Physiologic Field Triage Criteria for Identifying Seriously Injured Older Adults
作者： Craig D. Newgard , Derek Richardson , James F. Holmes , Thomas D. Rea , Renee Y. Hsia
DOI: 10.3109/10903127.2014.912707
关键词:
摘要: AbstractObjective. To evaluate the ability of out-of-hospital physiologic measures to predict serious injury for field triage purposes among older adults and potentially reduce undertriage seriously injured elders non-trauma hospitals. Methods. This was a retrospective cohort study involving 55 years transported by 94 emergency medical services (EMS) agencies 122 hospitals (trauma non-trauma) in 7 regions western United States from January 1, 2006 December 31, 2008. We evaluated initial Glasgow Coma Scale (GCS) score, systolic blood pressure (SBP), respiratory rate, heart shock index (SBP ÷ rate), procedures, mechanism injury, patient demographics. The primary outcome “serious injury,” defined as Injury Severity Score (ISS) ≥ 16, measure trauma center need. used multivariable regression models, fractional polynomials binary recursive partitioning appropriate cut...
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