ArticleBMC emergency medicine2022
Trauma triage criteria as predictors of severe injury - a Swedish multicenter cohort study.
Article in BMC emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Paediatric trauma mortality at a level 1 trauma centre: a retrospective case series at Karolinska University Hospital, Stockholm.BMC pediatrics · 2026Article
- Clinical outcomes and opportunities for improvement across modified trauma quality improvement cohorts: a registry-based cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Lead times in the early management of traumatic brain injury: relation to geographic conditions and clinical outcomes in a nationwide Swedish registry study.Acta neurochirurgica · 2026Observational
- Factors affecting in-hospital mortality in hypotensive blunt trauma: a retrospective observational study.Journal of Yeungnam medical science · 2026Article
- Data completeness and quality of emergency triage in Ethiopian public tertiary hospitals: A multicenter study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025Article
- Adherence to national trauma triage criteria in Norway: a cross-sectional study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Observational
- The use of specific coordination behaviours to manage information processing and task distribution in real and simulated trauma teamwork: an observational 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
- Validation of the Swedish Trauma Registry (SweTrau).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
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7 authors.
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Abstract
backgroundAdequate performance of trauma team activation (TTA) criteria is important in order to accurately triage trauma patients. The Swedish National Trauma Triage Criteria (SNTTC) consists of 29 criteria that trigger either a Trauma Alert, the highest level of TTA, or a Trauma Response. This study aimed to evaluate the SNTTC and its accuracy in predicting a severely injured patient in a multicenter setting.
methodsA cohort study in Sweden involving six trauma receiving hospitals. Data was collected from the Swedish Trauma Registry. Some 626 patients were analyzed with regard to the specific criteria used to initiate the TTA, injury severity with New Injury Severity Score (NISS) and emergency interventions. Sensitivity, specificity, positive predictive value (PPV) and positive likelihood ratio (LR+) of the criteria were calculated, as well as undertriage and overtriage.
resultsAll 29 criteria of SNTTC had a sensitivity > 80% for identifying a severely injured patient. The 16 Trauma Alert Criteria had a lower sensitivity of 62.6% but higher LR+ (3.5 vs all criteria 1.4), specificity (82.3 vs 39.1%) and PPV (55.4 vs 37.6%) and the highest accuracy (AUC 0.724). When using only the six physiological criteria, sensitivity (44.8%) and accuracy (AUC 0.690) decreased while LR+ (6.7), specificity (93.3%) and PPV (70.2%) improved.
conclusionSNTTC is efficient in identifying severely injured patients. The current set of criteria exhibits the best sensitivity compared to other examined combinations and no additional criterion was found to improve the protocol enough to promote a change.
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