کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4282319 1611594 2007 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Trauma team activation: simplified criteria safely reduces overtriage
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Trauma team activation: simplified criteria safely reduces overtriage
چکیده انگلیسی

BackgroundOur current trauma triage system uses patient and scene variables within a 3-tiered trauma response system. Our purpose was to evaluate the accuracy of the current system and to identify the most reliable variables for trauma triage.MethodsThis was a retrospective review at a level II trauma center. Multivariate logistic regression was used to identify independent predictors of the need for any urgent emergency department procedure or operative intervention. The current triage system was analyzed and compared with a proposed simplified system.ResultsThere were 1495 consecutive trauma admissions identified, the majority (88%) were blunt mechanism. Urgent emergency department interventions were required in 11%, and 4% required emergent surgery. Logistic regression demonstrated that prehospital Glasgow Coma Score <14 (odds ratio [OR] 9.7), hypotension (OR 3.3), altered respiratory effort (OR 4.6), and penetrating truncal injury (OR 10.8) independently predicted the need for urgent intervention (all P < .01). The current system undertriaged only 1% but overtriaged 51% of patients. A simplified triage system using these 4 variables significantly decreased overtriage and reliably identified patients with severe injury.ConclusionsA simplified triage system using only highly predictive variables can safely decrease the high rate of overtriage of trauma patients.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 193, Issue 5, May 2007, Pages 630–635
نویسندگان
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