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Completed

NCT Number: NCT03395158

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

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.

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Key information

Conditions

Trauma Injury Accidental Injuries Wounds and Injuries

Sex eligibility

All sexes

Study type

Observational

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Implementation of new alert criteria

Diagnostic Test

The intervention is when the prior alert criteria are replaced by the present alert criteria

Primary outcomes

  1. Number of alerts initiated

    Time frame: One year data with intervention

    The total number of trauma alerts initiated in the study group

Secondary outcomes

  1. Analysis of over- and undertriage with the Matrix method

    Time frame: One year data with intervention

    Analyse proportions of patients subject to a full trauma team activation who have an injury severity score <15 (overtriage). Analyse proportion of patients who do not initiate a full trauma team activation but have an injury severity score >15 (undertriage) The Matrix method is a well defined method for analysing resource allocation in trauma triage.

Sponsors and collaborators

Lead sponsor

Uppsala University

Other

Collaborators

  • Uppsala-Örebro Regional Research Council

Registry information

Official study title

Implementation of New Trauma Triage Criteria and Implications on Under- and Overtriage

Acronym: Traumalert

Important dates

Study start
2016
Primary completion
2017
Study completion
2017
First posted
Jan 10, 2018
Registry last updated
Jan 10, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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