Abstract
It has been suggested that if triage criteria are to identify accurately patients with major trauma, not only physiologic status, but also anatomic site and injury mechanism must be assessed. This study examined the influence of physiologic, injury site, and injury mechanism criteria on the diagnosis of major trauma in 2, 057 trauma patients. Because the Trauma Score was found to be a highly specific indicator of major trauma (98.7%), the strategy adopted for isolating the factors that minimize inappropriate triage was to determine which, alone or in combination, are the most effective in identifying patients with major trauma among those with high Trauma Scores (> 12). Based on this analysis, a set of triage guidelines was developed. The application of these guidelines to the study population indicated an undertriage rate of 4.1 to 6.3% and an overtriage rate of 16.8 to 21.3%, depending on the definition of major trauma.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 305-311 |
| Number of pages | 7 |
| Journal | Journal of Trauma - Injury, Infection and Critical Care |
| Volume | 28 |
| Issue number | 3 |
| State | Published - 1988 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Critical Care and Intensive Care Medicine
- Surgery
Cite this
The utility of physiological status, injury site, and injury mechanism in identifying patients with major trauma. / Cottington, Eric M.; Young, Joseph C.; Shufflebarger, Charles; Kyes, Ford; Peterson, Frederick V.; Diamond, Daniel L.
In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 28, No. 3, 1988, p. 305-311.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The utility of physiological status, injury site, and injury mechanism in identifying patients with major trauma
AU - Cottington, Eric M.
AU - Young, Joseph C.
AU - Shufflebarger, Charles
AU - Kyes, Ford
AU - Peterson, Frederick V.
AU - Diamond, Daniel L.
PY - 1988
Y1 - 1988
N2 - It has been suggested that if triage criteria are to identify accurately patients with major trauma, not only physiologic status, but also anatomic site and injury mechanism must be assessed. This study examined the influence of physiologic, injury site, and injury mechanism criteria on the diagnosis of major trauma in 2, 057 trauma patients. Because the Trauma Score was found to be a highly specific indicator of major trauma (98.7%), the strategy adopted for isolating the factors that minimize inappropriate triage was to determine which, alone or in combination, are the most effective in identifying patients with major trauma among those with high Trauma Scores (> 12). Based on this analysis, a set of triage guidelines was developed. The application of these guidelines to the study population indicated an undertriage rate of 4.1 to 6.3% and an overtriage rate of 16.8 to 21.3%, depending on the definition of major trauma.
AB - It has been suggested that if triage criteria are to identify accurately patients with major trauma, not only physiologic status, but also anatomic site and injury mechanism must be assessed. This study examined the influence of physiologic, injury site, and injury mechanism criteria on the diagnosis of major trauma in 2, 057 trauma patients. Because the Trauma Score was found to be a highly specific indicator of major trauma (98.7%), the strategy adopted for isolating the factors that minimize inappropriate triage was to determine which, alone or in combination, are the most effective in identifying patients with major trauma among those with high Trauma Scores (> 12). Based on this analysis, a set of triage guidelines was developed. The application of these guidelines to the study population indicated an undertriage rate of 4.1 to 6.3% and an overtriage rate of 16.8 to 21.3%, depending on the definition of major trauma.
UR - http://www.scopus.com/inward/record.url?scp=0023916894&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0023916894&partnerID=8YFLogxK
M3 - Article
C2 - 3351989
AN - SCOPUS:0023916894
VL - 28
SP - 305
EP - 311
JO - Journal of Trauma and Acute Care Surgery
JF - Journal of Trauma and Acute Care Surgery
SN - 2163-0755
IS - 3
ER -