A prospective evaluation of field categorization of trauma patients
| Autor: | Ellen Fine, Patricia Byers, David J. Kreis, Jeanne Eckes, Gerardo A. Gomez, Enrique Whitwell |
|---|---|
| Rok vydání: | 1988 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Emergency Medical Services Adolescent Critical Care and Intensive Care Medicine Severity of Illness Index Prospective evaluation Vehicle accident Trauma Centers Severity of illness medicine Emergency medical services Humans Prospective Studies Prospective cohort study business.industry Middle Aged medicine.disease Triage Categorization Wounds and Injuries Surgery Female Emergencies business Penetrating trauma |
| Zdroj: | The Journal of trauma. 28(7) |
| ISSN: | 0022-5282 |
| Popis: | We prospectively evaluated the efficacy of comprehensive field triage in 8,891 trauma patients transported to trauma centers in Dade County, Florida, over a 1-year period ending in September 1986. There were 5,685 males (63.9%) and 3,206 females (36.1%) with a mean age of 32.4 +/- 18.4 years. The overall accuracy for identifying severe injury for the entire group was 30.2%. A Trauma Score less than or equal to 12 was the most accurate predictor of severe injury. Of 669 patients in this group, 617 (92.2%) sustained severe injury and 361 died (54.0%). High-speed (greater than 40 m.p.h.) motor vehicle accident was the most common reason for triage; however, of 2,277 in this group 201 patients (9.0%) had severe injury and four patients (0.2%) died. Only nine deaths (0.9%) occurred in 1,004 patients with penetrating trauma whose Trauma Scores were greater than 12. Of the 8,891 patients 4,791 (53.9%) had moderate to severe injury. The overtriage rate was therefore 46.1% using this field categorization system. |
| Databáze: | OpenAIRE |
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