PMID: 8597914Dec 1, 1995Paper

Applying the trauma triage rule to blunt trauma patients

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
A D ZechnichR J Mullins

Abstract

To determine the accuracy of the Baxt Trauma Triage Rule (TTR: systolic blood pressure < 85 mm Hg; Glasgow Coma Scale-motor score < 5; or penetrating trauma to head, neck, or trunk) for prediction of major trauma in an independent data set of blunt trauma patients. Retrospective evaluation of the TTR in a cohort of patients identified by Oregon Trauma System entry criteria. Accuracy for prediction of "major trauma" victims was measured using resource-based definitions of major trauma. Participants included 626 adult, blunt trauma patients at a level-I trauma center serving a metropolitan center of more than one million people. Of 524 patients with sufficient registry data to apply the TTR, 95 (18%) and 63 (12%) patients met the criteria for major trauma suggested by Baxt et al. and Emerman et al., respectively. Using the Baxt definition of major trauma, the TTR had a sensitivity of 74% (95% CI: 0.65-0.83) and a specificity of 84% (95% CI: 0.81-0.88). There were 25 significant false-negative results, including 12 patients requiring urgent laparotomy and four patients requiring emergency airway procedures. Using the Emerman definition of major trauma, sensitivity improved modestly to 76% (95% CI: 0.65-0.87) and specificity decrea...Continue Reading

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Citations

Dec 1, 2001·The Journal of Emergency Medicine·B Z Horowitz, O J Earle
Jan 17, 2003·Critical Care Medicine·James P Marcin, Murray M Pollack
Jun 5, 2002·The Journal of Trauma·Glen H Tinkoff, Robert E O'Connor
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Feb 16, 2010·The Journal of Trauma·Craig D NewgardUNKNOWN ROC Investigators
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Dec 1, 1995·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·C L Emerman
Sep 29, 2009·Annals of Emergency Medicine·Craig D NewgardUNKNOWN Resuscitation Outcomes Consortium Investigators
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Jun 28, 2006·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Jerris R HedgesRichard J Mullins

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