Outcome assessment of blunt trauma patients who are undertriaged

Robert A. Cherry, Eric Bradburn, Pamela A. Nichols, Theresa M. Snavely, Susan Janine Boehmer, David Mauger

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: We investigated the outcomes of injured patients who were undertriaged and compared them with those meeting full trauma team activation (TTA) criteria. Methods: Blunt trauma patients (July 2002-January 2008) meeting full TTA criteria and had a partial TTA were in the undertriage group (UTG). Data was collected on demographics, injury severity, OR delays, resource utilization, and outcomes. Excluded: penetrating trauma, transfers, burns, age <18 years. Statistics: Chi square, P < .05, mean ± SD. Results: One thousand four hundred and twenty-four patients with 318 (22.3%) in the UTG and 1,106 in the correctly triaged group (CTG). The CTG was 70.4% male (vs 67.1%; P = .26), 41.5 ± 19.8 years old (vs 45.8 ± 20.5; P < .01), and had an injury severity score (ISS) of 24.7 (vs 17.0; P < .0001). The CTG was more likely to require ED intubation (34.9% vs 8.2%; P < .0001), ICU admission (49.0% vs 37.1%; P < .0001), longer ICU/hospital LOS, and more ventilator days (P < .0001) with no differences in OR delays. The UTG had a lower mortality (6.0% vs 16.7%; P < .0001) and were discharged home more often (65.3% vs 52.2%; P = .02). Conclusion: The UTG had a lower ISS and improved outcomes compared to the CTG with no differences in OR delays. Despite inherent challenges in TTA protocols, patients who were undertriaged at our institution appear to have satisfactory outcomes.

Original languageEnglish (US)
Pages (from-to)239-245
Number of pages7
JournalSurgery
Volume148
Issue number2
DOIs
StatePublished - Aug 23 2010

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Outcome Assessment (Health Care)
Wounds and Injuries
Injury Severity Score
Mechanical Ventilators
Burns
Intubation
Demography
Mortality

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Cherry, R. A., Bradburn, E., Nichols, P. A., Snavely, T. M., Boehmer, S. J., & Mauger, D. (2010). Outcome assessment of blunt trauma patients who are undertriaged. Surgery, 148(2), 239-245. https://doi.org/10.1016/j.surg.2010.05.004
Cherry, Robert A. ; Bradburn, Eric ; Nichols, Pamela A. ; Snavely, Theresa M. ; Boehmer, Susan Janine ; Mauger, David. / Outcome assessment of blunt trauma patients who are undertriaged. In: Surgery. 2010 ; Vol. 148, No. 2. pp. 239-245.
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Cherry, RA, Bradburn, E, Nichols, PA, Snavely, TM, Boehmer, SJ & Mauger, D 2010, 'Outcome assessment of blunt trauma patients who are undertriaged', Surgery, vol. 148, no. 2, pp. 239-245. https://doi.org/10.1016/j.surg.2010.05.004

Outcome assessment of blunt trauma patients who are undertriaged. / Cherry, Robert A.; Bradburn, Eric; Nichols, Pamela A.; Snavely, Theresa M.; Boehmer, Susan Janine; Mauger, David.

In: Surgery, Vol. 148, No. 2, 23.08.2010, p. 239-245.

Research output: Contribution to journalArticle

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Cherry RA, Bradburn E, Nichols PA, Snavely TM, Boehmer SJ, Mauger D. Outcome assessment of blunt trauma patients who are undertriaged. Surgery. 2010 Aug 23;148(2):239-245. https://doi.org/10.1016/j.surg.2010.05.004