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  1. Triage in an establishment trauma system.

    Article - En anglais


    The goal of this study was to determine patient and injury characteristics that predict undertriage and overtriage.


    This study was a retrospective analysis of admissions for acute injury.

    Materials and Methods 

    All admissions for acute injuries in a 2 1/2-year period were included (N=26,025).

    ICD-9 clinical modification codes were converted to Injury Severity Scores.

    Main Results 

    Seventy-nine percent of severely injured patients were admitted to level I trauma centers.

    Severely injured patients admitted to other hospitals (undertriage) were more likely elderly (odds ratio=5.44) and less likely had multisystem injuries (odds ratio=0.55).

    One-fourth of patients with minor injuries were admitted to level I trauma centers (overtriage).

    Overtriaged patients were more likely intoxicated, obese, or had an injury to the head or face.


    In a developed trauma system, severely injured elderly trauma patients (especially females) are at risk for undertriage.

    The characteristics of patients at risk for overtriage reflect the difficulties of prospective out-of-hospital triage.

    Mots-clés Pascal : Traumatisme, Homme, Oregon, Etats Unis, Amérique du Nord, Amérique, Evaluation, Qualité, Système santé, Triage, Estimation paramètre, Secours première urgence

    Mots-clés Pascal anglais : Trauma, Human, Oregon, United States, North America, America, Evaluation, Quality, Health system, Sorting, Parameter estimation, First emergency care

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0069442

    Code Inist : 002B27B14C. Création : 199608.