Implementation of New Trauma Triage Criteria and Implications on Under- and Overtriage
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 2,200
- 主要终点
- Number of alerts initiated
研究概览
简要总结
New trauma alert criteria has been introduced in Sweden, and our aim in this study is to evaluate the outcome of the old and new trauma alert criteria in a cohort of 1.300.000 inhabitants at six hospitals regarding over- and undertriage and number of alerts initiated. The Swedish trauma registry is used to identify eligible patients.
详细描述
The Swedish trauma registry (SweTrau) was initiated in 2011, and has up to date 40.000 registered patients. In order to evaluate trauma alert criteria implemented during 2017, we plan a prospective stepped wedge trial at six hospitals in the Uppsala/Örebro region. These hospitals register in SweTrau and all had the same alert criteria prior to the implementation of new alert criteria.
A power estimation show the need for 588 patients in each group in order to show a statistical difference between 2-5% undertriage at a 95% CI.
The including hospitals has a population base of 1.300.000 inhabitants, and the annual number of trauma alerts has been about 3.000.
The registry has information about time of trauma, initiated alerts, Injury Severity Score and mechanism of injury suitable for analysis for our hypothesis.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients registered in SweTrau at all including sites between 1 June 2016 and 1 November 2017
排除标准
- •Patients registered due to secondary referral where the initial assessment was performed at another hospital
结局指标
主要结局
Number of alerts initiated
时间窗: One year data with intervention
The total number of trauma alerts initiated in the study group
次要结局
- Analysis of over- and undertriage with the Matrix method(One year data with intervention)