A prospective evaluation of field categorization of trauma patients

D. J. Kreis, E. G. Fine, G. A. Gomez, J. Eckers, E. Whitwell, Patricia M Byers

Research output: Contribution to journalArticle

44 Citations (Scopus)

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
Pages (from-to)995-1000
Number of pages6
JournalJournal of Trauma
Volume28
Issue number7
StatePublished - Jan 1 1988

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Wounds and Injuries
Triage
Trauma Centers
Motor Vehicles
Accidents

ASJC Scopus subject areas

  • Surgery

Cite this

Kreis, D. J., Fine, E. G., Gomez, G. A., Eckers, J., Whitwell, E., & Byers, P. M. (1988). A prospective evaluation of field categorization of trauma patients. Journal of Trauma, 28(7), 995-1000.

A prospective evaluation of field categorization of trauma patients. / Kreis, D. J.; Fine, E. G.; Gomez, G. A.; Eckers, J.; Whitwell, E.; Byers, Patricia M.

In: Journal of Trauma, Vol. 28, No. 7, 01.01.1988, p. 995-1000.

Research output: Contribution to journalArticle

Kreis, DJ, Fine, EG, Gomez, GA, Eckers, J, Whitwell, E & Byers, PM 1988, 'A prospective evaluation of field categorization of trauma patients', Journal of Trauma, vol. 28, no. 7, pp. 995-1000.
Kreis DJ, Fine EG, Gomez GA, Eckers J, Whitwell E, Byers PM. A prospective evaluation of field categorization of trauma patients. Journal of Trauma. 1988 Jan 1;28(7):995-1000.
Kreis, D. J. ; Fine, E. G. ; Gomez, G. A. ; Eckers, J. ; Whitwell, E. ; Byers, Patricia M. / A prospective evaluation of field categorization of trauma patients. In: Journal of Trauma. 1988 ; Vol. 28, No. 7. pp. 995-1000.
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