National analysis of over and under-triage rates in relation to trauma population risk factors and associated outcomes across various levels trauma centers

Review Emergency Medicine

Under-Triage and Over-Triage Using the Field Triage Guidelines for Injured Patients: A Systematic Review

Joshua R. Lupton et al.

Summary: The under-triage rates of the Field Triage Guidelines (FTG) remain above targets, with higher rates in both children and older adults, although improvement can be seen when the FTG is strictly applied.

PREHOSPITAL EMERGENCY CARE (2023)

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Article Critical Care Medicine

National guideline for the field triage of injured patients: Recommendations of the National Expert Panel on Field Triage, 2021

Craig D. Newgard et al.

JOURNAL OF TRAUMA AND ACUTE CARE SURGERY (2022)

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Article Emergency Medicine

Need for Emergent Intervention within 6 Hours: A Novel Prediction Model for Hospital Trauma Triage

Rachel Morris et al.

Summary: The study aimed to develop a novel trauma triage prediction model utilizing criteria accessible to EMS providers and clinically relevant variables to predict patients' needs and the need for trauma team activation. Using logistic regression and random forest, significant predictors such as age, gender, field GCS, vital signs, intentionality, and mechanism of injury were identified for predicting NEI-6, with the final boosted tree model showing a high accuracy in the validation cohort.

PREHOSPITAL EMERGENCY CARE (2022)

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Article Surgery

Undertriage Despite Use of Geriatric-Specific Trauma Team Activation Guidelines Who Are We Missing?

Ram Anantha et al.

Summary: The study found that geriatric-specific trauma team activation protocols may undertriage severely injured elderly patients, yet undertriaged patients had lower morbidity and mortality rates, suggesting that these guidelines can identify those at highest risk for poor outcomes.

AMERICAN SURGEON (2021)

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Review Critical Care Medicine

Field-Triage, Hospital-Triage and Triage-Assessment: A Literature Review of the Current Phases of Adult Trauma Triage

Rachel S. Morris et al.

Summary: Prehospital trauma triage remains a significant challenge with undertriage and overtriage issues. Future studies should focus on identifying the ideal definition for major trauma and creating easily deployable triage models.

JOURNAL OF TRAUMA AND ACUTE CARE SURGERY (2021)

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Article Emergency Medicine

Racial/ethnic disparities in emergency department wait times in the United States, 2013-2017

Frederick Q. Lu et al.

Summary: Previous research indicates that Black and Hispanic patients experience longer wait times in the emergency department compared to White patients. Despite minority patients being less likely to wait to be seen, they end up waiting longer if not seen promptly. The disparities in emergency department wait times persist for African American, Hispanic, and Asian patients.

AMERICAN JOURNAL OF EMERGENCY MEDICINE (2021)

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Article Emergency Medicine