Under-triage of older trauma patients in prehospital care: a systematic review

A Alshibani, M Alharbi, S Conroy - European geriatric medicine, 2021 - Springer
Background It is argued that many older trauma patients are under-triaged in prehospital
care which may adversely affect their outcomes. This systematic review aimed to assess …

Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review

G Fuller, A Pandor, M Essat, L Sabir… - Journal of Trauma …, 2021 - journals.lww.com
BACKGROUND Older adults with major trauma are frequently undertriaged, increasing the
risk of preventable morbidity and mortality. The aim of this systematic review was to evaluate …

Systolic blood pressure criteria in the National Trauma Triage Protocol for geriatric trauma: 110 is the new 90

JB Brown, ML Gestring, RM Forsythe… - Journal of trauma and …, 2015 - journals.lww.com
BACKGROUND Undertriage is a concern in geriatric patients. The National Trauma Triage
Protocol (NTTP) recognized that systolic blood pressure (SBP) less than 110 mm Hg may …

Accuracy of prehospital triage in selecting severely injured trauma patients

FJ Voskens, EAJ van Rein, R van der Sluijs… - JAMA …, 2018 - jamanetwork.com
Importance A major component of trauma care is adequate prehospital triage. To optimize
the prehospital triage system, it is essential to gain insight in the quality of prehospital triage …

Field-triage, hospital-triage and triage-assessment: a literature review of the current phases of adult trauma triage

RS Morris, BS Karam, PB Murphy… - Journal of Trauma …, 2021 - journals.lww.com
Despite major improvements in the United States trauma system over the past two decades,
prehospital trauma triage is a significant challenge. Undertriage is associated with increased …

Evaluation of elderly specific pre-hospital trauma triage criteria: a systematic review

AJ Boulton, D Peel, U Rahman, E Cole - Scandinavian journal of trauma …, 2021 - Springer
Background Pre-hospital identification of major trauma in elderly patients is key for delivery
of optimal care, however triage of this group is challenging. Elderly-specific triage criteria …

Out-of-hospital and inter-hospital under-triage to designated tertiary trauma centers among injured older adults: a 10-year statewide geospatial-adjusted analysis

T Garwe, K Stewart, J Stoner, CD Newgard… - Prehospital …, 2017 - Taylor & Francis
Objective: While out-of-hospital under-triage of seriously injured older adults to tertiary
trauma centers has long been acknowledged, no study has adjusted for place of injury or …

Improving early identification of the high-risk elderly trauma patient by emergency medical services

CD Newgard, JF Holmes, JS Haukoos, EM Bulger… - Injury, 2016 - Elsevier
Study objective We sought to (1) define the high-risk elderly trauma patient based on
prognostic differences associated with different injury patterns and (2) derive alternative field …

Prehospital lactate improves accuracy of prehospital criteria for designating trauma activation level

JB Brown, EB Lerner, JL Sperry, TR Billiar… - Journal of Trauma …, 2016 - journals.lww.com
BACKGROUND Trauma activation level is determined by prehospital criteria. The American
College of Surgeons (ACS) recommends trauma activation criteria; however, their accuracy …

The incidence of traumatic intracranial hemorrhage in head-injured older adults transported by EMS with and without anticoagulant or antiplatelet use

DK Nishijima, SD Gaona, T Waechter… - Journal of …, 2018 - liebertpub.com
Field triage guidelines recommend transport of head-injured patients on anticoagulants or
antiplatelets to a higher-level trauma center based on studies suggesting a high incidence of …