Table 1 Under triage and over triage of triage trauma tools in adults
Index test vs reference standard: ISS > 15 | |||||
Study ID | INDEX tool | All cases (n trauma patients) | ISS > 15 | Under triage (%) | Over triage (%) |
Dinh 2012 | ASC-COT | 2664 | 285 | 37 | 25 |
Do 2014 | ASC-COT | 1696 | 182 | 24 | 3 |
Ocak 2009 | ASC-COT | 302 | 151 | 16 | 23 |
Bouzat 2015 | ASC-COT | 2572 | 1,185 | 17.6 | 76.6 |
Voskens 2018 | Dutch field triage protocol (ACS-COT) | 4950 | 436 | 21.6 | 30.6 |
Voskens 2018 (elderly > 65) | Dutch field triage protocol (ACS-COT) | 1085 | 132 | 38.6 | 21.1 |
van Laarhoven 2014 | Dutch field triage protocol (ACS-COT) | 1607 | 221 | 10.9 | 39.5 |
Vinjevoll 2018 | New trauma team activation criteria | 998 | 127 | Â - | 87 |
Bouzat 2015 | TRENAU | 2572 | 1,185 | 8.5 | 58.8 |
Follin 2016 | Vittel Triage Criteria | 1160 | 417 | Â - | 64 |
Sewalt 2016 | PHI ≤ 1 of 20 | 154,476 | 52,818 | 38.9 | 23.7 |
Sewalt 2016 | T-RTS ≤ 11 of 12 | 154,476 | 52,818 | 66.8 | 8.1 |
Sewalt 2016 | PSS ≤ 11 of 12 | 154,476 | 52,818 | 40.5 | 21.3 |
Sewalt 2016 | MGAP ≤ 28 of 29 | 154,476 | 52,818 | 31 | 51.2 |
Sewalt 2016 | mREMS > 3 of 26 | 154,476 | 52,818 | 23.1 | 72.4 |
Sewalt 2016 | KTS ≤ 15 of 16 | 154,476 | 52,818 | 3.6 | 82.8 |
Index test vs reference standard: in-hospital mortality | |||||
Study ID | INDEX tool | All cases (n trauma patients) | Deaths | Under triage (%) | Over triage (%) |
Bouzat 2016 | MGAP < 23 | 3260 | 186 | 12 | 18 |
Bouzat 2016 | T-RTS < 12 | 3260 | 186 | 21 | 12 |
Cassignol 2019 a | T-RTS < 12 | 1001 | 76 | 9 | 65 |
Cassignol 2019 a | Vittel Triage Criteria ≥ 1 | 1001 | 76 | 0 | 98 |
Cassignol 2019 a | MGAP < 23 | 1001 | 76 | 9 | 24 |
Cassignol 2019 a | NTS (New Trauma Score) < 18 | 1001 | 76 | 18 | 14 |
Index test vs reference standard: survival | |||||
Study ID | INDEX tool | All cases (n trauma patients) | Survivals | Under triage (%) | Over triage (%) |
Llompart-Pou 2016 | MGAP < 14.5 | 1361 | 1120 | 2 | 63 |
Llompart-Pou 2016 | GAP < 11.5 | 1361 | 1120 | 5 | 54 |
Llompart-Pou 2016 | T-RTS | 1361 | 1120 | 3 | 68 |
Index test vs reference standard: Intensive care unit (ICU) length of stay (LOS) | |||||
Study ID | INDEX tool | All cases (n trauma patients) | ICU LOS | Under triage (%) | Over triage (%) |
Follin 2016 | MGAP < 22 | 1160 | 475 | 74 | 9 |
Follin 2016 | MGAP < 17 | 1160 | 475 | 91 | 2 |