Reducing overtriage without compromising outcomes in trauma patients

C. H. Cook, Peter Muscarella, A. C. Praba, W. Scott Melvin, L. C. Martin

Research output: Contribution to journalArticle

55 Citations (Scopus)

Abstract

Hypothesis: Changing category 1 criteria to include primarily physiologic and anatomic indicators of injury, eliminating mechanism of injury criteria, decreases the rate of overtriage without compromising outcomes. Methods: Retrospective review of our American College of Surgeons-verified level I trauma registry from January 1, 1996, to December 31, 1998, comparing patients before and after trauma alert criteria changes. Results: There was a significant decrease in category 1 alerts, representing a reduction in overtriage. There was a concomitant increase in injury severity and mortality in category 1 patients. There was no significant change in injury severity or mortality for category 2 patients. Conclusions: There was a significant reduction in overtriage of trauma patients demonstrated without an appreciable impact on patient outcome. Changing trauma response criteria to more physiologic and anatomic indicators allowed improved triage of trauma patients, which improves resource allocation.

Original languageEnglish (US)
Pages (from-to)752-756
Number of pages5
JournalArchives of Surgery
Volume136
Issue number7
StatePublished - 2001
Externally publishedYes

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Wounds and Injuries
Resource Allocation
Mortality
Triage
Registries

ASJC Scopus subject areas

  • Surgery

Cite this

Reducing overtriage without compromising outcomes in trauma patients. / Cook, C. H.; Muscarella, Peter; Praba, A. C.; Melvin, W. Scott; Martin, L. C.

In: Archives of Surgery, Vol. 136, No. 7, 2001, p. 752-756.

Research output: Contribution to journalArticle

Cook, C. H. ; Muscarella, Peter ; Praba, A. C. ; Melvin, W. Scott ; Martin, L. C. / Reducing overtriage without compromising outcomes in trauma patients. In: Archives of Surgery. 2001 ; Vol. 136, No. 7. pp. 752-756.
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