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.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0069442
Code Inist : 002B27B14C. Création : 199608.