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Retrospective evaluation compares triage methods' effectiveness regarding mortality in trauma casualties, suggesting simpler methods may be preferable.
Introduction: Traumatic events often result in a large number of casualties, and while numerous disaster triage methods exist, there is a lack of evidence comparing their effectiveness. Methods: Utilizing data from public databases, a retrospective evaluation was conducted on 10,000 patients to assess the value of six disaster triage methods on patient outcomes, specifically mortality. Receiver Operating Characteristic (ROC) curves were employed for the analysis. Results: The Sacco Score demonstrated the largest area under the ROC curve; however, there was no significant difference in outcomes when compared to methods such as START, CareFlight, etc. (p > 0.05). Conclusion: Based on the current evidence, the differences in effectiveness among these disaster triage methods are not statistically significant. Therefore, it is recommended that methods that are faster and simpler to implement be selected for use in disaster response.
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Huiyun Hu (2026) studied this question.
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