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

NCT ID: NCT03395158

Last Updated: 2018-01-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

2200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-06-01

Study Completion Date

2017-11-01

Brief Summary

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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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Detailed Description

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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.

Conditions

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Trauma Injury

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Prior alert criteria

Patients who activated full, limited or no alert criteria according to the prior alert criteria

Implementation of new alert criteria

Intervention Type DIAGNOSTIC_TEST

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

Present alert criteria

Patients who activated full, limited or no alert criteria according to the present alert criteria

Implementation of new alert criteria

Intervention Type DIAGNOSTIC_TEST

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

Interventions

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Implementation of new alert criteria

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

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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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
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Uppsala-Örebro Regional Research Council

OTHER

Sponsor Role collaborator

Uppsala University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kevin Mani, Ass prof

Role: STUDY_CHAIR

Uppsala University

Other Identifiers

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UppsalaUH

Identifier Type: -

Identifier Source: org_study_id

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