ArticleScandinavian journal of trauma, resuscitation and emergency medicine2019
A prospective stepped wedge cohort evaluation of the new national trauma team activation criteria in Sweden - the TRAUMALERT study.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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The trial behind it
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Who cites it
14 citing papers in PubMed.
- Prehospital point-of-care lactate for identification of severe injury in trauma team-activated patients: a prospective multicenter cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Observational
- Trauma patients ≥ 65 years old constitute 40% of severely injured adult trauma patients in Sweden - a 10-year analysis of geriatric trauma prevalence.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- 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
- Adherence to national trauma triage criteria in Norway: a cross-sectional study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Observational
- Penetrating trauma on the rise- nine-year trends of severe trauma in Sweden.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Trauma team activation and triage of severely injured patients at one non-trauma-center hospital in Stockholm.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- Epidemiology of patients assessed for trauma by Swedish ambulance services: a retrospective registry study.BMC emergency medicine · 2024Article
- Validation of the Swedish Trauma Registry (SweTrau).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Severely injured patients: modern management strategies.EFORT open reviews · 2023Review
- Trauma Registry Data as a Policy-Making Tool: A Systematic Review on the Research Dimensions.Bulletin of emergency and trauma · 2022Review
- Trauma triage criteria as predictors of severe injury - a Swedish multicenter cohort study.BMC emergency medicine · 2022Article
- Mortality of trauma patients treated at trauma centers compared to non-trauma centers in Sweden: a retrospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Review
- Trauma-team-activation in Germany: how do emergency service professionals use the activation due to trauma mechanism? Results from a nationwide survey.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Vital and Clinical Signs Gathered Within the First Minutes After a Motorcycle Accident on a Racetrack: an Observational Study.Sports medicine - open · 2021Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundTrauma triage based on prehospital information facilitates correct allocation of in-hospital resources. The Swedish national two-tier trauma team activation (TTA) criteria were revised in 2016. The current study aimed to evaluate the safety and efficacy of the new criteria.
methodsFive centres covering trauma care for 1.2 million inhabitants registered all trauma patients prospectively in the Swedish trauma registry (SweTrau) prior to and after stepwise introduction of new TTA criteria within the cohort (a prospective stepped-wedge cohort study design; period August 2016-November 2017). Evaluation of full- and limited-TTA frequency, under- and overtriage were performed at equal duration before and after this change.
resultsThe centres registered 1948 patients, 1882 (96.6%) of which were included in the study. With new criteria, frequency of full-TTA was unchanged, while limited-TTA decreased with 46.3% (from 988 to 531). 30-day trauma mortality was unchanged. The overtriage was 107/150 (71.3%) with former criteria, and 104/144 (72.2%) with new criteria, p = 0.866. Undertriage was 50/1037 (4.8%) versus 39/551 (7.1%), p = 0.063. Undertriage was consistently > 20% in patients with fall injury. Among patients with Injury Severity Score (ISS) > 15, 50/93 (53.8%) did not initiate full-TTA with former, vs 39/79 (49.4%) with new criteria, p = 0.565. Age > 60-years was a risk factor for undertriage (OR 2.89, p < 0.001), while low fall injuries indicated a trend (OR 2.70, p = 0.051).
conclusionsThe newly implemented Swedish TTA criteria result in a reduction in limited TTA frequency, indicating an increased efficiency in use of resources. The over- and undertriage is unchanged compared to former criteria, thus upholding patient safety.
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