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Assessing the performance of the updated 2021 Field Triage Guidelines with the Need For Trauma Intervention (NFTI)
Tyler J Johnston1, Dina M Filiberto1, Peter B DePhillips1
1Department of Surgery, College of Medicine, The University of Tennessee Health Science Center, 910 Madison Ave, Memphis, TN, 38163, USA.
Background:
Pre-hospital triage is critical for resource-allocation and patient-outcomes. This study aimed to assess the sensitivity (SN) of updated 2021 Field Triage Guidelines (FTGs) and trauma center activation criteria (TAC) related to Need for Trauma Intervention (NFTI).
Methods:
Data were collected to identify FTGs Red Criteria (RC) and Yellow Criteria (YC) and NFTI: pRBC within 4 h, operating room within 90 min, interventional radiology, ICU length-of-stay ≥3 days, mechanical ventilation within 3 days, or death within 60 h. SN was analyzed for RC and TAC. Lastly, logistic regressions assessed covariates associated with under-triage (UT).
Results:
319 patients were included. SN of RC and TAC were 79 % and 77 %, respectively. Regression analysis showed UT by RC and TAC was associated with blunt mechanism.
Conclusions:
FTGs did not meet ACS goals of ≤5 % UT and ≤35 % OT with blunt mechanism being associated with UT.
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