Implementation of New Trauma Triage Criteria and Implications on Under- and Overtriage. (Traumalert)

Uppsala University

Status: Completed

Conditions: Trauma Injury

Treatments: Diagnostic Test: Implementation of new alert criteria

Study type: Observational

Funder types: Other

Identifiers

NCT03395158

UppsalaUH

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 2,200 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients registered in SweTrau at all including sites between 1 June 2016 and 1 November 2017

Exclusion criteria

• Patients registered due to secondary referral where the initial assessment was performed at another hospital

Trial design

2,200 participants in 2 patient groups

Prior alert criteria

Description:

Patients who activated full, limited or no alert criteria according to the prior alert criteria

Treatment:

Diagnostic Test: Implementation of new alert criteria

Present alert criteria

Description:

Patients who activated full, limited or no alert criteria according to the present alert criteria

Treatment:

Diagnostic Test: Implementation of new alert criteria