Profile and triage validity of trauma patients triaged green: a prospective cohort study from a secondary care hospital in India
Objectives To evaluate the profile of non-urgent patients triaged ‘green’, as part of a triage trial in the emergency department (ED) of a secondary care hospital in India. The secondary aim was to validate the triage trial with the South African Triage Score (SATS).Design Prospective cohort study.S...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-05-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/5/e065036.full |
| _version_ | 1827181322431365120 |
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| author | Naveen Sharma Kapil Dev Soni Nobhojit Roy Martin Gerdin Wärnberg Gerard O'Reilly Monty Khajanchi Nakul P Raykar Rohini Dutta Anita Gadgil Monali Mohan Siddarth David Aroke Anna Anthony Bhakti Sarang Jonatan Attergrim |
| author_facet | Naveen Sharma Kapil Dev Soni Nobhojit Roy Martin Gerdin Wärnberg Gerard O'Reilly Monty Khajanchi Nakul P Raykar Rohini Dutta Anita Gadgil Monali Mohan Siddarth David Aroke Anna Anthony Bhakti Sarang Jonatan Attergrim |
| author_sort | Naveen Sharma |
| collection | DOAJ |
| description | Objectives To evaluate the profile of non-urgent patients triaged ‘green’, as part of a triage trial in the emergency department (ED) of a secondary care hospital in India. The secondary aim was to validate the triage trial with the South African Triage Score (SATS).Design Prospective cohort study.Setting A secondary care hospital in Mumbai, India.Participants Patients aged 18 years and above with a history of trauma defined as having any of the external causes of morbidity and mortality listed in block V01–Y36, chapter XX of the International Classification of Disease version 10 codebook, triaged green between July 2016 and November 2019.Primary and secondary outcome measures Outcome measures were mortality within 24 hours, 30 days and mistriage.Results We included 4135 trauma patients triaged green. The mean age of patients was 32.8 (±13.1) years, and 77% were males. The median (IQR) length of stay of admitted patients was 3 (13) days. Half the patients had a mild Injury Severity Score (3–8), with the majority of injuries being blunt (98%). Of the patients triaged green by clinicians, three-quarters (74%) were undertriaged on validating with SATS. On telephonic follow-up, two patients were reported dead whereas one died while admitted in hospital.Conclusions Our study highlights the need for implementation and evaluation of training in trauma triage systems that use physiological parameters, including pulse, systolic blood pressure and Glasgow Coma Scale, for the in-hospital first responders in the EDs. |
| first_indexed | 2024-03-08T00:04:07Z |
| format | Article |
| id | doaj.art-6bb1f48642394a429d21d5553a737c13 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2025-03-21T05:44:58Z |
| publishDate | 2023-05-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-6bb1f48642394a429d21d5553a737c132024-07-24T03:30:09ZengBMJ Publishing GroupBMJ Open2044-60552023-05-0113510.1136/bmjopen-2022-065036Profile and triage validity of trauma patients triaged green: a prospective cohort study from a secondary care hospital in IndiaNaveen Sharma0Kapil Dev Soni1Nobhojit Roy2Martin Gerdin Wärnberg3Gerard O'Reilly4Monty Khajanchi5Nakul P Raykar6Rohini Dutta7Anita Gadgil8Monali Mohan9Siddarth David10Aroke Anna Anthony11Bhakti Sarang12Jonatan Attergrim13Department of Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, IndiaCritical Care, All India Institute of Medical Sciences, New Delhi, IndiaWorld Health Organization Collaborating Center for Research in Surgical Care Delivery in Low-and-Middle Income Countries, Mumbai, IndiaDepartment of Global Public Health, Karolinska Institutet, Solna, SwedenDepartment of Emergency Medicine, Monash University, Clayton, Victoria, AustraliaDepartment of Surgery, Seth Gowardhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, IndiaDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USAWorld Health Organization Collaborating Center for Research in Surgical Care Delivery in Low-and-Middle Income Countries, Mumbai, IndiaWorld Health Organization Collaborating Center for Research in Surgical Care Delivery in Low-and-Middle Income Countries, Mumbai, IndiaWorld Health Organization Collaborating Center for Research in Surgical Care Delivery in Low-and-Middle Income Countries, Mumbai, IndiaDepartment of Global Public Health, Karolinska Institutet, Solna, SwedenDoctors For You, Mumbai, IndiaWorld Health Organization Collaborating Center for Research in Surgical Care Delivery in Low-and-Middle Income Countries, Mumbai, IndiaDepartment of Global Public Health, Karolinska Institutet, Solna, SwedenObjectives To evaluate the profile of non-urgent patients triaged ‘green’, as part of a triage trial in the emergency department (ED) of a secondary care hospital in India. The secondary aim was to validate the triage trial with the South African Triage Score (SATS).Design Prospective cohort study.Setting A secondary care hospital in Mumbai, India.Participants Patients aged 18 years and above with a history of trauma defined as having any of the external causes of morbidity and mortality listed in block V01–Y36, chapter XX of the International Classification of Disease version 10 codebook, triaged green between July 2016 and November 2019.Primary and secondary outcome measures Outcome measures were mortality within 24 hours, 30 days and mistriage.Results We included 4135 trauma patients triaged green. The mean age of patients was 32.8 (±13.1) years, and 77% were males. The median (IQR) length of stay of admitted patients was 3 (13) days. Half the patients had a mild Injury Severity Score (3–8), with the majority of injuries being blunt (98%). Of the patients triaged green by clinicians, three-quarters (74%) were undertriaged on validating with SATS. On telephonic follow-up, two patients were reported dead whereas one died while admitted in hospital.Conclusions Our study highlights the need for implementation and evaluation of training in trauma triage systems that use physiological parameters, including pulse, systolic blood pressure and Glasgow Coma Scale, for the in-hospital first responders in the EDs.https://bmjopen.bmj.com/content/13/5/e065036.full |
| spellingShingle | Naveen Sharma Kapil Dev Soni Nobhojit Roy Martin Gerdin Wärnberg Gerard O'Reilly Monty Khajanchi Nakul P Raykar Rohini Dutta Anita Gadgil Monali Mohan Siddarth David Aroke Anna Anthony Bhakti Sarang Jonatan Attergrim Profile and triage validity of trauma patients triaged green: a prospective cohort study from a secondary care hospital in India BMJ Open |
| title | Profile and triage validity of trauma patients triaged green: a prospective cohort study from a secondary care hospital in India |
| title_full | Profile and triage validity of trauma patients triaged green: a prospective cohort study from a secondary care hospital in India |
| title_fullStr | Profile and triage validity of trauma patients triaged green: a prospective cohort study from a secondary care hospital in India |
| title_full_unstemmed | Profile and triage validity of trauma patients triaged green: a prospective cohort study from a secondary care hospital in India |
| title_short | Profile and triage validity of trauma patients triaged green: a prospective cohort study from a secondary care hospital in India |
| title_sort | profile and triage validity of trauma patients triaged green a prospective cohort study from a secondary care hospital in india |
| url | https://bmjopen.bmj.com/content/13/5/e065036.full |
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