SynthesisWorld journal of emergency surgery : WJES2021
Accuracy of pre-hospital triage tools for major trauma: a systematic review with meta-analysis and net clinical benefit.
Synthesis in World journal of emergency surgery : WJES, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled 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.
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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
26 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Substantial heterogeneity in trauma triage tool characteristic operationalization for identification of major trauma: a hybrid systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Pooled it
- Pediatric vs Adult or Mixed Trauma Centers in Children Admitted to Hospitals Following Trauma: A Systematic Review and Meta-Analysis.JAMA network open · 2023Pooled it
- Impact of a comprehensive trauma pathway on workflow and clinical processes in a level III trauma center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- A multi-national observational study on the concordance between the translational triage tool and routine prehospital triage.Scientific reports · 2026Observational
- Interleukin-6 to identify mildly injured patients in the trauma resuscitation room - a clinical feasibility study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Article
- Accuracy of Medically Experienced Emergency Dispatchers - A Unique Nationwide Model.Open access emergency medicine : OAEM · 2026Article
- On-scene predictors of injury severity, deterioration, and death following road injury: a systematic scoping review of information available to responders and its use in triage tools.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Evaluating Trauma Scores for Mortality Prediction in Pediatric Patients.Turkish archives of pediatrics · 2025Article
- Article
- Predictive performance of prehospital trauma triage tools for resuscitative interventions within 24 hours in high-risk or life-threatening prehospital trauma patients.BMC emergency medicine · 2025Article
- Feasibility and diagnostic accuracy of fast whole-body MRI in slightly to moderately injured trauma patients.European radiology · 2025Article
- 'Endless variation on a theme': a document analysis of international and UK major trauma triage tools.British paramedic journal · 2024Article
- Article
- 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
- 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
- Enhancing Performance of the National Field Triage Guidelines Using Machine Learning: Development of a Prehospital Triage Model to Predict Severe Trauma.Journal of medical Internet research · 2024Article
- Cutoff of the reverse shock index multiplied by the Glasgow coma scale for predicting in-hospital mortality in adult patients with trauma: a retrospective cohort study.BMC emergency medicine · 2024Article
- Prospective validation of a hospital triage predictive model to decrease undertriage: an EAST multicenter study.Trauma surgery & acute care open · 2024Article
- Adherence to the transfer recommendations of the German Trauma Society in severely injured children: a retrospective study from the TraumaRegister DGU.Scientific reports · 2023Article
Corrections and comments
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Authors and funding
18 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe conducted a systematic review to evaluate and compare the accuracy of pre-hospital triage tools for major trauma in the context of the development of the Italian National Institute of Health guidelines on major trauma integrated management.
methodsPubMed, Embase, and CENTRAL were searched up to November 2019 for studies investigating pre-hospital triage tools. The ROC (receiver operating characteristics) curve and net clinical benefit for all selected triage tools were performed. Quality assessment was performed using the Quality Assessment of Diagnostic Accuracy Studies-2. Certainty of the evidence was judged with the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.
resultsWe found 15 observational studies of 13 triage tools for adults and 11 for children. In adults, according to the ROC curve and the net clinical benefit, the most reliable tool was the Northern French Alps Trauma System (TRENAU), adopting injury severity score (ISS) > 15 as reference (sensitivity (Sn), 0.92; specificity (Sp), 0.41; 1 study; sample size, 2572; high certainty of the evidence). When mortality as reference was considered, the pre-hospital triage tool with the best net clinical benefit trajectory was the New Trauma Score (NTS) < 18 (Sn, 0.82; Sp, 0.86; 1 study; sample size, 1001; moderate certainty of the evidence). In children, high variability among all triage tools for sensitivity and specificity was found.
conclusionSensitivity and specificity varied across all available pre-hospital trauma triage tools. TRENAU and NTS are the best accurate triage tools for adults, whereas in the pediatric area a large variability prevents any firm conclusion.
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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.