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Differences in trauma team activation criteria among Norwegian hospitals.

Larsen KT, Uleberg O, Skogvoll E - Scand J Trauma Resusc Emerg Med (2010)

Bottom Line: The median number of criteria per hospital was 23 (range 8-40), with a total number of 156 and wide variation with respect to physiological "cut-off" values.The mechanism of injury was commonly in use despite a well-known, large over-triage rate.These criteria show considerable variation, including physiological "cut-off" values.

View Article: PubMed Central - HTML - PubMed

Affiliation: Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway.

ABSTRACT

Background: To ensure the rapid and correct triage of patients in potential need of specialized treatment, Norwegian hospitals are expected to establish trauma teams with predefined criteria for their activation. The objective of this study was to map and describe the criteria currently in use.

Methods: We undertook a cross-sectional survey in the summer of 2008, using structured telephone interviews to all Norwegian hospitals that might admit severely injured patients.

Results: Forty-nine hospitals were included, of which 48 (98%) had a trauma team and 20 had a hospital-based trauma registry. Criteria for trauma team activation were found at 46 (94%) hospitals. No single criterion was common to all hospitals. The median number of criteria per hospital was 23 (range 8-40), with a total number of 156 and wide variation with respect to physiological "cut-off" values. The mechanism of injury was commonly in use despite a well-known, large over-triage rate.

Conclusions: In recent years, Norwegian hospitals have gradually established trauma teams and criteria for their activation. These criteria show considerable variation, including physiological "cut-off" values.

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Distribution of criteria most frequently in use, according to physiology, anatomy, and mechanism of injury.
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Figure 2: Distribution of criteria most frequently in use, according to physiology, anatomy, and mechanism of injury.

Mentions: Forty-nine hospitals were included in this study. Five regional university hospitals, 11 central hospitals, and 33 local hospitals confirmed receiving potentially severely traumatized patients. Among these, 48 hospitals (98%) had a defined trauma team. Most of these (N = 46, 96% of hospitals with a trauma team) had predefined, written TTA criteria. One hospital had no trauma team due to a staff shortage. Two local hospitals had a trauma team but no specific criteria for activation. In one of these two hospitals, the surgeon on call or coordinating nurse in the emergency department assumed responsibility for activating the trauma team. A trauma registry was reported to be in operation at 20 hospitals. An overview of the general results is shown in Figure 1. The median number of criteria per hospital was 23 (range 8 - 40), and a total number of 156 different criteria were identified. No single criterion was common to all hospitals, although nine hospitals employed the same set of criteria as at least one other hospital. The most frequently used criteria are shown in Figure 2.


Differences in trauma team activation criteria among Norwegian hospitals.

Larsen KT, Uleberg O, Skogvoll E - Scand J Trauma Resusc Emerg Med (2010)

Distribution of criteria most frequently in use, according to physiology, anatomy, and mechanism of injury.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2874509&req=5

Figure 2: Distribution of criteria most frequently in use, according to physiology, anatomy, and mechanism of injury.
Mentions: Forty-nine hospitals were included in this study. Five regional university hospitals, 11 central hospitals, and 33 local hospitals confirmed receiving potentially severely traumatized patients. Among these, 48 hospitals (98%) had a defined trauma team. Most of these (N = 46, 96% of hospitals with a trauma team) had predefined, written TTA criteria. One hospital had no trauma team due to a staff shortage. Two local hospitals had a trauma team but no specific criteria for activation. In one of these two hospitals, the surgeon on call or coordinating nurse in the emergency department assumed responsibility for activating the trauma team. A trauma registry was reported to be in operation at 20 hospitals. An overview of the general results is shown in Figure 1. The median number of criteria per hospital was 23 (range 8 - 40), and a total number of 156 different criteria were identified. No single criterion was common to all hospitals, although nine hospitals employed the same set of criteria as at least one other hospital. The most frequently used criteria are shown in Figure 2.

Bottom Line: The median number of criteria per hospital was 23 (range 8-40), with a total number of 156 and wide variation with respect to physiological "cut-off" values.The mechanism of injury was commonly in use despite a well-known, large over-triage rate.These criteria show considerable variation, including physiological "cut-off" values.

View Article: PubMed Central - HTML - PubMed

Affiliation: Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway.

ABSTRACT

Background: To ensure the rapid and correct triage of patients in potential need of specialized treatment, Norwegian hospitals are expected to establish trauma teams with predefined criteria for their activation. The objective of this study was to map and describe the criteria currently in use.

Methods: We undertook a cross-sectional survey in the summer of 2008, using structured telephone interviews to all Norwegian hospitals that might admit severely injured patients.

Results: Forty-nine hospitals were included, of which 48 (98%) had a trauma team and 20 had a hospital-based trauma registry. Criteria for trauma team activation were found at 46 (94%) hospitals. No single criterion was common to all hospitals. The median number of criteria per hospital was 23 (range 8-40), with a total number of 156 and wide variation with respect to physiological "cut-off" values. The mechanism of injury was commonly in use despite a well-known, large over-triage rate.

Conclusions: In recent years, Norwegian hospitals have gradually established trauma teams and criteria for their activation. These criteria show considerable variation, including physiological "cut-off" values.

Show MeSH
Related in: MedlinePlus