Filled to the brim: The characteristics of over-triage at a level I trauma center
| Autor: | Anita Savell, A. Britton Christmas, Kyle W. Cunningham, Maria Baimas-George, Ronald F. Sing, Samuel W. Ross, Kelly Monteruil |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Patient Transfer Adolescent Tertiary care Hospital records Trauma Centers Risk Factors Retrospective analysis Humans Medicine Registries Child Aged Retrospective Studies business.industry Trauma center General Medicine Middle Aged medicine.disease Triage Wounds and Injuries Female Surgery Medical emergency business Trauma surgery |
| Zdroj: | The American Journal of Surgery. 218:1074-1078 |
| ISSN: | 0002-9610 |
| Popis: | Interfacility transfers are necessary and valuable for the trauma system, but despite regional guidelines, many patients are inappropriately transferred. We evaluated over-triage at our Level I center and identified risk factors for over-triage.Retrospective analysis at our Level I urban trauma center assessed patients transferred from regional facilities during 2017. Over-triage was defined as patients discharged48 h without procedures. Exclusion criteria were leaving against medical advice or no outside records.Overall, 2352 patients met criteria. Nine hundred thirty (39.5%) with complete hospital records were discharged in48 h; 498 (53.5%) received no procedural intervention and 909 (97.7%) were ultimately discharged home.Many patients are inappropriately transferred to tertiary care centers without a definitive need for advanced services. Studies are needed to improve triage criteria without increasing under-triage. |
| Databáze: | OpenAIRE |
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