Nine out of ten trauma calls to a Norwegian hospital are avoidable: a retrospective analysis
Background: Our aim was to estimate the degree of overtriage (Injury Severity Score [ISS] ≤ 15) of trauma call patients in Nordland Hospital Bodø, Norway. We also determined the transportation time from injury to hospital admission. Methods: We used data from our Acute Medical Information System, am...
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ftunivtroemsoe:oai:munin.uit.no:10037/8009 2023-05-15T15:45:25+02:00 Nine out of ten trauma calls to a Norwegian hospital are avoidable: a retrospective analysis Stordahl, Harald Passas, Eva Hopland, Andreas Nielsen, Erik Waage 2015-02-03 https://hdl.handle.net/10037/8009 https://doi.org/10.1186/s12873-015-0026-5 eng eng BioMed Central BMC Emergency Medicine 15(2015) nr. 1 s. - FRIDAID 1251624 doi:10.1186/s12873-015-0026-5 1471-227X https://hdl.handle.net/10037/8009 URN:NBN:no-uit_munin_7594 openAccess Trauma team activation Overtriage Time lapse Healthcare resource utilization VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Traumatologi: 783 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Traumatology: 783 Journal article Tidsskriftartikkel Peer reviewed 2015 ftunivtroemsoe https://doi.org/10.1186/s12873-015-0026-5 2021-06-25T17:54:20Z Background: Our aim was to estimate the degree of overtriage (Injury Severity Score [ISS] ≤ 15) of trauma call patients in Nordland Hospital Bodø, Norway. We also determined the transportation time from injury to hospital admission. Methods: We used data from our Acute Medical Information System, ambulance records and patient charts relating to ISS and estimation of response and transport times. Data were collected for all trauma call patients in the period from the establishment of the trauma call system in June 2008 until the 31st of December 2010. Results: We identified 421 out of 458 possible trauma call patients with sufficient clinical information available for ISS scoring. Of these 385 had an ISS ≤15. Overtriage was 91.5% (95% CI: 88.8%–94.2%). Median time from injury to the arrival of transport, and from injury to arrival in hospital, was 36 minutes and 1 hour 27 minutes, respectively. Conclusions: To our knowledge 91.5% is the highest overtriage ever published. There is a need for narrowing the trauma call criteria. This could be achieved by implementing clinical observations during the long transportation time Article in Journal/Newspaper Bodø Bodø Nordland Nordland Nordland University of Tromsø: Munin Open Research Archive Bodø ENVELOPE(14.405,14.405,67.280,67.280) Norway BMC Emergency Medicine 15 1 |
institution |
Open Polar |
collection |
University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
topic |
Trauma team activation Overtriage Time lapse Healthcare resource utilization VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Traumatologi: 783 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Traumatology: 783 |
spellingShingle |
Trauma team activation Overtriage Time lapse Healthcare resource utilization VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Traumatologi: 783 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Traumatology: 783 Stordahl, Harald Passas, Eva Hopland, Andreas Nielsen, Erik Waage Nine out of ten trauma calls to a Norwegian hospital are avoidable: a retrospective analysis |
topic_facet |
Trauma team activation Overtriage Time lapse Healthcare resource utilization VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Traumatologi: 783 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Traumatology: 783 |
description |
Background: Our aim was to estimate the degree of overtriage (Injury Severity Score [ISS] ≤ 15) of trauma call patients in Nordland Hospital Bodø, Norway. We also determined the transportation time from injury to hospital admission. Methods: We used data from our Acute Medical Information System, ambulance records and patient charts relating to ISS and estimation of response and transport times. Data were collected for all trauma call patients in the period from the establishment of the trauma call system in June 2008 until the 31st of December 2010. Results: We identified 421 out of 458 possible trauma call patients with sufficient clinical information available for ISS scoring. Of these 385 had an ISS ≤15. Overtriage was 91.5% (95% CI: 88.8%–94.2%). Median time from injury to the arrival of transport, and from injury to arrival in hospital, was 36 minutes and 1 hour 27 minutes, respectively. Conclusions: To our knowledge 91.5% is the highest overtriage ever published. There is a need for narrowing the trauma call criteria. This could be achieved by implementing clinical observations during the long transportation time |
format |
Article in Journal/Newspaper |
author |
Stordahl, Harald Passas, Eva Hopland, Andreas Nielsen, Erik Waage |
author_facet |
Stordahl, Harald Passas, Eva Hopland, Andreas Nielsen, Erik Waage |
author_sort |
Stordahl, Harald |
title |
Nine out of ten trauma calls to a Norwegian hospital are avoidable: a retrospective analysis |
title_short |
Nine out of ten trauma calls to a Norwegian hospital are avoidable: a retrospective analysis |
title_full |
Nine out of ten trauma calls to a Norwegian hospital are avoidable: a retrospective analysis |
title_fullStr |
Nine out of ten trauma calls to a Norwegian hospital are avoidable: a retrospective analysis |
title_full_unstemmed |
Nine out of ten trauma calls to a Norwegian hospital are avoidable: a retrospective analysis |
title_sort |
nine out of ten trauma calls to a norwegian hospital are avoidable: a retrospective analysis |
publisher |
BioMed Central |
publishDate |
2015 |
url |
https://hdl.handle.net/10037/8009 https://doi.org/10.1186/s12873-015-0026-5 |
long_lat |
ENVELOPE(14.405,14.405,67.280,67.280) |
geographic |
Bodø Norway |
geographic_facet |
Bodø Norway |
genre |
Bodø Bodø Nordland Nordland Nordland |
genre_facet |
Bodø Bodø Nordland Nordland Nordland |
op_relation |
BMC Emergency Medicine 15(2015) nr. 1 s. - FRIDAID 1251624 doi:10.1186/s12873-015-0026-5 1471-227X https://hdl.handle.net/10037/8009 URN:NBN:no-uit_munin_7594 |
op_rights |
openAccess |
op_doi |
https://doi.org/10.1186/s12873-015-0026-5 |
container_title |
BMC Emergency Medicine |
container_volume |
15 |
container_issue |
1 |
_version_ |
1766379788358909952 |