A comprehensive analysis of undertriage in a mature trauma system using geospatial mapping

G Maish III, M Horst, CT Brown, M Morgan… - Journal of Trauma …, 2021 - journals.lww.com
METHODS From 2003 to 2015, all admissions from the Pennsylvania Trauma Systems
Foundation registry and those meeting trauma criteria (International Classification of …

An analysis of pediatric trauma center undertriage in a mature trauma system

AT Rogers, MA Horst, TM Vernon… - Journal of Trauma …, 2019 - journals.lww.com
BACKGROUND Improved mortality as a result of appropriate triage has been well
established in adult trauma and may be generalizable to the pediatric trauma population as …

Undertriage in trauma: Does an organized trauma network capture the major trauma victim? A statewide analysis

MA Horst, S Jammula, BW Gross… - Journal of trauma and …, 2018 - journals.lww.com
BACKGROUND Proper triage of critically injured trauma patients to accredited trauma
centers (TCs) is essential for survival and patient outcomes. We sought to determine the …

Disparities in rural versus urban field triage: risk and mitigating factors for undertriage

AP Deeb, HM Phelos, AB Peitzman… - Journal of Trauma …, 2020 - journals.lww.com
BACKGROUND There are well-known disparities for patients injured in rural setting versus
urban setting. Many cite access to care; however, the mechanisms are not defined. One …

The geriatric trauma patient: a neglected individual in a mature trauma system

MA Horst, ME Morgan, TM Vernon… - Journal of trauma and …, 2020 - journals.lww.com
BACKGROUND Those older than 65 years represent the fastest growing demographic in the
United States. As such, their care has been emphasized by trauma entities such as the …

Undertriage of major trauma patients in the US emergency departments

H Xiang, KK Wheeler, JI Groner, J Shi… - The American journal of …, 2014 - Elsevier
Background There is evidence that regionalized trauma care and appropriate triage of major
trauma patients improve patient outcomes. However, the national rate of undertriage and …

Geographic distribution of severely injured patients: implications for trauma system development

DJ Ciesla, EE Pracht, JY Cha… - Journal of Trauma and …, 2012 - journals.lww.com
BACKGROUND Despite decades of trauma system development, many severely injured
patients fail to reach a trauma center for definitive care. The purpose of this study was to …

The trauma ecosystem: the impact and economics of new trauma centers on a mature statewide trauma system

DJ Ciesla, EE Pracht, PT Leitz, DA Spain… - Journal of trauma and …, 2017 - journals.lww.com
METHODS A statewide data set was queried for all injury-related discharges from adult
acute care hospitals using International Classification of Diseases, Ninth Revision (ICD-9) …

Variability in California triage from 2005 to 2009: a population-based longitudinal study of severely injured patients

K Staudenmayer, F Lin, R Mackersie… - Journal of trauma and …, 2014 - journals.lww.com
BACKGROUND Timely access to trauma care requires that severely injured patients are
ultimately triaged to trauma centers. We sought to determine triage patterns for the injured …

Fifteen-year trauma system performance analysis demonstrates optimal coverage for most severely injured patients and identifies a vulnerable population

DJ Ciesla, JJ Tepas III, EE Pracht… - Journal of the American …, 2013 - Elsevier
BACKGROUND: Trauma systems are designed to deliver timely and appropriate care.
Prehospital triage regulations and interfacility transfer guidelines are the primary …