Evaluation of the trauma triage accuracy in a Level 1 Australian trauma centre

Trinder, Matthew; Wellman, Samuel W; Nasim, Sana; Weber, Dieter

doi:10.1111/1742-6723.13117

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…Compounding these issues is the ability of older adults to appear deceivingly uninjured with overt physiological derangement often absent (15). It is also known that these patients have a reduced likelihood of trauma centre transport (16)(17)(18)(19) and an increased likelihood of undertriage within hospital (20,21). Although the reduced odds of trauma centre transport are multi-faceted, treatment of older adults at non-major trauma centres is known to be associated with an increased likelihood of in-hospital mortality (16).…”

Section: Older Adultsmentioning

confidence: 99%

Major Trauma Patients are Not who you Might Think they Are: A Linked Data Study

Brown

Tohira

Bailey

et al. 2019

Australasian Journal of Paramedicine

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IntroductionMajor trauma patients are often perceived as being young males injured by high energy transfer mechanisms. The aim of this study was to describe the demographics of major trauma patients who were transported to hospital by ambulance.MethodsThis is a retrospective cohort study of adult major trauma (injury severity score >15) patients transported to hospital by St John Western Australia emergency ambulance in metropolitan Perth, between 1 January 2013 and 31 December 2016. To describe the cohort, median and interquartile range (IQR) were used for continuous variables and counts and percentages for categorical variables. Differences between mechanism of injury groups were assessed using the Kruskal-Wallis test. Trauma deaths were defined as early (declared deceased within 24 hours) or late (declared deceased within 30 days). ResultsA total of 1625 patients were included. The median age was 51 years (IQR 30-75) and 1158 (71%) were male. Falls from standing were the most common mechanism of injury (n=460, 28%) followed by motor vehicle crashes (n=259, 16%). Falls from standing were responsible for the majority of early (n=45/175, 26%) and late deaths (n=69/158, 44%). A large number of early deaths also resulted from motorbike crashes (n=32/175, 18%) with a median age of 34 years (IQR 21-46, p<0.001). ConclusionMajor trauma is not only a disease of the young. More than half of the cohort was more than 51 years of age and the most common cause was a fall from standing. Pre-hospital care must evolve to address the needs of a changing trauma patient demographic.

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Section: Older Adultsmentioning

confidence: 99%

Major Trauma Patients are Not who you Might Think they Are: A Linked Data Study

Brown

Tohira

Bailey

et al. 2019

Australasian Journal of Paramedicine

View full text Add to dashboard Cite

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“…However, the type of triage system used in each center is under discussion. 4 An effective triage system must work in such a way that it could have the capability to decide on each patient quickly with high precision. Simplicity in the run and reliability are considered the most important characteristics of a standard well-known triage system.…”

Section: Introductionmentioning

confidence: 99%

Accuracy of nurses’ performance in triage using the emergency severity index and its relationship with clinical outcome measures

et al. 2022

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Emergency department (ED) triage in hospitals is part of their emergency structure carried out by nurses in emergency units. There have not been many studies available on nurses' performance in triage based on the emergency severity index (ESI). This present study aimed to investigate the nurses’ performance in triage with regard to the emergency severity index and its relation to clinical outcome measures in the emergency department. This was a cross-sectional study. The hospitalization record of 600 patients who arrived at the emergency department of Sanandaj Social Security Hospital was randomly assessed based on the accuracy of triage performed by nurses. The data analysis procedure was done by employing STATA software version 12, as well as Fisher's exact test, independent t-test, and one-way ANOVA. Findings of the study revealed that nurses’ overall performance in triage showed that 82.67% of nurses had perfect triage accuracy, 12.17% had low-level triage accuracy and 5.17% had high-level triage accuracy. There was an association between nurses' performance in triage with the disposition of patients (p=0.029) and length of stay (p=0.009). Results of the study highlighted the importance of theoretical and practical triage training courses for nurses and provided a foundation for identifying effective factors for decreasing the length of stay and disposition of patients in emergency care units.

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