Validation of the Korean criteria for trauma team activation
Objective We conducted a study to validate the effectiveness of the Korean criteria for trauma team activation (TTA) and compared its results with a two-tiered system. Methods This observational study was based on data from the Korean Trauma Data Bank. Within the study period, 1,628 trauma patients...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Emergency Medicine
2018-12-01
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| Series: | Clinical and Experimental Emergency Medicine |
| Subjects: | |
| Online Access: | http://www.ceemjournal.org/upload/pdf/ceem-17-265.pdf |
| _version_ | 1797895627851431936 |
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| author | Minhyuk Bang Yong Won Kim Oh Hyun Kim Kang Hyun Lee Woo Jin Jung Yong Sung Cha Hyun Kim Sung Oh Hwang Kyoung-Chul Cha |
| author_facet | Minhyuk Bang Yong Won Kim Oh Hyun Kim Kang Hyun Lee Woo Jin Jung Yong Sung Cha Hyun Kim Sung Oh Hwang Kyoung-Chul Cha |
| author_sort | Minhyuk Bang |
| collection | DOAJ |
| description | Objective We conducted a study to validate the effectiveness of the Korean criteria for trauma team activation (TTA) and compared its results with a two-tiered system. Methods This observational study was based on data from the Korean Trauma Data Bank. Within the study period, 1,628 trauma patients visited our emergency department, and 739 satisfied the criteria for TTA. The rates of overtriage and undertriage in the Korean one-tiered system were compared with the two-tiered system recommended by the American College of Surgery-Committee on Trauma. Results Most of the patient’s physiologic factors reflected trauma severity levels, but anatomical factors and mechanism of injury did not show consistent results. In addition, while the rate of overtriage (64.4%) was above the recommended range according to the Korean criteria, the rate of undertriage (4.0%) was within the recommended range. In the simulated two-tiered system, the rate of overtriage was reduced by 5.5%, while undertriage was increased by 1.8% compared to the Korean activation system. Conclusion The Korean criteria for TTA showed higher rates of overtriage and similar undertriage rates compared to the simulated two-tier system. Modification of the current criteria to a two-tier system with special considerations would be more effective for providing optimum patient care and medical resource utilization. |
| first_indexed | 2024-04-10T07:28:53Z |
| format | Article |
| id | doaj.art-85c5d61669174f9487bb041c8b0b2680 |
| institution | Directory Open Access Journal |
| issn | 2383-4625 |
| language | English |
| last_indexed | 2024-04-10T07:28:53Z |
| publishDate | 2018-12-01 |
| publisher | The Korean Society of Emergency Medicine |
| record_format | Article |
| series | Clinical and Experimental Emergency Medicine |
| spelling | doaj.art-85c5d61669174f9487bb041c8b0b26802023-02-24T01:45:52ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252018-12-015425626310.15441/ceem.17.265202Validation of the Korean criteria for trauma team activationMinhyuk BangYong Won KimOh Hyun KimKang Hyun LeeWoo Jin JungYong Sung ChaHyun KimSung Oh HwangKyoung-Chul ChaObjective We conducted a study to validate the effectiveness of the Korean criteria for trauma team activation (TTA) and compared its results with a two-tiered system. Methods This observational study was based on data from the Korean Trauma Data Bank. Within the study period, 1,628 trauma patients visited our emergency department, and 739 satisfied the criteria for TTA. The rates of overtriage and undertriage in the Korean one-tiered system were compared with the two-tiered system recommended by the American College of Surgery-Committee on Trauma. Results Most of the patient’s physiologic factors reflected trauma severity levels, but anatomical factors and mechanism of injury did not show consistent results. In addition, while the rate of overtriage (64.4%) was above the recommended range according to the Korean criteria, the rate of undertriage (4.0%) was within the recommended range. In the simulated two-tiered system, the rate of overtriage was reduced by 5.5%, while undertriage was increased by 1.8% compared to the Korean activation system. Conclusion The Korean criteria for TTA showed higher rates of overtriage and similar undertriage rates compared to the simulated two-tier system. Modification of the current criteria to a two-tier system with special considerations would be more effective for providing optimum patient care and medical resource utilization.http://www.ceemjournal.org/upload/pdf/ceem-17-265.pdftrauma centerstriagepatient care team |
| spellingShingle | Minhyuk Bang Yong Won Kim Oh Hyun Kim Kang Hyun Lee Woo Jin Jung Yong Sung Cha Hyun Kim Sung Oh Hwang Kyoung-Chul Cha Validation of the Korean criteria for trauma team activation Clinical and Experimental Emergency Medicine trauma centers triage patient care team |
| title | Validation of the Korean criteria for trauma team activation |
| title_full | Validation of the Korean criteria for trauma team activation |
| title_fullStr | Validation of the Korean criteria for trauma team activation |
| title_full_unstemmed | Validation of the Korean criteria for trauma team activation |
| title_short | Validation of the Korean criteria for trauma team activation |
| title_sort | validation of the korean criteria for trauma team activation |
| topic | trauma centers triage patient care team |
| url | http://www.ceemjournal.org/upload/pdf/ceem-17-265.pdf |
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