A prospective evaluation of field categorization of trauma patients

David J. Kreis, Ellen G. Fine, Gerardo A. Gomez, Jeanne Eckes, Enrique Whitwell, Patricia M. Byers

Research output: Contribution to journalArticlepeer-review

44 Scopus citations

Abstract

We prospectively evaluated the efficacy of comprehensive field triage in 8,891 trauma patients transported to trauma centers in Dade County, Florida, over a 1-year period ending in September 1986. There were 5,685 males (63.9%) and 3,206 females (36.1%) with a mean age of 32.4 ± 18.4 years. The overall accuracy for identifying severe injury for the entire group was 30.2%. A Trauma Score ≤12 was the most accurate predictor of severe injury. Of 669 patients in this group, 617 (92.2%) sustained severe injury and 361 died (54.0%). High-speed (>40 m.p.h.) motor vehicle accident was the most common reason for triage; however, of 2,277 in this group 201 patients (9.0%) had severe injury and four patients (0.2%) died. Only nine deaths (0.9%) occurred in 1.004 patients with penetrating trauma whose Trauma Scores were greater than 12. Of the 8,891 patients 4,791 (53.9%) had moderate to severe injury. The overtriage rate was therefore 46.1% using this field categorization system.

Original languageEnglish (US)
Pages (from-to)995-1000
Number of pages6
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume28
Issue number7
DOIs
StatePublished - Jul 1988

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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