Comparison of American guidelines for field triage and Polish criteria as qualification to a trauma center

Nowakowski, Jacek J.; Nowakowski, Rafał; Biliński, Przemysław; Nowak, Bogusława; Wojciechowski, Przemysław; Dworzyński, Michał; Golis-Gucwa, Marta; Timler, Wojciech; Timler, Małgorzata; Timler, Dariusz

doi:10.26444/aaem/100538

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…Cassignol et al evaluated a correlation between the French field triage criteria and the ISS at a trauma center in France [ 15 ]. Nowakowski et al compared the Polish qualification criteria for trauma centers to the CDC guidelines and argued that there was no difficulty in predicting outcomes in patients with an ISS of ≥ 15 despite the mechanism of injury not being considered in the Polish criteria [ 16 ]. Stephen et al introduced the Circulation, Respiration, Abdomen, Motor, Speech (CRAMS) scale and emphasized the need for a simpler scale with easier application at the scene [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Accuracy and influencing factors of the Field Triage Decision Scheme for adult trauma patients at a level-1 trauma center in Korea

et al. 2022

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Background We evaluated the accuracy of the prehospital Field Triage Decision Scheme, which has recently been applied in the Korean trauma system, and the factors associated with severe injury and prognosis at a regional trauma center in Korea. Methods From 2016 to 2018, prehospital data of injured patients were obtained from the emergency medical services of the national fire agency and matched with trauma outcomes at our institution. Severe injury (Injury Severity Score > 15), overtriage/undertriage rate, positive predictive value, negative predictive value, and accuracy were reviewed according to the triage protocol steps. A multivariate logistic regression analysis was performed to identify influencing factors in the field triage. Results Of the 2438 patients reviewed, 853 (35.0%) were severely injured. The protocol accuracy was as follows: step 1, 72.3%; step 2, 65.0%; step 3, 66.2%; step 1 or 2, 70.2%; and step 1, 2, or 3, 66.4%. Odds ratios (OR) (95% confidence interval [CIfor systolic blood pressure < 90 mmHg (3.535 [1.920–6.509]; p < 0.001), altered mental status (17.924 [8.980–35.777]; p < 0.001), and pedestrian injuries (2.473 [1.339–4.570], p = 0.04) were significantly associated with 24-h mortality. Penetrating torso injuries (7.108 [4.108–12.300]; p < 0.001); two or more proximal long bone fractures (4.134 [2.316–7.377]); p < 0.001); crushed, degloved, and mangled extremities (8.477 [4.068–17.663]; p < 0.001); amputation proximal to the wrist or ankle (42.964 [5.764–320.278]; p < 0.001); and fall from height (2.141 [1.497–3.062]; p < 0.001) were associated with 24-h surgical intervention. Conclusion The Korean field triage protocol is not yet accurate, with only some factors reflecting injury severity, making reevaluation necessary.

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Section: Discussionmentioning

confidence: 99%

Accuracy and influencing factors of the Field Triage Decision Scheme for adult trauma patients at a level-1 trauma center in Korea

et al. 2022

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Under-Triage and Over-Triage Using the Field Triage Guidelines for Injured Patients: A Systematic Review

Lupton

Davis-OʼReilly

Jungbauer

et al. 2022

Prehospital Emergency Care

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Comparison of American guidelines for field triage and Polish criteria as qualification to a trauma center

Abstract: Comparison of American guidelines for field triage and Polish criteria as qualification to a trauma center.

Cited by 2 publications

References 7 publications

Accuracy and influencing factors of the Field Triage Decision Scheme for adult trauma patients at a level-1 trauma center in Korea

Accuracy and influencing factors of the Field Triage Decision Scheme for adult trauma patients at a level-1 trauma center in Korea

Under-Triage and Over-Triage Using the Field Triage Guidelines for Injured Patients: A Systematic Review

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