Evidence map›Paper›PMID 37156594›Full record

ArticleBMJ open2023

Profile and triage validity of trauma patients triaged green: a prospective cohort study from a secondary care hospital in India.

Aroke Anna Anthony, Rohini Dutta, Bhakti Sarang, Siddarth David, Gerard O'Reilly, Nakul P Raykar, Monty Khajanchi, Jonatan Attergrim, Kapil Dev Soni, Naveen Sharma and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 5 countries.

Aroke Anna AnthonyDoctors For You, Mumbai, India.ORCID 0000-0002-4680-5897
Rohini DuttaWorld Health Organization Collaborating Center for Research in Surgical Care Delivery in Low-and-Middle Income Countries, Mumbai, India.
Bhakti SarangWorld Health Organization Collaborating Center for Research in Surgical Care Delivery in Low-and-Middle Income Countries, Mumbai, India.
Siddarth DavidDepartment of Global Public Health, Karolinska Institutet, Solna, Sweden.
Gerard O'ReillyDepartment of Emergency Medicine, Monash University, Clayton, Victoria, Australia.
Nakul P RaykarDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0003-1825-7333
Monty KhajanchiDepartment of Surgery, Seth Gowardhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, India.
Jonatan AttergrimDepartment of Global Public Health, Karolinska Institutet, Solna, Sweden.ORCID 0000-0002-9546-5788
Kapil Dev SoniCritical Care, All India Institute of Medical Sciences, New Delhi, India.
Naveen SharmaDepartment of Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Monali MohanWorld Health Organization Collaborating Center for Research in Surgical Care Delivery in Low-and-Middle Income Countries, Mumbai, India.
Anita GadgilWorld Health Organization Collaborating Center for Research in Surgical Care Delivery in Low-and-Middle Income Countries, Mumbai, India.
Nobhojit RoyWorld Health Organization Collaborating Center for Research in Surgical Care Delivery in Low-and-Middle Income Countries, Mumbai, India.
Martin Gerdin WärnbergDepartment of Global Public Health, Karolinska Institutet, Solna, Sweden martin.gerdin@ki.se.ORCID 0000-0001-6069-4794
World Health Organization - Pakistan · PKKarolinska University Hospital · SEAll India Institute of Medical Sciences · INAll India Institute of Medical Sciences Jodhpur · INAustralian Regenerative Medicine Institute · AUBrigham and Women's Hospital · USKarolinska Institutet · SEKing Edward Memorial Hospital and Seth G.S. Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the profile of non-urgent patients triaged 'green', as part of a triage trial in the emergency department (ED) of a secondary care hospital in India. The secondary aim was to validate the triage trial with the South African Triage Score (SATS).

designProspective cohort study.

settingA secondary care hospital in Mumbai, India.

participantsPatients aged 18 years and above with a history of trauma defined as having any of the external causes of morbidity and mortality listed in block V01-Y36, chapter XX of the International Classification of Disease version 10 codebook, triaged green between July 2016 and November 2019. PRIMARY AND SECONDARY OUTCOME MEASURES: Outcome measures were mortality within 24 hours, 30 days and mistriage.

resultsWe included 4135 trauma patients triaged green. The mean age of patients was 32.8 (±13.1) years, and 77% were males. The median (IQR) length of stay of admitted patients was 3 (13) days. Half the patients had a mild Injury Severity Score (3-8), with the majority of injuries being blunt (98%). Of the patients triaged green by clinicians, three-quarters (74%) were undertriaged on validating with SATS. On telephonic follow-up, two patients were reported dead whereas one died while admitted in hospital.

conclusionsOur study highlights the need for implementation and evaluation of training in trauma triage systems that use physiological parameters, including pulse, systolic blood pressure and Glasgow Coma Scale, for the in-hospital first responders in the EDs.

Indexed as

Secondary Health CareTriageAdultEmergency Service, HospitalFemaleHospitalsHumansIndiaMaleMiddle AgedProspective StudiesRetrospective StudiesYoung Adultaccident & emergency medicinetrauma management

Identifiers

PMID37156594
PMCPMC10173999
OpenAlexW4375859234

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.