SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2019
Determination of mis-triage in trauma patients: a systematic review.
Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- 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
- Triage Nurses' Perceptions of Patient Safety Errors During Triage in the Emergency Department: Qualitative Thematic Analysis Study.Healthcare (Basel, Switzerland) · 2026Article
- Developing and validating an artificial intelligence-based electronic triage model for predicting clinical outcomes among cardiac-suspected patients in the emergency department.European heart journal. Digital health · 2026Article
- Undertriage of Severe Geriatric Trauma Patients: Who Are We Missing?Yonsei medical journal · 2025Article
- The Suitability of the South African Triage Scale (SATS) in Triaging Patients With Penetrating Neck Injuries at a High-Level Trauma Center, in the Western Cape, South Africa.World journal of surgery · 2025Observational
- Effectiveness of a two-tiered trauma team activation system at a level I trauma center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Assessing and Addressing Model Trustworthiness Trade-offs in Trauma Triage.International journal of artificial intelligence tools : architectures, languages, algorithms · 2024Article
- Prospective validation of a hospital triage predictive model to decrease undertriage: an EAST multicenter study.Trauma surgery & acute care open · 2024Article
- Evaluation of Emergency Severity Index (ESI) triage quality by nurses and associated factors in Iran.Journal of education and health promotion · 2024Article
- Risk factors and mortality associated with undertriage after major trauma in a physician-led prehospital system: a retrospective multicentre cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Strategies to improve the quality of nurse triage in emergency departments: A realist review protocol.Nursing open · 2023Article
- Accuracy and influencing factors of the Field Triage Decision Scheme for adult trauma patients at a level-1 trauma center in Korea.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
- A Qualitative Assessment of Studies Evaluating the Classification Accuracy of Personnel Using START in Disaster Triage: A Scoping Review.Frontiers in public health · 2022Article
- Survey on worldwide trauma team activation requirement.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Vital and Clinical Signs Gathered Within the First Minutes After a Motorcycle Accident on a Racetrack: an Observational Study.Sports medicine - open · 2021Article
- Comments on "Triage Knowledge and Practice and Associated Factors Among Emergency Department Nurses".SAGE open nursingArticle
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMis-triage including undertriage and overtriage is associated with morbidity and mortality. It is not clear what the extent of mis-triage rates among traumatic patients is. The aim of this study is to determine of mis-triage (undertriage and overtriage) in traumatic patients.
methodsThis study was a systematic review about mis-triage rate among trauma patients. The following electronic databases were searched (Web of Knowledge, Scoups, PubMed, Cochrane library) from conception through February 1, 2018. Search terms included trauma, undertriage, and over-triage. Inclusion criteria were studies which report overtriage or undertriage rate in regard to triage of trauma patients; patients older than 18 years old, English-written papers. Irrelevant papers as well as conference abstract, letter, editorial, thesis and studies on special population were excluded. PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) Checklist was used to examine review process.
resultsTwenty-one papers were included in this study. Sample size ranged from 244 to 550683 trauma patients. Fourteen studies originated from USA. Definition of mis-triage was summarized into four categories: ISS used to define undertriage error, formula for mis-triage (1-sensitivity), need for life-saving emergency intervention and patients triaged to a non-trauma center. Undertriage rate ranged from 1 to 71.9% and overtriage rate ranged from 19 to 79%.
conclusionsThe standardization of mis-triage definitions is vital to estimate true rate of mis-triage among different studies and clarify the role of triage scales. The trauma triage scales need to be further developed to provide more valid and reliable results.
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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.