Evidence map›Paper›PMID 30571904›Full record

ArticleClinical and experimental emergency medicine2018

Validation of the Korean criteria for trauma team activation.

Minhyuk Bang, Yong Won Kim, Oh Hyun Kim, Kang Hyun Lee, Woo Jin Jung, Yong Sung Cha, Hyun Kim, Sung Oh Hwang, Kyoung-Chul Cha

Abstract read
In one paragraph

Article in Clinical and experimental emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Minhyuk BangDepartment of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
Yong Won KimDepartment of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
Oh Hyun KimDepartment of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
Kang Hyun LeeDepartment of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
Woo Jin JungDepartment of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
Yong Sung ChaDepartment of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
Hyun KimDepartment of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
Sung Oh HwangDepartment of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
Kyoung-Chul ChaDepartment of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe conducted a study to validate the effectiveness of the Korean criteria for trauma team activation (TTA) and compared its results with a two-tiered system.

methodsThis observational study was based on data from the Korean Trauma Data Bank. Within the study period, 1,628 trauma patients visited our emergency department, and 739 satisfied the criteria for TTA. The rates of overtriage and undertriage in the Korean one-tiered system were compared with the two-tiered system recommended by the American College of Surgery-Committee on Trauma.

resultsMost of the patient's physiologic factors reflected trauma severity levels, but anatomical factors and mechanism of injury did not show consistent results. In addition, while the rate of overtriage (64.4%) was above the recommended range according to the Korean criteria, the rate of undertriage (4.0%) was within the recommended range. In the simulated two-tiered system, the rate of overtriage was reduced by 5.5%, while undertriage was increased by 1.8% compared to the Korean activation system.

conclusionThe Korean criteria for TTA showed higher rates of overtriage and similar undertriage rates compared to the simulated two-tier system. Modification of the current criteria to a two-tier system with special considerations would be more effective for providing optimum patient care and medical resource utilization.

Indexed as

Patient care teamTrauma centersTriage

Identifiers

PMID30571904
PMCPMC6301863

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