The accuracy of existing prehospital triage tools for injured children in England—an analysis using trauma registry data
Gespeichert in:
| Titel: | The accuracy of existing prehospital triage tools for injured children in England—an analysis using trauma registry data |
|---|---|
| Autoren: | Fiona Lecky, Omar Bouamra, Antonella Ardolino, Ian Maconochie, Ronny Cheung, Kathleen Berry, Thomas Lawrence, Mark D Lyttle |
| Quelle: | Cheung, R, Ardolino, A, Lawrence, T, Bouamra, O, Lecky, F, Berry, K, Lyttle, M D & Maconochie, I K 2013, 'The accuracy of existing prehospital triage tools for injured children in England--an analysis using trauma registry data', Emergency medicine journal : EMJ, vol. 30, no. 6, pp. 476-9. https://doi.org/10.1136/emermed-2012-201324 |
| Verlagsinformationen: | BMJ, 2012. |
| Publikationsjahr: | 2012 |
| Schlagwörter: | Male, Adolescent, Medical Records, 03 medical and health sciences, Injury Severity Score, Patient Admission, 0302 clinical medicine, Humans, Hospital/standards, Wounds and Injuries/classification, Registries, Preschool, Child, Emergency Service, Hospital/standards, Quality Indicators, Health Care, Retrospective Studies, Emergency Service, Registries/statistics & numerical data, Infant, Newborn, Infant, Newborn, Outcome and Process Assessment (Health Care), 3. Good health, Health Care, Benchmarking, Outcome and Process Assessment, Health Care, England, Child, Preschool, Quality Indicators, Wounds and Injuries, Female, Triage/statistics & numerical data, Triage, Emergency Service, Hospital |
| Beschreibung: | ObjectivesTo investigate the performance characteristics of prehospital paediatric triage tools for identifying seriously injured children in England.DesignEight prehospital paediatric triage tools were identified by literature review and by survey of the Lead Trauma Clinicians across English Strategic Health Authorities. Retrospective clinical registry data from the Trauma Audit and Research Network were used to determine the performance characteristics of each tool, using ‘gold standards’ for under- and over-triage of Participants701 patient records were included. Inclusion criteria were all injured patients aged Outcome measuresThe main outcome measure was how each tool functioned with regard to their under- and over-triaging features. Other performance characteristics, for example, predictive values and likelihood ratios were also calculated.ResultsTwo (of eight) triage tools demonstrated acceptable under-triage rates (3% and 4%) but had unacceptably high over-triage rates (83% and 72%). Two tools demonstrated acceptable over-triage rates (7% and 16%), but with unacceptably high under-triage rates (61% and 63%). Four tools had unacceptably high under- and over-triage rates.ConclusionsNone of the prehospital triage tools currently used or being developed in England meet recommended criteria for over- and under-triage rates. There is an urgent need for the development of triage tools to accurately risk-stratify injured children in the prehospital setting. |
| Publikationsart: | Article |
| Sprache: | English |
| ISSN: | 1472-0213 1472-0205 |
| DOI: | 10.1136/emermed-2012-201324 |
| Zugangs-URL: | https://pubmed.ncbi.nlm.nih.gov/22707475 https://research.manchester.ac.uk/en/publications/1f42bb2c-2eff-401d-a7dc-9845a1d14ea9 https://doi.org/10.1136/emermed-2012-201324 https://www.safetylit.org/citations/index.php?fuseaction=citations.viewdetails&citationIds[]=citjournalarticle_364741_23 https://emj.bmj.com/content/early/2012/06/14/emermed-2012-201324.full.pdf https://emj.bmj.com/content/30/6/476 http://eprints.uwe.ac.uk/21453/ https://uwe-repository.worktribe.com/output/931302 https://europepmc.org/article/MED/22707475 |
| Dokumentencode: | edsair.doi.dedup.....1f3e28dbb26a8e41ff8533307eebd2c8 |
| Datenbank: | OpenAIRE |
Full Text Finder 
Nájsť tento článok vo Web of Science | Abstract: | ObjectivesTo investigate the performance characteristics of prehospital paediatric triage tools for identifying seriously injured children in England.DesignEight prehospital paediatric triage tools were identified by literature review and by survey of the Lead Trauma Clinicians across English Strategic Health Authorities. Retrospective clinical registry data from the Trauma Audit and Research Network were used to determine the performance characteristics of each tool, using ‘gold standards’ for under- and over-triage of Participants701 patient records were included. Inclusion criteria were all injured patients aged Outcome measuresThe main outcome measure was how each tool functioned with regard to their under- and over-triaging features. Other performance characteristics, for example, predictive values and likelihood ratios were also calculated.ResultsTwo (of eight) triage tools demonstrated acceptable under-triage rates (3% and 4%) but had unacceptably high over-triage rates (83% and 72%). Two tools demonstrated acceptable over-triage rates (7% and 16%), but with unacceptably high under-triage rates (61% and 63%). Four tools had unacceptably high under- and over-triage rates.ConclusionsNone of the prehospital triage tools currently used or being developed in England meet recommended criteria for over- and under-triage rates. There is an urgent need for the development of triage tools to accurately risk-stratify injured children in the prehospital setting. |
|---|---|
| ISSN: | 14720213 14720205 |
| DOI: | 10.1136/emermed-2012-201324 |