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Related Experiment Video

Updated: May 18, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Evaluation of a new elderly trauma triage algorithm.

James S Davis1, Bassan J Allan, Olu Sobowale

  • 1University of Miami Miller School of Medicine, Miami, Florida, USA.

Southern Medical Journal
|September 6, 2012
PubMed
Summary

The Florida trauma triage algorithm effectively directs younger patients to trauma centers, but older adults (55+) are less likely to be correctly triaged. Further research is needed to improve trauma triage for elderly patients.

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Area of Science:

  • Emergency Medicine
  • Trauma Surgery
  • Public Health Policy

Background:

  • Undertriage of elderly patients (≥55 years) to trauma centers is a significant concern.
  • Florida implemented a statewide trauma system with a new trauma triage algorithm (FTTA) in 1999.
  • The impact of the FTTA on prehospital triage accuracy for different age groups was previously unevaluated.

Purpose of the Study:

  • To evaluate the effectiveness of the Florida trauma triage algorithm (FTTA) in accurately triaging younger versus older adult patients.
  • To assess whether the FTTA improved triage accuracy for patients aged 55 and older compared to younger adults.
  • To identify potential disparities in trauma triage based on age.

Main Methods:

  • A retrospective review of triage accuracy was conducted at a Level 2 trauma center over one year.

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Last Updated: May 18, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

  • Patients were classified as major trauma if FTTA positive or Injury Severity Score (ISS) ≥ 16.
  • Triage accuracy was assessed by an internal trauma review panel using hospital discharge data; odds ratios (ORs) and confidence intervals (CIs) were calculated.

    • Main Results:

    • The FTTA demonstrated high accuracy for patients aged 15-54, with 83% of FTTA-positive patients and 86% with ISS ≥ 16 being correctly triaged.
    • For patients 55 and older, only 59% of FTTA-positive patients and 64% with ISS ≥ 16 were correctly triaged.
    • Elderly patients (≥55) with ISS ≥ 16 showed a minimal increase in appropriate triage (OR 1.67) compared to those with lower ISS.

    Conclusions:

    • The FTTA effectively triages younger adult patients but is significantly less effective for patients aged 55 and older.
    • Older adults are undertriaged, indicating a need for algorithm refinement.
    • Further research is essential to understand and improve trauma triage accuracy for the elderly population.