Which pre-hospital triage parameters indicate a need for immediate evaluation and treatment of severely injured patients in the resuscitation area? / (Record no. 12987)
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| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20210316114452.0 |
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| 007 - PHYSICAL DESCRIPTION FIXED FIELD--GENERAL INFORMATION | |
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| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 171219t2019 sp ||||| |||| 00| 0 spa | |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER | |
| International Standard Serial Number | 1863-9933 |
| 040 ## - CATALOGING SOURCE | |
| Transcribing agency | Salus Infirmorum |
| 245 00 - TITLE STATEMENT | |
| Title | Which pre-hospital triage parameters indicate a need for immediate evaluation and treatment of severely injured patients in the resuscitation area? / |
| Statement of responsibility, etc. | K. O. Jensen, R. Heyard,D. Schmitt, L. Mica, C. Ossendorf, H. P. Simmen, G. A. Wanner, C. M. L. Werner, L. Held, K. Sprengel |
| 500 ## - GENERAL NOTE | |
| General note | PDF en biblioteca |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE | |
| Bibliography, etc. note | Bibliografía: p.97-98<br/> |
| 520 8# - SUMMARY, ETC. | |
| Summary, etc. | Purpose To find ways to reduce the rate of over-triage without drastically increasing the rate of under-triage, we applied a<br/>current guideline and identified relevant pre-hospital triage predictors that indicate the need for immediate evaluation and<br/>treatment of severely injured patients in the resuscitation area.<br/>Methods Data for adult trauma patients admitted to our level-1 trauma centre in a one year period were collected. Outpatients<br/>were excluded. Correct triage for trauma team activation was identified for patients with an ISS or NISS ≥ 16 or the need<br/>for ICU treatment due to trauma sequelae. In this retrospective analysis, patients were assigned to trauma team activation<br/>according to the S3 guideline of the German Trauma Society. This assignment was compared to the actual need for activation as defined above. 13 potential predictors were retained. The relevance of the predictors was assessed and 14 models of<br/>interest were considered. The performance of these potential triage models to predict the need for trauma team activation<br/>was evaluated with leave-one-out cross-validated Brier and logarithmic scores.<br/>Results A total of 1934 inpatients ≥ 16 years were admitted to our trauma department (mean age 48 ± 22 years, 38%<br/>female). Sixty-nine per cent (n = 1341) were allocated to the emergency department and 31% (n = 593) were treated in the<br/>resuscitation room. The median ISS was 4 (IQR 7) points and the median NISS 4 (IQR 6) points. The mortality rate was<br/>3.5% (n = 67) corresponding to a standardized mortality ratio of 0.73. Under-triage occurred in 1.3% (26/1934) and overtriage in 18% (349/1934). A model with eight predictors was finally selected with under-triage rate of 3.3% (63/1934) and<br/>over-triage rate of 10.8% (204/1934).<br/>Conclusion The trauma team activation criteria could be reduced to eight predictors without losing its predictive performance.<br/>Non-relevant parameters such as EMS provider judgement, endotracheal intubation, suspected paralysis, the presence of<br/>burned body surface of > 20% and suspected fractures of two proximal long bones could be excluded for full trauma team<br/>activation. The fact that the emergency physicians did a better job in reducing under-triage compared to our final triage model<br/>suggests that other variables not present in the S3 guideline may be relevant for prediction. |
| 653 14 - INDEX TERM--UNCONTROLLED | |
| Uncontrolled term | Triage |
| 653 14 - INDEX TERM--UNCONTROLLED | |
| Uncontrolled term | Severely injured |
| 653 14 - INDEX TERM--UNCONTROLLED | |
| Uncontrolled term | Under-triage |
| 653 14 - INDEX TERM--UNCONTROLLED | |
| Uncontrolled term | Over-triage |
| 773 ## - HOST ITEM ENTRY | |
| Related parts | -- 2019, v. 45, n.1, p. 91-98 |
| Title | European Journal of Trauma and Emergency Surgery |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | Universal Decimal Classification |
| Koha item type | Artículo de revista |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Collection code | Home library | Current library | Date acquired | Total Checkouts | Full call number | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Universal Decimal Classification | Non-fiction | Repositorio Trabajos Fin de Grado y Máster, | Repositorio Trabajos Fin de Grado y Máster, | 20/11/2020 | PP | 5638 | 20/11/2020 | 20/11/2020 | Artículo de revista |