Assessing the performance of the updated 2021 Field Triage Guidelines with the Need For Trauma Intervention (NFTI) metric

IF 2.3 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2026-02-01 Epub Date: 2025-11-21 DOI:10.1016/j.amjsurg.2025.116729

Tyler J. Johnston , Dina M. Filiberto , Peter B. DePhillips , Chandler E. Morel , Peter E. Fischer , Andy J. Kerwin , Emily K. Lenart , Saskya E. Byerly

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引用次数: 0

Abstract

Background

Pre-hospital triage is critical for resource-allocation and patient-outcomes. This study aimed to assess the sensitivity (SN) of updated 2021 Field Triage Guidelines (FTGs) and trauma center activation criteria (TAC) related to Need for Trauma Intervention (NFTI).

Methods

Data were collected to identify FTGs Red Criteria (RC) and Yellow Criteria (YC) and NFTI: pRBC within 4 h, operating room within 90 min, interventional radiology, ICU length-of-stay ≥3 days, mechanical ventilation within 3 days, or death within 60 h. SN was analyzed for RC and TAC. Lastly, logistic regressions assessed covariates associated with under-triage (UT).

Results

319 patients were included. SN of RC and TAC were 79 % and 77 %, respectively. Regression analysis showed UT by RC and TAC was associated with blunt mechanism.

Conclusions

FTGs did not meet ACS goals of ≤5 % UT and ≤35 % OT with blunt mechanism being associated with UT.

查看原文本刊更多论文

评估更新的2021年现场分诊指南与创伤干预需求（NFTI）指标的绩效。

院前分诊对资源分配和患者预后至关重要。本研究旨在评估更新的2021年现场分诊指南（FTGs）和与创伤干预需求（NFTI）相关的创伤中心激活标准（TAC）的敏感性（SN）。方法：收集资料，确定FTGs红色标准（RC）和黄色标准（YC）， NFTI: 4 h内pRBC， 90 min内手术室，介入放射学，ICU住院时间≥3天，3天内机械通气，或60 h内死亡。对RC和TAC进行SN分析。最后，逻辑回归评估了与分类不足（UT）相关的协变量。结果：共纳入319例患者。RC和TAC的SN分别为79%和77%。回归分析显示，经RC和TAC处理的UT与钝性机制相关。结论：FTGs未达到ACS的目标，UT≤5%和OT≤35%，钝性机制与UT相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.