From: Evaluation of elderly specific pre-hospital trauma triage criteria: a systematic review
Study | Triage criteria | Definition of requiring triage | Triage criteria sensitivity | Triage criteria specificity |
---|---|---|---|---|
Brown et al. [23] | Step 1 & 2 of 2011 Field Triage Scheme with SBP < 110 | ISS > 15 | 44% (40% if use SBP < 90) | 71% (75% if use SBP < 90) |
Caterino et al. [24] | Ohio Geriatric Trauma Triage Criteria | N/A | N/A | N/A |
Cull et al. [25] | Binary regression equations of vital signs (HR, RR, SBP, GCS) | ISS ≥ 15 | 96.5% | 37.1% |
Ichwan et al. [26] | Ohio Geriatric Trauma Triage Criteria | ISS > 15 | 93% (CI 92–93%) | 49% (CI 48–49%) |
Newgard et al. [27] | Addition of geriatric-specific vital signs and ≥ 2 co-morbidities to current field triage | ISS > 15 | 91.3% | 16.9% |
Newgard et al. [28] | Alternative triage guidelines | ISS > 15 | 92.1% (CI 89.6–94.1%) | 41.5% (CI 40.6–42.4%) |
Newgard et al. [29] | GCS 14 or less, RR < 10 or > 24 or need for assisted ventilation, SBP < 110 or > 200, shock index > 1.0 | ISS > 15 | 86.3% | 60.7% |
Nishijima et al. [30] | 2011 Field Triage Scheme with anti-coagulant and anti-platelet | Intracranial haemorrhage on initial CT | 59.5% (CI 42.9–74.2%) | 67.2% (CI 61.1–72.7%) |
Scheetz [31] | 2006 ACS-COT Field Triage Decision Scheme. 2004 pre revision | AIS ≥ 3 | 2004 58% 2007 65% 2008 78% | 2004 54% 2007 56% 2008 48% |
Wasserman et al. [32] | Not alert or alert but does not obey commands | Would likely benefit from triage to a trauma centre | N/A | N/A |
Werman et al. [33] | Ohio Geriatric Trauma Triage Criteria | Criteria associated with increased mortality risk in elderly patients | N/A | N/A |