SynthesisEuropean geriatric medicine2021
Under-triage of older trauma patients in prehospital care: a systematic review.
Synthesis in European geriatric medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.
- Guidelines for Enhanced Recovery After Trauma and Intensive Care (ERATIC): Enhanced Recovery After Surgery (ERAS) and International Association for Trauma Surgery and Intensive Care (IATSIC) Society Recommendations: Part 3: Trauma Ethics and Systems Aspects.World journal of surgery · 2025Guideline
- Subgroup Differences in Agreement Between an Algorithm Guided Large Language Model and Routine Emergency Department Triage.Medical science monitor : international medical journal of experimental and clinical research · 2026Article
- Trauma as a critical condition in the very old: assessment, care pathways and outcome differences.European geriatric medicine · 2026Review
- Validation of the 2022 German trauma team activation criteria: a national registry study with focus on geriatric-specific modifiers.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Women With Low Falls Are Less Likely To Be Admitted to a Specialist Trauma Unit: A Single Centre Observational Study of Older Adults.ANZ journal of surgery · 2026Observational
- Criteria for the qualification of geriatric patients to the trauma center.World journal of emergency surgery : WJES · 2026Article
- Chinese expert consensus on the prehospital management of major trauma.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Article
- Frailty Alerts Reduce Waiting Time and Length of Stay in the Emergency Department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Observational
- Trauma-related mortality in a European region with an intermediately mature trauma system: a comprehensive population-based analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Observational
- Evaluating the real-world utility of four physiological scores for prehospital interventions in resource-limited EMS systems: a population-based study of 15,720 cases.BMC health services research · 2026Article
- Impact of Different DOACs on Complications of TBI After Low-Energy Trauma.Journal of clinical medicine · 2025Article
- Patient and mission characteristics of helicopter emergency medical services in the Republic of Ireland: a retrospective analysis.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Undertriage in geriatric trauma: insights from a multicentre cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Observational
- Enhancing emergency department triage for older patients: a prospective study on the integration of the identification of seniors at risk.BMC emergency medicine · 2025Observational
- Redefining Trauma Triage for Elderly Adults: Development of Age-Specific Guidelines for Improved Patient Outcomes Based on a Machine-Learning Algorithm.Medicina (Kaunas, Lithuania) · 2025Article
- Low falls and inpatient complications increase risk for longer length of stay in older persons admitted following trauma.BMC geriatrics · 2025Article
- Optimising prehospital trauma triage for older adults: challenges, limitations, and future directions.Frontiers in medicine · 2025Review
- Delays and Discrepancies in the Care of Older Injured Patients Across the United Kingdom: A Cohort Study.Cureus · 2025Article
- Article
- Helicopter emergency medical services demonstrate reduced time to emergency anaesthesia in an undifferentiated trauma population: a retrospective observational analysis across three major trauma networks.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Observational
Corrections and comments
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Authors and funding
3 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt is argued that many older trauma patients are under-triaged in prehospital care which may adversely affect their outcomes. This systematic review aimed to assess prehospital under-triage rates for older trauma patients, the accuracy of the triage criteria, and the impact of prehospital triage decisions on outcomes.
methodsA computerised literature search using MEDLINE, Scopus, and CINHAL databases was conducted for studies published between 1966 and 2021 using a list of predetermined index terms and their associated alternatives. Studies which met the inclusion criteria were included and critiqued using the Critical Appraisal Skills Programme tool. Due to the heterogeneity of the included studies, narrative synthesis was used in this systematic review.
resultsOf the 280 identified studies, 23 met the inclusion criteria. Current trauma triage guidelines have poor sensitivity to identify major trauma and the need for TC care for older adults. Although modified triage tools for this population have improved sensitivity, they showed significantly decreased specificity or were not applied to all older people. The issue of low rates of TC transport for positively triaged older patients is not well understood. Furthermore, the benefits of TC treatment for older patients remain uncertain.
conclusionsThis systematic review showed that under-triage is an ongoing issue for older trauma patients in prehospital care and its impact on their outcomes is still uncertain. Further high-quality prospective research is needed to assess the accuracy of prehospital triage criteria, the factors other than the triage criteria that affect transport decisions, and the impact of under-triage on outcomes.
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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.