The Suitability of the CdC field Triage for Korean Trauma Care
Purpose Accurate and appropriate prehospital field triage is essential for a trauma system. The Korean trauma system (established in 2014) uses the trauma field triage algorithm of the United States Centers for Disease Control and Prevention (CDC). This study evaluated the suitability of the CDC fie...
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Korean Society of Traumatology
2020-03-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-2020-013.pdf |
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| author | Kang Kook Choi Myung Jin Jang Min A Lee Gil Jae Lee Byungchul Yoo Youngeun Park Jung Nam Lee |
| author_facet | Kang Kook Choi Myung Jin Jang Min A Lee Gil Jae Lee Byungchul Yoo Youngeun Park Jung Nam Lee |
| author_sort | Kang Kook Choi |
| collection | DOAJ |
| description | Purpose Accurate and appropriate prehospital field triage is essential for a trauma system. The Korean trauma system (established in 2014) uses the trauma field triage algorithm of the United States Centers for Disease Control and Prevention (CDC). This study evaluated the suitability of the CDC field triage criteria for major trauma cases (injury severity score >15) in Korea. Methods This retrospective cohort study evaluated trauma patients who presented at the authors’ regional trauma center from January 1 to May 7, 2017. The undertriage and overtriage rates of each CDC field triage step were calculated. Receiver operating characteristic curves were constructed, and the area under the curve (AUC) was evaluated for each step. Results Among the 1,009 enrolled patients, 168 (16.7%) had major trauma. The undertriage/overtriage rates of each step (steps I, II, III, and IV) of CDC field triage were 9.2%/47.4%, 6.3%/50.8%, 4.5%/59.4%, and 5.3%/78.9%, respectively. The AUC values of each CDC triage step were 0.722, 0.783, 0.791, and 0.615, respectively. The AUC values of the separate components of each step (physiologic criteria, anatomic criteria, mechanism-of-injury criteria, and special considerations) were 0.722, 0.648, 0.647, and 0.456, respectively. Conclusions The CDC field triage system is acceptable, but not ideal, for Korean trauma care. If we follow the protocol, it would be preferable to omit step IV. The Korean Triage and Acuity Scale may be a good indicator for in-hospital triage. However, a new triage protocol that is simple to estimate on-scene while having good performance should be developed. |
| format | Article |
| id | doaj-art-bee76ebb0e4f4e6e9b67e90d1f878dda |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2020-03-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-bee76ebb0e4f4e6e9b67e90d1f878dda2025-01-08T08:08:18ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832020-03-01331131710.20408/jti.2020.0131003The Suitability of the CdC field Triage for Korean Trauma CareKang Kook Choi0Myung Jin Jang1Min A Lee2Gil Jae Lee3Byungchul Yoo4Youngeun Park5Jung Nam Lee6 Department of Traumatology, Gachon University College of Medicine, Gachon University Gil Medical Center, Incheon, Korea Department of Traumatology, Gachon University College of Medicine, Gachon University Gil Medical Center, Incheon, Korea Department of Traumatology, Gachon University College of Medicine, Gachon University Gil Medical Center, Incheon, Korea Department of Traumatology, Gachon University College of Medicine, Gachon University Gil Medical Center, Incheon, Korea Department of Traumatology, Gachon University College of Medicine, Gachon University Gil Medical Center, Incheon, Korea Department of Traumatology, Gachon University College of Medicine, Gachon University Gil Medical Center, Incheon, Korea Department of Traumatology, Gachon University College of Medicine, Gachon University Gil Medical Center, Incheon, KoreaPurpose Accurate and appropriate prehospital field triage is essential for a trauma system. The Korean trauma system (established in 2014) uses the trauma field triage algorithm of the United States Centers for Disease Control and Prevention (CDC). This study evaluated the suitability of the CDC field triage criteria for major trauma cases (injury severity score >15) in Korea. Methods This retrospective cohort study evaluated trauma patients who presented at the authors’ regional trauma center from January 1 to May 7, 2017. The undertriage and overtriage rates of each CDC field triage step were calculated. Receiver operating characteristic curves were constructed, and the area under the curve (AUC) was evaluated for each step. Results Among the 1,009 enrolled patients, 168 (16.7%) had major trauma. The undertriage/overtriage rates of each step (steps I, II, III, and IV) of CDC field triage were 9.2%/47.4%, 6.3%/50.8%, 4.5%/59.4%, and 5.3%/78.9%, respectively. The AUC values of each CDC triage step were 0.722, 0.783, 0.791, and 0.615, respectively. The AUC values of the separate components of each step (physiologic criteria, anatomic criteria, mechanism-of-injury criteria, and special considerations) were 0.722, 0.648, 0.647, and 0.456, respectively. Conclusions The CDC field triage system is acceptable, but not ideal, for Korean trauma care. If we follow the protocol, it would be preferable to omit step IV. The Korean Triage and Acuity Scale may be a good indicator for in-hospital triage. However, a new triage protocol that is simple to estimate on-scene while having good performance should be developed.http://www.jtraumainj.org/upload/pdf/jti-2020-013.pdfwounds and injuriestriageinjury severity scoreemergency medical serviceshealth resources |
| spellingShingle | Kang Kook Choi Myung Jin Jang Min A Lee Gil Jae Lee Byungchul Yoo Youngeun Park Jung Nam Lee The Suitability of the CdC field Triage for Korean Trauma Care Journal of Trauma and Injury wounds and injuries triage injury severity score emergency medical services health resources |
| title | The Suitability of the CdC field Triage for Korean Trauma Care |
| title_full | The Suitability of the CdC field Triage for Korean Trauma Care |
| title_fullStr | The Suitability of the CdC field Triage for Korean Trauma Care |
| title_full_unstemmed | The Suitability of the CdC field Triage for Korean Trauma Care |
| title_short | The Suitability of the CdC field Triage for Korean Trauma Care |
| title_sort | suitability of the cdc field triage for korean trauma care |
| topic | wounds and injuries triage injury severity score emergency medical services health resources |
| url | http://www.jtraumainj.org/upload/pdf/jti-2020-013.pdf |
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