Academic Journal
Evaluation of Prehospital Undertriage in Relation to Trauma Team Activation-Results from a Prospective Study in 12 Level one German Trauma Centers
| العنوان: | Evaluation of Prehospital Undertriage in Relation to Trauma Team Activation-Results from a Prospective Study in 12 Level one German Trauma Centers |
|---|---|
| المؤلفون: | Düsing, Helena, Hagebusch, Paul, Baacke, Markus, Bieler, Dan, Caspers, Michael, Clemens, Valentin, Fröhlich, Matthias, Hackenberg, Lisa, Hartensuer, Renè, Imach, Sebastian, Jensen, Kai Oliver, Keß, Annette, Kleber, Christian, Laue, Fabian, Lefering, Rolf, Maslauskas, Mindaugas, Matthes, Gerrit, Nohl, André, Özkurtul, Orkun, Paffrath, Thomas, Pedersen, Vera, Pfläging, Tristan, Sprengel, Kai, Störmann, Philipp, Trentzsch, Heiko, Waydhas, Christian, Schweigkofler, Uwe, Nis-Trauma TAcTIC Study Group |
| المصدر: | Düsing, Helena; Hagebusch, Paul; Baacke, Markus; Bieler, Dan; Caspers, Michael; Clemens, Valentin; Fröhlich, Matthias; Hackenberg, Lisa; Hartensuer, Renè; Imach, Sebastian; Jensen, Kai Oliver; Keß, Annette; Kleber, Christian; Laue, Fabian; Lefering, Rolf; Maslauskas, Mindaugas; Matthes, Gerrit; Nohl, André; Özkurtul, Orkun; Paffrath, Thomas; Pedersen, Vera; Pfläging, Tristan; Sprengel, Kai; Störmann, Philipp; Trentzsch, Heiko; Waydhas, Christian; Schweigkofler, Uwe; Nis-Trauma TAcTIC Study Group (2024). Evaluation of Prehospital Undertriage in Relation to Trauma Team Activation-Results from a Prospective Study in 12 Level one German Trauma Centers. Journal of Clinical Medicine, 13(6):1714. |
| بيانات النشر: | MDPI Publishing |
| سنة النشر: | 2024 |
| المجموعة: | University of Zurich (UZH): ZORA (Zurich Open Repository and Archive |
| مصطلحات موضوعية: | Department of Trauma Surgery, 610 Medicine & health |
| الوصف: | Background/Objective: This prospective, multicenter observational cohort study was carried out in 12 trauma centers in Germany and Switzerland. Its purpose was to evaluate the rate of undertriage, as well as potential consequences, and relate these with different Trauma Team Activation Protocols (TTA-Protocols), as this has not been done before in Germany. Methods: Each trauma center collected the data during a three-month period between December 2019 and February 2021. All 12 participating hospitals are certified as supra-regional trauma centers. Here, we report a subgroup analysis of undertriaged patients. Those included in the study were all consecutive adult patients (age ≥ 18 years) with acute trauma admitted to the emergency department of one of the participating hospitals by the prehospital emergency medical service (EMS) within 6 h after trauma. The data contained information on age, sex, trauma mechanism, pre- and in-hospital physiology, emergency interventions, emergency surgical interventions, intensive care unit (ICU) stay, and death within 48 h. Trauma team activation (TTA) was initiated by the emergency medical services. This should follow the national guidelines for severe trauma using established field triage criteria. We used various denominators, such as ISS, and criteria for the appropriateness of TTA to evaluate the undertriage in four groups. Results: This study included a total of 3754 patients. The average injury severity score was 5.1 points, and 7.0% of cases (n = 261) presented with an injury severity score (ISS) of 16+. TTA was initiated for a total of 974 (26%) patients. In group 1, we evaluated how successful the actual practice in the EMS was in identifying patients with ISS 16+. The undertriage rate was 15.3%, but mortality was lower in the undertriage cohort compared to those with a TTA (5% vs. 10%). In group 2, we evaluated the actual practice of EMS in terms of identifying patients meeting the appropriateness of TTA criteria; this showed a higher undertriage rate of 35.9%, but ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 2077-0383 |
| Relation: | https://www.zora.uzh.ch/id/eprint/258982/1/2024_Dusing_J_Clin_Med_Evaluation_of_Prehospital_Undertriage_in_Relation_to_Trauma.pdf; info:pmid/38541939; urn:issn:2077-0383 |
| DOI: | 10.3390/jcm13061714 |
| الاتاحة: | https://www.zora.uzh.ch/id/eprint/258982/ https://www.zora.uzh.ch/id/eprint/258982/1/2024_Dusing_J_Clin_Med_Evaluation_of_Prehospital_Undertriage_in_Relation_to_Trauma.pdf https://doi.org/10.3390/jcm13061714 |
| Rights: | info:eu-repo/semantics/openAccess ; Creative Commons: Attribution 4.0 International (CC BY 4.0) ; http://creativecommons.org/licenses/by/4.0/ |
| رقم الانضمام: | edsbas.581FB18E |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 20770383 |
|---|---|
| DOI: | 10.3390/jcm13061714 |