Evidence map›Paper›PMID 38058531›Full record

ArticleCureus2023

Resource Deployment in Response to Trauma Patients.

Thomas Matthews, Alexa LaScala, Theresa Tomkin, Lisa Gaeta, Karen Fitzgerald, Michele Solomita, Barbara Ragione, Taslima P Jahan, Saliha Pepic, Lillian Apurillo and 10 more

Abstract read
In one paragraph

Article in Cureus, 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
–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. 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

20 authors.

Thomas MatthewsNursing, Good Samaritan University Hospital, West Islip, USA.
Alexa LaScalaNursing, Good Samaritan University Hospital, West Islip, USA.
Theresa TomkinNursing, Good Samaritan University Hospital, West Islip, USA.
Lisa GaetaNursing, Good Samaritan University Hospital, West Islip, USA.
Karen FitzgeraldQuality Improvement, Good Samaritan University Hospital, West Islip, USA.
Michele SolomitaNursing Administration, Good Samaritan University Hospital, West Islip, USA.
Barbara RagioneQuality Improvement, Good Samaritan University Hospital, West Islip, USA.
Taslima P JahanResearch, City University of New York, New York, USA.
Saliha PepicResearch, City University of New York, New York, USA.
Lillian ApurilloResearch, Molloy University, Rockville Center, USA.
Victoria SiegelNursing Education, Molloy University, Rockville Center, USA.
Amy FrederickTrauma, Good Samaritan University Hospital, West Islip, USA.
Abenamar ArrillagaSurgical Critical Care, Good Samaritan University Hospital, West Islip, USA.
Lauren R KleinEmergency Medicine, Good Samaritan University Hospital, West Islip, USA.
John CuellarOrthopedic Surgery, Good Samaritan University Hospital, West Islip, USA.
Christopher RaioEmergency Medicine, Good Samaritan University Hospital, West Islip, USA.
Keri PentaNursing/Performance Improvement, Good Samaritan University Hospital, West Islip, USA.
Lauren RothburdTrauma, Good Samaritan University Hospital, West Islip, USA.
Sarah A EckardtData Scientist, Eckardt & Eckardt Consulting, LLC, St. James, USA.
Patricia EckardtNursing, Good Samaritan University Hospital, West Islip, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Variance in the deployment of the trauma team to the emergency department (ED) can result in patient treatment delays and excess burden on ED personnel. Characteristics of trauma patients, including mechanism of injury, injury type, and age, have been associated with differences in trauma resource deployment. Therefore, this retrospective, single-site study aimed to examine the deployment patterns of trauma resources, the characteristics of the trauma patients associated with levels of trauma resource deployment, and the deployment impact on ED workforce utilization and non-trauma ED patients. Methodology This was an investigator-initiated, single-institution, retrospective cohort study of all patients designated as a trauma response and admitted to a community hospital's ED from July 01, 2019, through July 01, 2022. Results Resource deployment for trauma patients varied by mechanism of injury (p < 0.001), injury type (p < 0.001), and patient age groups (p < 0.001). Specifically, there was a lower average trauma activation for geriatric trauma patients with a fall as a mechanism of injury compared to all younger patient groups with any mechanism of injury (F(5) = 234.49, p < 0.001). In the subsample, there was an average of 3.35 ED registered nurses (RNs) allocated to each trauma patient. Additionally, the ED RNs were temporarily reallocated from an average of 4.09 non-trauma patients to respond to trauma patients, despite over a third of the trauma patients in the subsample being the trauma patients being discharged home from the ED. Conclusions Trauma activation responses need to be standardized with a specific plan for geriatric fall patients to ensure efficient use of trauma and ED personnel resources.

Indexed as

emergency staff deploymentfalls traumageriatric traumatrauma activationtrauma deploymenttrauma team

Identifiers

PMID38058531
PMCPMC10697664

What OpenQuestion holds

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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.