Overtriage in trauma - What are the causes?

Acta Anaesthesiologica Scandinavica

Volumn 51, Issue 9, 2007, Pages 1178-1183

  Uleberg, O ^a   Vinjevoll, O P ^a   Eriksson, U ^a   Aadahl, P ^a   Skogvoll, E ^a  

^a TRONDHEIM UNIVERSITY HOSPITAL   (Norway)

Author keywords

Trauma; Trauma team activation; Triage

Indexed keywords

ADOLESCENT; AGED; ARTICLE; CHILD; CONTROLLED STUDY; CRANIOTOMY; EMERGENCY HEALTH SERVICE; EMERGENCY SURGERY; EMERGENCY WARD; FEMALE; HUMAN; INJURY; INJURY SCALE; INTENSIVE CARE UNIT; LAPAROTOMY; MAJOR CLINICAL STUDY; MALE; MEDICAL RESEARCH; MORTALITY; PRIORITY JOURNAL; THORACOTOMY;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CHILD; CHILD, PRESCHOOL; EMERGENCY MEDICAL SERVICES; FEMALE; HUMANS; INFANT; INJURY SEVERITY SCORE; LENGTH OF STAY; MALE; MIDDLE AGED; NORWAY; PATIENT ADMISSION; PATIENT CARE TEAM; PATIENT SELECTION; RETROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; TRIAGE; WOUNDS AND INJURIES;

EID: 34548580807     PISSN: 00015172     EISSN: 13996576     Source Type: Journal    
DOI: 10.1111/j.1399-6576.2007.01414.x     Document Type: Article

References (30)

1. Hansen KS. Need of a trauma system in Norway. Tidsskr Nor Laegeforen 2005 125 : 608 9.
2. Esposito TJ, Sanddal ND, Hansen JD, Reynolds S. Analysis of preventable trauma deaths and inappropriate trauma care in rural states. J Trauma 1995 39 : 955 62.
3. Gorman DF, Teanby DN, Sinha MP, Wotherspoon J, Boot DA, Molokhia A. Preventable deaths among major trauma patients in Mersey Region, North Wales and the Isle of Man. Injury 1996 27 : 189 92.
4. Maio RF, Burney RE, Gregor MA, Baranski MG. A study of preventable trauma mortality in rural Michigan. J Trauma 1996 41 : 83 90.
5. Liberman M, Mulder DS, Lavoie A, Sampalis JS. Implementation of a trauma care system: evolution through evaluation. J Trauma 2004 56 : 1330 5.
6. MacKenzie EJ, Rivara FP, Jurkovich GJ et al. A national evaluation of the effect of trauma-center care on mortality. N Engl J Med 2006 354 : 366 78.
7. Isaksen MI, Wisborg T, Brattebo G. Organisation of trauma services - major improvements over four years. Tidsskr Nor Laegeforen 2006 126 : 145 7.
8. Task force of the Committee on Trauma, American College of Surgeons. Resources for optimal care of the injured patient: an update. Bull Am Coll 1990 75 : 20 9.
9. Kruger AJ, Hesselberg N, Abrahamsen GT, Bartnes K. When should the trauma team be activated? Tidsskr Nor Laegeforen 2006 126 : 1335 7.
10. Wong K, Petchell J. Trauma teams in Australia: a national survey. Aust NZ J Surg 2003 73 : 819 25.
11. Henry MC, Alicandro JM, Hollander JE, Moldashel JG, Cassara G, Thode HC Jr. Evaluation of American College of Surgeons trauma triage criteria in a suburban and rural setting. Am J Emerg Med 1996 14 : 124 9.
12. Champion HR, Sacco WJ, Copes WS, Gann DS, Gennarelli TA, Flanagan ME. A revision of the trauma score. J Trauma 1989 29 : 623 9.
13. Baxt WG, Jones G, Fortlage D. The trauma triage rule: a new resource-based approach to the prehospital identification of major trauma victims. Ann Emerg Med 1990 19 : 1401 6.
14. Long WB, Bachulis BL, Hynes GD. Accuracy and relationship of mechanisms of injury, trauma scores, and injury severity scores in identifying major trauma. Am J Surg 1986 151 : 581 4.
15. Committee on Trauma of the American College of Surgeons. Resources for Optimal Care of the Injured 1993. Chicago, IL : American College of Surgeons, 1993.
16. Lossius HM, Langhelle A, Pillgram-Larsen J et al. Efficiency of activation of the trauma team in a Norwegian trauma referral centre. Eur J Surg 2000 166 : 760 4.
17. Lossius HM, Langhelle A, Soreide E et al. Reporting data following major trauma and analyzing factors associated with outcome using the new Utstein style recommendations. Resuscitation 2001 50 : 263 72.
18. Skaga NO, Eken T, Steen PA. Assessing quality of care in a trauma referral centre: benchmarking performance by TRISS-based statistics or by analysis of stratified ISS data. J Trauma 2006 60 : 538 47.
19. Nordseth T, Skogvoll E, Gisvold SE. Emergency in-hospital anaesthesia assistance. Tidsskr Nor Laegeforen 2005 125 : 3124 6.
20. Association for Automotive Medicine. The Abbreviated Injury Scale (AIS). 1990 Revision. Des Plaines, Illinois, US.
21. Champion HR, Copes WS, Sacco WJ et al. The Major Trauma Outcome Study: establishing national norms for trauma care. J Trauma 1990 30 : 1356 65.
22. R Development Core Team. R: A Language and Environment for Statistical Computing. Vienna : R Foundation for Statistical Computing, 2006. URL http://www.R-project.org accessed on 23 February 2007
23. Clemmesen ML, Rytter S, Birch K, Lindholt JS, Jensen SS, Troelsen S. Should high-energy traumas always result in a trauma team call? Ugeskr Laeger 2006 168 : 2916 20.
24. Simon BJ, Legere P, Emhoff T, Fallo VM, Garb J. Vehicular trauma triage by mechanism: avoidance of the unproductive evaluation. J Trauma 1994 37 : 645 9.
25. Shatney CH, Sensaki K. Trauma team activation for 'mechanism of injury' blunt trauma victims: time for a change? J Trauma 1994 37 : 275 82.
26. Baker SP, O'Neill B, Haddon W, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma 1974 14 : 187 96.
27. Baker SP, O'Neill B. The injury severity score: an update. J Trauma 1976 16 : 882 5.
28. Baxt WG, Berry CC, Epperson MD, Scalzitti V. The failure of prehospital trauma prediction rules to classify trauma patients accurately. Ann Emerg Med 1989 18 : 21 8.
29. Knopp R, Yanagi A, Kallsen G, Geide A, Doehring L. Mechanism of injury and anatomic injury as criteria for prehospital trauma triage. Ann Emerg Med 1988 17 : 55 62.
30. Lowe DK, Oh GR, Neely KW, Peterson CG. Evaluation of injury mechanism as a criterion in trauma triage. Am J Surg 1986 152 : 6 10.