Comparative study of the quality of triage in prehospital trauma care using numerical and by colors
DOI:
https://doi.org/10.33448/rsd-v11i12.34705Keywords:
Classification; Pré-hospitalar; Trauma; Triage; Undertriage; Overtriage; Manchester.Abstract
Introduction: In 2004, the Reception with Risk Classification (ACCR) began in Brazil for patients in in-hospital emergency care. By this way, pre-hospital care and screening of trauma victims considering mechanisms of injury and physiological criteria aimed at an adequate transport and a coherent destination for the patient under care. Objective: This study analyzed the screening of trauma victims rescued in the Econorte Concession, in the North region of Paraná-Brazil. Method: A bibliographic research was carried out in the database " PubMed” and a systematic qualitative and quantitative study of the Occurrence Reports filled in by the Concessionaire's first responders and of the Compliance Control forms of the Concessionaire's regulation center through a retrospective cohort survey in two periods: from January 1, 2015 to 31 from December 2016 and January 1, 2019 to December 31, 2020.Results: The description of the casualty's profile, victims' positions, accident location and under-triage and over-triage rates were obtained and presented in tables and graphs. Conclusion: The number of Occurrence Bulletins with adequate completion was higher in the second period and in them the risk classification of the victims was registered. sub-sorting in the two analyzed periods.
References
Ali Ali, B., Lefering, R., Fortun Moral, M., & Belzunegui Otano, T. (2017). Epidemiological comparison between the Navarra Major Trauma Registry and the German Trauma Registry (TR-DGU®). Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 25(1), 107. https://doi.org/10.1186/s13049-017-0453-2
Brown, J. B., Lerner, E. B., Sperry, J. L., Billiar, T. R., Peitzman, A. B., & Guyette, F. X. (2016). Prehospital lactate improves accuracy of prehospital criteria for designating trauma activation level. Journal of Trauma and Acute Care Surgery, 81(3), 445–452. https://doi.org/10.1097/TA.0000000000001085
Cassignol, A., Marmin, J., Cotte, J., Cardinale, M., Bordes, J., Pauly, V., Kerbaul, F., Demory, D., & Meaudre, E. (2019). Correlation between field triage criteria and the injury severity score of trauma patients in a French inclusive regional trauma system. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 27(1), 71. https://doi.org/10.1186/s13049-019-0652-0
Davis, J. W., Dirks, R. C., Sue, L. P., & Kaups, K. L. (2017). Attempting to validate the overtriage/undertriage matrix at a Level I trauma center. Journal of Trauma and Acute Care Surgery, 83(6), 1173–1178. https://doi.org/10.1097/TA.0000000000001623
Davis, J. W., Dirks, R. C., Sue, L. P., Kaups, K. L., Voskens, F. J., van Rein, E. A. J. J., van der Sluijs, R., Houwert, R. M., Lichtveld, R. A., Verleisdonk, E. J., Segers, M., van Olden, G., Dijkgraaf, M., Leenen, L. P. H. H., van Heijl, M., Morden, N. E., Colla, C. H., Sequist, T. D., Rosenthal, M. B., … Belzunegui Otano, T. (2019). Direct transport vs secondary transfer to level I trauma centers in a French exclusive trauma system: Impact on mortality and determinants of triage on road-traffic victims. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 27(1), 1–9. https://doi.org/10.1186/s13049-019-0593-7
Fagerlind, H., Harvey, L., Candefjord, S., Davidsson, J., & Brown, J. (2019). Does injury pattern among major road trauma patients influence prehospital transport decisions regardless of the distance to the nearest trauma centre? – a retrospective study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 27(1), 18. https://doi.org/10.1186/s13049-019-0593-7
Gebresenbet, R. F., & Aliyu, A. D. (2019). Injury severity level and associated factors among road traffic accident victims attending emergency department of Tirunesh Beijing Hospital, Addis Ababa, Ethiopia: A cross sectional hospital-based study. PLOS ONE, 14(9), e0222793. https://doi.org/10.1371/journal.pone.0222793
Godoi, V. C. G., Ganassin, G. S., Inoue, K. C., & Gil, N. L. de M. (2016). Acolhimento com classificação de risco: caracterização da demanda em unidade de pronto atendimento. Cogitare Enfermagem, 21(3), 1–8. https://doi.org/10.5380/ce.v21i3.44664
Hamada, S. R., Delhaye, N., Degoul, S., Gauss, T., Raux, M., Devaud, M.-L., Amani, J., Cook, F., Hego, C., Duranteau, J., & Rouquette, A. (2019). Direct transport vs secondary transfer to level I trauma centers in a French exclusive trauma system: Impact on mortality and determinants of triage on road-traffic victims. PLOS ONE, 14(11), e0223809. https://doi.org/10.1371/journal.pone.0223809
Hartka, T., Gancayco, C., McMurry, T., Robson, M., & Weaver, A. (2019). Accuracy of algorithms to predict injury severity in older adults for trauma triage. Traffic Injury Prevention, 20(sup2), S81–S87. https://doi.org/10.1080/15389588.2019.1688795
Jasper, A., Jasper, G. C., Edah, I. O., & Edah, C. A. (2019). Pre-hospital care of road traffic accident victims in the Niger Delta: a private initiative and experience. Open Access Emergency Medicine, Volume 11, 51–56. https://doi.org/10.2147/OAEM.S178384
Jeppesen, E., Cuevas-Østrem, M., Gram-Knutsen, C., & Uleberg, O. (2020). Undertriage in trauma: an ignored quality indicator? Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 28(1), 34. https://doi.org/10.1186/s13049-020-00729-6
Linder, F., Holmberg, L., Eklöf, H., Björck, M., Juhlin, C., & Mani, K. (2019). Better compliance with triage criteria in trauma would reduce costs with maintained patient safety. European Journal of Emergency Medicine, 26(4), 283–288. https://doi.org/10.1097/MEJ.0000000000000544
NAEMT, N. A. of E. M. T. (2019). Avaliação e Manejo do Paciente. PHTLS Atendimento Pré-hospitalizado ao Traumatizado. In PHTLS: Atendimento Pré-Hospitalar ao Traumatizado (9o, p. 709). Jones & Bartlett Learning.
Newberry, J. A., Bills, C. B., Matheson, L., Zhang, X., Gimkala, A., Ramana Rao, G. V., Janagama, S. R., Mahadevan, S. V., & Strehlow, M. C. (2020). A profile of traumatic injury in the prehospital setting in India: A prospective observational study across seven states. Injury, 51(2), 286–293. https://doi.org/10.1016/j.injury.2019.11.020
Sewalt, C. A., Venema, E., Wiegers, E. J. A., Lecky, F. E., Schuit, S. C. E., den Hartog, D., Steyerberg, E. W., & Lingsma, H. F. (2020). Trauma models to identify major trauma and mortality in the prehospital setting. British Journal of Surgery, 107(4), 373–380. https://doi.org/10.1002/bjs.11304
Tang, O., González Marqués, C., Ndebwanimana, V., Uwamahoro, C., Uwamahoro, D., Lipsman, Z., Naganathan, S., Karim, N., Nkeshimana, M., Levine, A., Stephen, A., & Aluisio, A. (2021). Performance of Prognostication Scores for Mortality in Injured Patients in Rwanda. Western Journal of Emergency Medicine, 22(2). https://doi.org/10.5811/westjem.2020.10.48434
van der Sluijs, R., Debray, T. P. A., Poeze, M., Leenen, L. P. H., & van Heijl, M. (2019). Development and validation of a novel prediction model to identify patients in need of specialized trauma care during field triage: design and rationale of the GOAT study. Diagnostic and Prognostic Research, 3(1), 12. https://doi.org/10.1186/s41512-019-0058-5
Vinjevoll, O.-P., Uleberg, O., & Cole, E. (2018). Evaluating the ability of a trauma team activation tool to identify severe injury: a multicentre cohort study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 26(1), 63. https://doi.org/10.1186/s13049-018-0533-y
Voskens, F. J., van Rein, E. A. J. J., van der Sluijs, R., Houwert, R. M., Lichtveld, R. A., Verleisdonk, E. J., Segers, M., van Olden, G., Dijkgraaf, M., Leenen, L. P. H., & van Heijl, M. (2018). Accuracy of Prehospital Triage in Selecting Severely Injured Trauma Patients. JAMA Surgery, 153(4), 322. https://doi.org/10.1001/jamasurg.2017.4472
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Lais Aparecida Silva; William Cesar Cavazana
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.