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Avoiding Cribari gridlock 2: The standardized triage assessment tool outperforms the Cribari matrix method in 38 adult and pediatric trauma centers.
Roden-Foreman, Jacob W; Rapier, Nakia R; Foreman, Michael L; Cribari, Chris; Parsons, Megan; Zagel, Alicia L; Cull, John; Coniglio, Raymond A; McGraw, Constance; Blackmore, Abigail R; Lyell, Cassie A; Adams, Charles A; Lueckel, Stephanie N; Regner, Justin L; Holzmacher, Jeremy; Sarani, Babak; Sexton, Kevin W; Beck, William C; Milia, David J; Hess, Joseph C; Workman, Cheryl F; Greenwell, Cynthia; Weaver, Melinda; Agrawal, Vaidehi; Amos, Joseph D; Nance, Michael L; Campbell, Marie; Dunn, Julie; Steen, Sara; McGonigal, Michael D; Schroeppel, Thomas J; Putty, Bradley; Sherar, Danielle; Flohr, Stephanie D.
Afiliación
  • Roden-Foreman JW; 3409 Worth St, Pickens Building, Ste C2.500, Dallas, TX 75246 USA. Electronic address: jakerodenforeman@gmail.com.
  • Rapier NR; 3409 Worth St, Pickens Building, Ste C2.500, Dallas, TX 75246 USA. Electronic address: nakia.rapier@bswhealth.org.
  • Foreman ML; 3409 Worth St, Pickens Building, Ste C2.500, Dallas, TX 75246 USA. Electronic address: michael.foreman@bswhealth.org.
  • Cribari C; 2500 Rocky Mountain Ave, Loveland, CO 80538 USA. Electronic address: chris.cribari@uchealth.org.
  • Parsons M; 2500 Rocky Mountain Ave, Loveland, CO 80538 USA.
  • Zagel AL; 2525 Chicago Ave, Minneapolis, MN 55404 USA. Electronic address: alicia.zagel@childrensmn.org.
  • Cull J; 890 West Faris Rd, Ste 310, Greenville, SC 29605 USA. Electronic address: John.Cull@prismahealth.org.
  • Coniglio RA; 9100 East Mineral Cir, Centennial, CO 80112 USA. Electronic address: raymondconiglio@centura.org.
  • McGraw C; 9100 East Mineral Cir, Centennial, CO 80112 USA. Electronic address: stancemcgraw@me.com.
  • Blackmore AR; 11600 West 2nd Pl, Lakewood, CO 80228 USA. Electronic address: abigailblackmore@centura.org.
  • Lyell CA; 1500 South Main St, Fort Worth, TX 76104 USA. Electronic address: clyell@jpshealth.org.
  • Adams CA; Trauma Center, 80 Dudley St, Providence, RI 02905 USA; Surgical Research, 593 Eddy St, Nursing Arts Building #213, Providence, RI 02903 USA. Electronic address: cadams1@lifespan.org.
  • Lueckel SN; Trauma Center, 80 Dudley St, Providence, RI 02905 USA; Surgical Research, 593 Eddy St, Nursing Arts Building #213, Providence, RI 02903 USA. Electronic address: stephanie_lueckel@brown.edu.
  • Regner JL; 2401 South 31st St, Temple, TX 76508 USA. Electronic address: justin.regner@bswhealth.org.
  • Holzmacher J; 900 23rd St, NW, Washington, DC 20037 USA. Electronic address: jholzmac@gwmail.gwu.edu.
  • Sarani B; 900 23rd St, NW, Washington, DC 20037 USA. Electronic address: bsarani@mfa.gwu.edu.
  • Sexton KW; 4301 West Markham St, Little Rock, AR 72205 USA. Electronic address: kevin.sexton@uams.edu.
  • Beck WC; 4301 West Markham St, Little Rock, AR 72205 USA. Electronic address: wcbeck@uams.edu.
  • Milia DJ; Trauma and Acute Care Surgery, 8701 Watertown Plank Rd, Milwaukee, WI 53226 USA. Electronic address: dmilia@mcw.edu.
  • Hess JC; 200 Campus Dr, #400, Hershey, PA 17033 USA. Electronic address: jhess1@pennstatehealth.psu.edu.
  • Workman CF; 4001 Burnett-Womack Building, CB #7050, Chapel Hill, NC 27599 USA. Electronic address: cheryl.workman@unchealth.unc.edu.
  • Greenwell C; 1935 Medical District Dr, Dallas, TX 75235 USA. Electronic address: cynthia.greenwell@childrens.com.
  • Weaver M; 1500 Cooper St, Fort Worth, TX 76104 USA. Electronic address: melinda.weaver@cookchildrens.org.
  • Agrawal V; 615 North Wolfe St, Baltimore, MD 21205 USA. Electronic address: vagrawa6@jh.edu.
  • Amos JD; 221 West Colorado Blvd #425, Dallas, TX 75208 USA. Electronic address: josephamos@mhd.com.
  • Nance ML; 3401 Civic Center Blvd, Philadelphia, PA 19104 USA. Electronic address: nance@email.chop.edu.
  • Campbell M; 3401 Civic Center Blvd, Philadelphia, PA 19104 USA. Electronic address: campbellma@email.chop.edu.
  • Dunn J; 2500 Rocky Mountain Ave, Loveland, CO 80538 USA. Electronic address: julie.dunn@uchealth.org.
  • Steen S; 333 Pine Ridge Blvd, Wausau, WI 54401 USA. Electronic address: sara.steen@aspirus.org.
  • McGonigal MD; Trauma Services, 640 Jackson St, Saint Paul, MN 55101 USA. Electronic address: michael.d.mcgonigal@healthpartners.com.
  • Schroeppel TJ; 12631 East 17th Ave, Room 6111, Aurora, CO 80045 USA; 1400 East Boulder St, Colorado Springs, CO 80909 USA. Electronic address: thomas.schroeppel@uchealth.org.
  • Putty B; 1650 West College St, Grapevine, TX 76051 USA. Electronic address: bradley.putty@bswhealth.org.
  • Sherar D; 1650 West College St, Grapevine, TX 76051 USA. Electronic address: danielle.sherar@bswhealth.org.
  • Flohr SD; 100 Michigan St NE, Grand Rapids, MI 49503 USA. Electronic address: stephanie.flohr@helendevoschildrens.org.
Injury ; 52(3): 443-449, 2021 Mar.
Article en En | MEDLINE | ID: mdl-32958342
OBJECTIVES: The Cribari Matrix Method (CMM) is the current standard to identify over/undertriage but requires manual trauma triage reviews to address its inadequacies. The Standardized Triage Assessment Tool (STAT) partially emulates triage review by combining CMM with the Need For Trauma Intervention, an indicator of major trauma. This study aimed to validate STAT in a multicenter sample. METHODS: Thirty-eight adult and pediatric US trauma centers submitted data for 97,282 encounters. Mixed models estimated the effects of overtriage and undertriage versus appropriate triage on the odds of complication, odds of discharge to a continuing care facility, and differences in length of stay for both CMM and STAT. Significance was assessed at p <0.005. RESULTS: Overtriage (53.49% vs. 30.79%) and undertriage (17.19% vs. 3.55%) rates were notably lower with STAT than with CMM. CMM and STAT had significant associations with all outcomes, with overtriages demonstrating lower injury burdens and undertriages showing higher injury burdens than appropriately triaged patients. STAT indicated significantly stronger associations with outcomes than CMM, except in odds of discharge to continuing care facility among patients who received a full trauma team activation where STAT and CMM were similar. CONCLUSIONS: This multicenter study strongly indicates STAT safely and accurately flags fewer cases for triage reviews, thereby reducing the subjectivity introduced by manual triage determinations. This may enable better refinement of activation criteria and reduced workload.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Centros Traumatológicos / Heridas y Lesiones Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Child / Humans Idioma: En Revista: Injury Año: 2021 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
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Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Centros Traumatológicos / Heridas y Lesiones Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Child / Humans Idioma: En Revista: Injury Año: 2021 Tipo del documento: Article Pais de publicación: Países Bajos