplosive AgentsBurnsExplosionsMass casualty incidentsOutcome assessmentTriage

Identifiers

PMID30181768
PMCPMC6114838
OpenAlexW2889528948

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.