Comparison of Triage Score and Triage-Revised Trauma Score for Triage in Emergent Trauma Patients.
- Author:
Kwang Won CHO
1
;
Seong Youn HWANG
;
Sung Man BAE
Author Information
1. Department of Emergency Medicine, Sungkyunkwan University School of Medicine, Masan Samsung Hospital, Masan, Korea. syellow@unitel.co.kr
- Publication Type:Original Article
- Keywords:
Triage score;
Triage-revised trauma score;
Overtriage;
Undertriage;
ROC curve
- MeSH:
APACHE;
Coma;
Emergencies;
Humans;
Injury Severity Score;
Korea;
Medical Records;
Retrospective Studies;
ROC Curve;
Triage*
- From:Journal of the Korean Society of Emergency Medicine
2001;12(3):230-242
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The triage-revised trauma score(t-RTS) is used for triage in trauma patients in many countries. Recently, the triage score was developed as a new triage method for trauma patients in Korea. The objective of this study was to assess the accuracy of triage for the t-RTS and the triage score. METHODS: The medical records of 1575 consecutive trauma patients visiting the Emergency Center, Masan Samsung Hospital, from March to August 1999 were retrospectively analyzed. The triage score and the t-RTS were taken from the charts completed by the emrgency room doctors and nurses. The accuracies of the two triage methods were compared by using the undertriage and the overtriage rates, receiver operating characteristic(ROC) curve analysis, and a correlation analysis with many physiologic, anatomical, biochemical, and mixed scores(Glasgow coma scale, injury severity score, TRISS, APACHE II and III scores, operation, survival, etc.). RESULTS: The undertriage rates for the triage score and the t-RTS were 22.8% and 38.2%, r e s p e c t i v e l y ( p
