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Validation of the Korean criteria for trauma team activation

OBJECTIVE: We conducted a study to validate the effectiveness of the Korean criteria for trauma team activation (TTA) and compared its results with a two-tiered system. METHODS: This observational study was based on data from the Korean Trauma Data Bank. Within the study period, 1,628 trauma patient...

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Autores principales: Bang, Minhyuk, Kim, Yong Won, Kim, Oh Hyun, Lee, Kang Hyun, Jung, Woo Jin, Cha, Yong Sung, Kim, Hyun, Hwang, Sung Oh, Cha, Kyoung-Chul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Emergency Medicine 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6301863/
https://www.ncbi.nlm.nih.gov/pubmed/30571904
http://dx.doi.org/10.15441/ceem.17.265
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author Bang, Minhyuk
Kim, Yong Won
Kim, Oh Hyun
Lee, Kang Hyun
Jung, Woo Jin
Cha, Yong Sung
Kim, Hyun
Hwang, Sung Oh
Cha, Kyoung-Chul
author_facet Bang, Minhyuk
Kim, Yong Won
Kim, Oh Hyun
Lee, Kang Hyun
Jung, Woo Jin
Cha, Yong Sung
Kim, Hyun
Hwang, Sung Oh
Cha, Kyoung-Chul
author_sort Bang, Minhyuk
collection PubMed
description OBJECTIVE: We conducted a study to validate the effectiveness of the Korean criteria for trauma team activation (TTA) and compared its results with a two-tiered system. METHODS: This observational study was based on data from the Korean Trauma Data Bank. Within the study period, 1,628 trauma patients visited our emergency department, and 739 satisfied the criteria for TTA. The rates of overtriage and undertriage in the Korean one-tiered system were compared with the two-tiered system recommended by the American College of Surgery-Committee on Trauma. RESULTS: Most of the patient’s physiologic factors reflected trauma severity levels, but anatomical factors and mechanism of injury did not show consistent results. In addition, while the rate of overtriage (64.4%) was above the recommended range according to the Korean criteria, the rate of undertriage (4.0%) was within the recommended range. In the simulated two-tiered system, the rate of overtriage was reduced by 5.5%, while undertriage was increased by 1.8% compared to the Korean activation system. CONCLUSION: The Korean criteria for TTA showed higher rates of overtriage and similar undertriage rates compared to the simulated two-tier system. Modification of the current criteria to a two-tier system with special considerations would be more effective for providing optimum patient care and medical resource utilization.
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spelling pubmed-63018632018-12-31 Validation of the Korean criteria for trauma team activation Bang, Minhyuk Kim, Yong Won Kim, Oh Hyun Lee, Kang Hyun Jung, Woo Jin Cha, Yong Sung Kim, Hyun Hwang, Sung Oh Cha, Kyoung-Chul Clin Exp Emerg Med Original Article OBJECTIVE: We conducted a study to validate the effectiveness of the Korean criteria for trauma team activation (TTA) and compared its results with a two-tiered system. METHODS: This observational study was based on data from the Korean Trauma Data Bank. Within the study period, 1,628 trauma patients visited our emergency department, and 739 satisfied the criteria for TTA. The rates of overtriage and undertriage in the Korean one-tiered system were compared with the two-tiered system recommended by the American College of Surgery-Committee on Trauma. RESULTS: Most of the patient’s physiologic factors reflected trauma severity levels, but anatomical factors and mechanism of injury did not show consistent results. In addition, while the rate of overtriage (64.4%) was above the recommended range according to the Korean criteria, the rate of undertriage (4.0%) was within the recommended range. In the simulated two-tiered system, the rate of overtriage was reduced by 5.5%, while undertriage was increased by 1.8% compared to the Korean activation system. CONCLUSION: The Korean criteria for TTA showed higher rates of overtriage and similar undertriage rates compared to the simulated two-tier system. Modification of the current criteria to a two-tier system with special considerations would be more effective for providing optimum patient care and medical resource utilization. The Korean Society of Emergency Medicine 2018-12-31 /pmc/articles/PMC6301863/ /pubmed/30571904 http://dx.doi.org/10.15441/ceem.17.265 Text en Copyright © 2018 The Korean Society of Emergency Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/).
spellingShingle Original Article
Bang, Minhyuk
Kim, Yong Won
Kim, Oh Hyun
Lee, Kang Hyun
Jung, Woo Jin
Cha, Yong Sung
Kim, Hyun
Hwang, Sung Oh
Cha, Kyoung-Chul
Validation of the Korean criteria for trauma team activation
title Validation of the Korean criteria for trauma team activation
title_full Validation of the Korean criteria for trauma team activation
title_fullStr Validation of the Korean criteria for trauma team activation
title_full_unstemmed Validation of the Korean criteria for trauma team activation
title_short Validation of the Korean criteria for trauma team activation
title_sort validation of the korean criteria for trauma team activation
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6301863/
https://www.ncbi.nlm.nih.gov/pubmed/30571904
http://dx.doi.org/10.15441/ceem.17.265
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