All about the Benjamins: Efficacy of a modified triage protocol for trauma activation in geriatric patients.
Am J Surg
; 225(4): 764-768, 2023 04.
Article
em En
| MEDLINE
| ID: mdl-36443104
ABSTRACT
BACKGROUND:
The geriatric triage protocol at the study institution was modified from SBP <90 mmHg to SBP <110 mmHg and then to SBP <100 mmHg. The purpose of this study is to evaluate the impact of adjusting geriatric triage protocols on patient outcomes.METHODS:
A single-center retrospective review was conducted on trauma patients 65 years or older. Three study periods with different geriatric specific trauma team activation (TTA) protocols (Group 1-SBP<90 mmHg; Group 2-SBP<110 mmHg; Group 3-SBP<100 mmHg) were compared.RESULTS:
2016 patients were included. There were no differences in mortality rates or need for trauma intervention (NFTI) rates among the three groups. The SBP <100 mmHg and SBP <110 mmHg groups had similar under-triage rates. The NFTI over-triage rate in the SBP <100 mmHg group was lower than the SBP <110 mmHg group.CONCLUSION:
Using SBP <100 mmHg threshold for TTA criteria in geriatric trauma patients improves over-triage without leading to under-triage.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ferimentos e Lesões
/
Triagem
Limite:
Aged
/
Humans
Idioma:
En
Revista:
Am J Surg
Ano de publicação:
2023
Tipo de documento:
Article