What question did this study set out to answer?

To identify clinical and demographic predictors of delayed trauma team activation and determine whether these delays worsen patient outcomes.

August 28, 2012Journal of Trauma and Acute Care Surgery

Delayed trauma team activation

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To identify clinical and demographic predictors of delayed trauma team activation and determine whether these delays worsen patient outcomes.
Analyzed registry data from 2008 to 2010 at a Level II trauma center (N=9,525).
Defined delayed trauma team activation (DTTA) as an activation or consult occurring over 30 minutes after emergency arrival despite trauma triage criteria or evidence of traumatic injury.
Evaluated predictors and outcomes using chi-square tests, t tests, Wilcoxon tests, and multivariate logistic regression.
DTTA occurred in 1.5% of 9,525 patients and was independently associated with age over 55 years (OR, 3.77 [95% CI, 2.54–5.53]), blunt assault (OR, 3.42 [95% CI, 2.20–5.19]), and a normal Glasgow Coma Scale score of 15 (OR, 4.48 [95% CI, 2.02–12.71]), whereas white ethnicity was protective (OR, 0.47 [95% CI, 0.27–0.76]).
Severe head injury (maximum Abbreviated Injury Scale score ≥ 3) occurred more frequently in the DTTA group, whereas firearm and motor vehicle injuries were less common.
Multivariate regression revealed no independent association between DTTA and mortality or hospital length of stay, though unadjusted hospital stay was longer and discharge to rehabilitation was more frequent.

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Implication

Registry study finds delayed trauma team activation correlates with older age, minor apparent impairment, and blunt trauma, highlighting risks of under-triage.

Cite This Study

Ryb et al. (2012) studied this question.

synapsesocial.com/papers/6a852407f76e40547ac2a59b https://doi.org/10.1097/ta.0b013e31825abf6f

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Implication

Registry study finds delayed trauma team activation correlates with older age, minor apparent impairment, and blunt trauma, highlighting risks of under-triage.

Delayed trauma team activation

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Delayed trauma team activation

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