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A consensus-based criterion standard for trauma center need.

E Brooke Lerner1, Brian D Willenbring, Ronald G Pirrallo

  • 1From the Department of Emergency Medicine (E.B.L., R.G.P., C.E.C., M.R.C.), Department of Surgery, Division of Trauma/Critical Care (K.J.B.), Department of Surgery, Division of Pediatric Surgery (D.M.G.), Medical College of Wisconsin (B.D.W.) Milwaukee, Wisconsin; Division of Pediatric Surgery, Department of Surgery, Columbia University Medical Center Affiliation at Harlem Hospital (A.C.), New York; and Department of Emergency Medicine, University of Rochester School of Medicine and Dentistry, University of Rochester (J.T.C., M.N.S.), Rochester, New York; Department of Surgery, Denver Health Medical Center (G.J.J.), Denver, Colorado; Department of Emergency Medicine, Oregon Health & Science University (C.D.N.), Portland, Oregon; Department of Surgery, Maricopa Medical Center (J.P.S.), Phoenix, Arizona; Department of Emergency Medicine, Emory University School of Medicine (S.M.S.), Atlanta, Georgia; Department of Emergency Medicine, William Beaumont Hospital (R.A.S.), Royal Oak; and Department of Surgery, Section of Acute Care Surgery, University of Michigan Health Systems (S.C.W.), Ann Arbor, Michigan.

The Journal of Trauma and Acute Care Surgery
|March 26, 2014
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Summary
This summary is machine-generated.

Researchers developed a new standard for identifying trauma patients needing specialized care. This consensus-based definition uses 10 indicators to improve trauma center field triage and research consistency.

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Area of Science:

  • Trauma Care
  • Emergency Medicine
  • Prehospital Services

Background:

  • Field triage in civilian trauma care identifies patients needing immediate trauma center resources.
  • Lack of a "criterion standard" hinders comparisons in trauma triage research.
  • This study aimed to establish a consensus-based definition for trauma center need.

Purpose of the Study:

  • To develop a consensus-based functional criterion standard for defining trauma center need.
  • To improve the consistency and comparability of field triage research.

Main Methods:

  • Recruited local and national experts for participation.
  • Conducted blinded key informant interviews until thematic saturation.
  • Developed and administered a Modified Delphi survey iteratively until 80% expert agreement.

Main Results:

  • Fourteen experts were recruited; five participated in initial interviews.
  • A Modified Delphi survey was administered five times.
  • Achieved >=82% agreement on 10 time-specific criteria for trauma center need.

Conclusions:

  • A consensus-based definition of trauma center need was established.
  • This standard may enhance field triage research and quality assurance in trauma systems.
  • Facilitates cross-study comparisons in trauma research.