619
Views
41
CrossRef citations to date
0
Altmetric
Focus on Trauma

Large Cost Savings Realized from the 2006 Field Triage Guideline: Reduction in Overtriage in U.S. Trauma Centers

, PhD, MA, , MLS, MPH, , MD, MPH, , MD, , DO, MPH, , PhD & , MD show all
Pages 222-229 | Received 05 Aug 2011, Accepted 09 Aug 2011, Published online: 18 Oct 2011

References

  • U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. National Ambulatory Medical Care Survey Summaries (NHAMCS): 2007 Emergency Department File. Hyattsville, MD: National Center for Health Statistics, 2008.
  • National Academy of Science, Institute of Medicine, Committee on the Future of Emergency Care in the United States Health System, Board of Healthcare Services. Hospital-based Emergency Care: At the Breaking Point. Washington, DC: National Academies Press, 2007.
  • Joint position statement on emergency medical services and emergency medical services systems. National Association of State EMS Directors and National Association of EMS Physicians. Prehosp Disaster Med. 1993;8: 285,288–9.
  • American College of Surgeons, Committee on Trauma. Resources for the Optimal Care of the Injured Patient 1990. Chicago, IL: American College of Surgeons, 1990.
  • Hoff WS, Tinkoff GH, Lucke JF, Lehr S. Impact of minimal injuries on a level I trauma center. J Trauma. 1992;33:408–12.
  • Lehmann R, Brounts L, Lesperance K, A simplified set of trauma triage criteria to safely reduce overtriage. Arch Surg. 2009;144:853–8.
  • Lehmann RK, Arthurs ZM, Cuadrado DG, Trauma team activation: simplified criteria safely reduces overtriage. Am J Surg. 2007;193:630–5.
  • Kreis DJ, Fine EG, Gomez GA, Eckes J, Whitwell E, Byers PM. A prospective evaluation of field categorization of trauma patients. J Trauma. 1988;28:995–1000.
  • Purtill MA, Benedict K, Hernandex-Boussard T, Validation of a prehospital trauma triage tool: a 10-year perspective. J Trauma. 2008;65:1253–7.
  • DiDomenico PB, Pietzsch JB, Pate-Cornell ME. Bayesian assessment of overtriage and undertriage at a level I trauma centre. Philos Transact A Math Phys Eng Sci. 2008;366: 2265–77.
  • Nathens AB, Jurkovich GJ, Rivara FP, Maier RV. Effectiveness of state trauma systems in reducing injury-related mortality: a national evaluation. J Trauma. 2000;48:25–31.
  • MacKenzie EJ, Rivara FP, Jurkovich GJ, A national evaluation of the effect of trauma-center care on mortality. N Engl J Med. 2006;354:366–78.
  • Papa L, Langland-Orban, Kallenborn C. Assessing effectiveness of a mature trauma system: association of trauma center presence with lower injury mortality rate. J Trauma. 2006;61: 261–7.
  • Hupert N, Hollingsworth E, Xiong W. Is overtriage associated with increased mortality? Insights from a simulation model of mass casualty trauma care. Disaster Med Public Health Prep. 2007;1(suppl):S14-S24.
  • Armstrong JH, Hammond J, Hirshberg A, Frykberg ER. Is overtriage associated with increased mortality? The evidence says “yes” [letter]. Disaster Med Public Health Prep. 2008;2:4–5; author reply 5–6.
  • Frykberg ER, Tepas JJ. Terrorist bombings: lessons learned from Belfast to Beirut. Ann Surg. 1988;208:569–76.
  • Schafermeyer RW, Asplin BR. Hospital and emergency department crowding in the United States. Emerg Med (Fremantle). 2003;15:22–7
  • Sasser SM, Hunt RC, Sullivent EE, Guidelines for the field triage of injured patients: recommendations of the National Expert Panel on Field Triage. MMWR Recomm Rep. 2009;58:1–35.
  • American Medical Association. American Medical Association Hospital International Classification of Diseases, 9th Revision, Clinical Modification 2005. Chicago, IL: American Medical Association, 2005.
  • American Trauma Society. Trauma Information Exchange Program (TIEP). Reports Section. Trauma Centers by State of Regional Designation Certification and ACS Verification Status by Level of Trauma Care. March 2008 update. Available at: http://www.amtrauma.org/tiep/reports/DesignationStatus.jsp. Accessed June 2, 2010.
  • American College of Surgeons. National Trauma Data Bank (NTDB) Research Dataset Version 7.0 [database online]. Available at: http://facs.org/trauma/ntdb.html. Accessed June 2, 2010.
  • Goble S, Neal M. Clark DE, Creating a nationally representative sample of patients from trauma centers. J Trauma. 2009;67:637–42; discussion 642–4.
  • Lerner EB, Shah MN, Swor R, Comparison of the 1999 and 2006 trauma triage guidelines: where do the patients go? Prehosp Emerg Care. 2011;15:12–7.
  • Dasta JF, McLaughlin TP, Mody SH, Piech CT. Daily cost of an intensive care unit day: the contribution of mechanical ventilation. Crit Care Med. 2005;33:1266–71.
  • Rapoport J, Teres D, Zhao Y, Lemeshow S. Length of stay data as a guide to hospital economic performance for ICU patients. Med Care. 2003;41:386–97.
  • Durham R, Pracht E, Orban B, Lottenburg L, Tepas J, Flint L. Evaluation of a mature trauma system. Ann Surg. 2006;243:775–83.
  • MacKenzie EJ, Weir S, Rivara FP, The value of trauma center care. J Trauma. 2010;69:1–10.
  • Petitti DB. Meta-analysis, Decision Analysis, and Cost-Effectiveness Analysis: Methods for Quantitative Synthesis in Medicine. 2nd ed. New York, NY: Oxford University Press, 2000. Monographs in Epidemiology and Biostatistics, No. 31.
  • American College of Surgeons. Optimal Resources for the Care of the Seriously Injured. Chicago, IL: American College of Surgeons, 1976. Cited by: Mackersie R. History of trauma field triage development and the ACS criteria. Prehosp Emerg Care. 2006;10:287–94.
  • Mackersie R. History of trauma field triage development and the ACS criteria. Prehosp Emerg Care. 2006;10:287–94.
  • Lerner EB. Studies evaluating current field triage: 1966–2005. Prehosp Emerg Care. 2006;10:303–6.
  • Knudson P, Frecceri CA, De Lateur SA. Improving the field triage of major trauma victims. J Trauma. 1988;28: 602–6.
  • Zimmer-Gembeck MJ, Southard PA, Hedges JR, Triage in an established trauma system. J Trauma. 1995;39: 922–8.
  • Pointer JE, Levitt MA, Young JC, Promes SB, Messana BJ, Ader MEJ. Can paramedics using guidelines accurately triage patients? Ann Emerg Med. 2001;38:268–77.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.