ArticleScandinavian journal of trauma, resuscitation and emergency medicine2024
Trauma team activation and triage of severely injured patients at one non-trauma-center hospital in Stockholm.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Physician-staffed prehospital units for severely injured patients in the Stockholm trauma system - is there a survival benefit?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Evaluating performance and potential clinical benefit of the Swedish On Scene Injury Severity Prediction (OSISP) model for prehospital field triage on Norwegian trauma data.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Trauma patients ≥ 65 years old constitute 40% of severely injured adult trauma patients in Sweden - a 10-year analysis of geriatric trauma prevalence.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Development of a nomogram to predict in-hospital mortality of trauma patients in the ICU: an analysis of the MIMIC-IV database.Scientific reports · 2026Article
- Trends in low-energy mechanisms of injury at the regional trauma center in Stockholm, Sweden during 2014-2023.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
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5 authors.
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Abstract
backgroundIn 2017 the Swedish public insurance company Löf published national guidelines for in-hospital trauma team activation (TTA), which are now widely adopted in Sweden. No studies have examined triage accuracy at non-trauma-center hospitals in the Stockholm trauma system since the implementation of the new TTA criteria.
aimTo assess trauma triage accuracy at one non-trauma-center hospital in Stockholm.
methods3528 trauma patients treated at Södersjukhuset during 2019-2022 were acquired from the Swedish Trauma Registry (SweTrau) to calculate TTA triage accuracy. Undertriage was defined in accordance with national guidelines as patients with a New Injury Severity Score > 15 who did not prompt level 1 TTA on arrival to hospital.
resultsIn total there were 849 severely injured patients during the study period, of which 2.2% (n = 19) prompted TTA level 1, corresponding to an undertriage of 98% (n = 830). Of the 849 severely injured patients, 41% (n = 348) prompted TTA level 2 whereas the remaining 57% (n = 482) prompted no TTA on arrival to hospital. There were a total of 3046 patients prompting TTA during the study period, but only 19% (n = 19) of level 1 and 12% (n = 348) of level 2 patients were severely injured, and 45% had a NISS ≤ 3.
conclusionUndertriage of severely injured trauma patients was 98% according to the definition specified by Swedish trauma triage guidelines, higher than reasonably acceptable. There is considerable overtriage with non-severely injured patients prompting TTA. However, the suitability of using NISS > 15 to retrospectively define the need for TTA is debatable as this does not always correlate with the fulfillment of the TTA criteria. Further investigation of adherence to trauma triage guidelines in clinical practice may be of value to improve triage accuracy in organized regional trauma systems.
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