A Prospective Evaluation of Field Categorization of Trauma Patients
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 $pM 18.4 years. The ov...
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| Veröffentlicht in: | The journal of trauma 1988-07, Vol.28 (7), p.995-1000 |
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| container_title | The journal of trauma |
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| creator | KREIS, DAVID J. FINE, ELLEN G. GOMEZ, GERARDO A. ECKES, JEANNE WHITWELL, ENRIQUE BYERS, PATRICIA M. |
| description | 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 $pM 18.4 years. The overall accuracy for identifying severe injury for the entire group was 30.2%. A Trauma Score $le;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 (>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. |
| doi_str_mv | 10.1097/00005373-198807000-00014 |
| format | Article |
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There were 5,685 males (63.9%) and 3,206 females (36.1%) with a mean age of 32.4 $pM 18.4 years. The overall accuracy for identifying severe injury for the entire group was 30.2%. A Trauma Score $le;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 (>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. 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All Rights Reserved.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4504-89c2d3cd91e6165db365de029a6c4c34d56cf4ff1989666149963bb1b3ec69663</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3398099$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KREIS, DAVID J.</creatorcontrib><creatorcontrib>FINE, ELLEN G.</creatorcontrib><creatorcontrib>GOMEZ, GERARDO A.</creatorcontrib><creatorcontrib>ECKES, JEANNE</creatorcontrib><creatorcontrib>WHITWELL, ENRIQUE</creatorcontrib><creatorcontrib>BYERS, PATRICIA M.</creatorcontrib><title>A Prospective Evaluation of Field Categorization of Trauma Patients</title><title>The journal of trauma</title><addtitle>J Trauma</addtitle><description>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. 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The overtriage rate was therefore 46.1% using this field categorization system.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Emergencies</subject><subject>Emergency Medical Services</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Severity of Illness Index</subject><subject>Trauma Centers</subject><subject>Triage</subject><subject>Wounds and Injuries - classification</subject><subject>Wounds and Injuries - mortality</subject><issn>0022-5282</issn><issn>1529-8809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kV1PwyAUhonRzDn9CSa98g7lq7RcLs38SJa4i3lNKD11VbpOaLforxfd3J0kQHjPeyDvA0IJJbeUqOyOxJHyjGOq8pxk8YTjpOIEjWnKFI6iOkVjQhjDKcvZOboI4S1ahOD5CI04V9GhxqiYJgvfhQ3YvtlCMtsaN5i-6dZJVyf3DbgqKUwPr51vvo760puhNckiCrDuwyU6q40LcHXYJ-jlfrYsHvH8-eGpmM6xFSkROFeWVdxWioKkMq1KHhcgTBlpheWiSqWtRV3HSEpKSYVSkpclLTlYGRU-QTf7eze--xgg9LptggXnzBq6Iegs5yIGZ9GY7402Rgsear3xTWv8p6ZE__DTf_z0kZ_-5Rdbrw9vDGUL1bHxACzWxb6-61wPPry7YQder8C4fqX_-xb-DcwDeaE</recordid><startdate>198807</startdate><enddate>198807</enddate><creator>KREIS, DAVID J.</creator><creator>FINE, ELLEN G.</creator><creator>GOMEZ, GERARDO A.</creator><creator>ECKES, JEANNE</creator><creator>WHITWELL, ENRIQUE</creator><creator>BYERS, PATRICIA M.</creator><general>Williams & Wilkins</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198807</creationdate><title>A Prospective Evaluation of Field Categorization of Trauma Patients</title><author>KREIS, DAVID J. ; FINE, ELLEN G. ; GOMEZ, GERARDO A. ; ECKES, JEANNE ; WHITWELL, ENRIQUE ; BYERS, PATRICIA M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4504-89c2d3cd91e6165db365de029a6c4c34d56cf4ff1989666149963bb1b3ec69663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Emergencies</topic><topic>Emergency Medical Services</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Severity of Illness Index</topic><topic>Trauma Centers</topic><topic>Triage</topic><topic>Wounds and Injuries - classification</topic><topic>Wounds and Injuries - mortality</topic><toplevel>online_resources</toplevel><creatorcontrib>KREIS, DAVID J.</creatorcontrib><creatorcontrib>FINE, ELLEN G.</creatorcontrib><creatorcontrib>GOMEZ, GERARDO A.</creatorcontrib><creatorcontrib>ECKES, JEANNE</creatorcontrib><creatorcontrib>WHITWELL, ENRIQUE</creatorcontrib><creatorcontrib>BYERS, PATRICIA M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of trauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KREIS, DAVID J.</au><au>FINE, ELLEN G.</au><au>GOMEZ, GERARDO A.</au><au>ECKES, JEANNE</au><au>WHITWELL, ENRIQUE</au><au>BYERS, PATRICIA M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Prospective Evaluation of Field Categorization of Trauma Patients</atitle><jtitle>The journal of trauma</jtitle><addtitle>J Trauma</addtitle><date>1988-07</date><risdate>1988</risdate><volume>28</volume><issue>7</issue><spage>995</spage><epage>1000</epage><pages>995-1000</pages><issn>0022-5282</issn><eissn>1529-8809</eissn><abstract>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 $pM 18.4 years. The overall accuracy for identifying severe injury for the entire group was 30.2%. A Trauma Score $le;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 (>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.</abstract><cop>United States</cop><pub>Williams & Wilkins</pub><pmid>3398099</pmid><doi>10.1097/00005373-198807000-00014</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0022-5282 |
| ispartof | The journal of trauma, 1988-07, Vol.28 (7), p.995-1000 |
| issn | 0022-5282 1529-8809 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Ovid Autoload |
| subjects | Adolescent Adult Emergencies Emergency Medical Services Female Humans Male Middle Aged Prospective Studies Severity of Illness Index Trauma Centers Triage Wounds and Injuries - classification Wounds and Injuries - mortality |
| title | A Prospective Evaluation of Field Categorization of Trauma Patients |
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