Evidence map›Paper›PMID 38017553›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2023

The implication of a translational triage tool in mass casualty incidents: part three: a multinational study, using validated patient cards.

Amir Khorram-Manesh, Eric Carlström, Frederick M Burkle, Krzysztof Goniewicz, Lesley Gray, Amila Ratnayake, Roberto Faccincani, Dinesh Bagaria, Phatthranit Phattharapornjaroen, Mohammed A S Sultan and 4 more

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In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Amir Khorram-ManeshDepartment of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, 405 30, Gothenburg, Sweden. amir.khorram-manesh@surgery.gu.se.ORCID http://orcid.org/0000-0002-2734-5733
Eric CarlströmGothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska Academy, 413 45, Gothenburg, Sweden.
Frederick M BurkleWoodrow Wilson International Center for Scholars, Washington, DC, USA.
Krzysztof GoniewiczDepartment of Security, Polish Air Force University, Dęblin, Poland.
Lesley GrayDepartment of Primary Health Care & General Practice, University of Otago, Wellington, New Zealand.
Amila RatnayakeSri Lanka Army Hospital, Narahenpita, Colombo, 08, Sri Lanka.
Roberto FaccincaniEmergency Department, Humanitas Mater Domini, 210 53, Castellanza, Italy.
Dinesh BagariaDivision of Trauma Surgery & Critical Care, J.P.N. Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.
Phatthranit PhattharapornjaroenDepartment of Emergency Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 10400, Bangkok, Thailand.
Mohammed A S SultanEmergency Department, King Khalid Hospital, Narjan, Saudi Arabia.
Carl MontánKarolinska MRMID-International Association for Medical Response to Major Incidents, Stockholm, Sweden.
Johan NordlingGothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska Academy, 413 45, Gothenburg, Sweden.
Shailly GuptaDivision of Trauma Surgery & Critical Care, J.P.N. Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.
Carl MagnussonGothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska Academy, 413 45, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMass casualty incidents (MCI) pose significant challenges to existing resources, entailing multiagency collaboration. Triage is a critical component in the management of MCIs, but the lack of a universally accepted triage system can hinder collaboration and lead to preventable loss of life. This multinational study uses validated patient cards (cases) based on real MCIs to evaluate the feasibility and effectiveness of a novel Translational Triage Tool (TTT) in primary triage assessment of mass casualty victims.

methodsUsing established triage systems versus TTT, 163 participants (1575 times) triaged five patient cases. The outcomes were statistically compared.

resultsTTT demonstrated similar sensitivity to the Sieve primary triage method and higher sensitivity than the START primary triage system. However, the TTT algorithm had a lower specificity compared to Sieve and higher over-triage rates. Nevertheless, the TTT algorithm demonstrated several advantages due to its straightforward design, such as rapid assessment, without the need for additional instrumental interventions, enabling the engagement of non-medical personnel.

conclusionsThe TTT algorithm is a promising and feasible primary triage tool for MCIs. The high number of over-triages potentially impacts resource allocation, but the absence of under-triages eliminates preventable deaths and enables the use of other personal resources. Further research involving larger participant samples, time efficiency assessments, and real-world scenarios is needed to fully assess the TTT algorithm's practicality and effectiveness in diverse multiagency and multinational contexts.

Indexed as

Disaster PlanningEmergency Medical ServicesMass Casualty IncidentsAlgorithmsHumansPalliative CareTriageDisasterFeasibilityMass casualtyPrimary triageTranslational triage tool

Identifiers

PMID38017553
PMCPMC10683288

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Registered trials

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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.