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X Demographics
Mendeley readers
Attention Score in Context
| Title |
A regional trauma system to optimize the pre-hospital triage of trauma patients
|
|---|---|
| Published in |
Critical Care, December 2015
|
| DOI | 10.1186/s13054-015-0835-7 |
| Pubmed ID | |
| Authors |
Pierre Bouzat, François-Xavier Ageron, Julien Brun, Albrice Levrat, Marion Berthet, Elisabeth Rancurel, Jean-Marc Thouret, Frederic Thony, Catherine Arvieux, Jean-François Payen |
| Abstract |
Pre-hospital triage is a key element in a trauma system that aims to admit patients to the most suitable trauma centre, and may decrease intra-hospital mortality. We evaluated the performance of a pre-hospital procedure in a regional trauma system through measurements of the quality of pre-hospital medical assessment and the efficacy of a triage protocol. Our regional trauma system included 13 hospitals categorized as Level I, II or III trauma centres according to their technical facilities. Each patient was graded A, B or C by an emergency physician, according to the seriousness of their injuries at presentation on scene. The triage was performed according to this grading and the categorization of centres. This study is a registry analysis of a three-year period (2009 to 2011). Of the 3,428 studied patients, 2,572 were graded using the pre-hospital grading system (Graded group). The pre-hospital gradation was closely related with injury severity score (ISS) and intra-hospital mortality rate. The triage protocol had a sensitivity of 92% (95% confidence interval (CI) 90% to 93%) and a specificity of 41% (95% CI 39% to 44%) to predict adequate admission of patients with ISS more than 15. A total of 856 patients were not graded at the scene (Non-graded group). Undertriage rate was significantly reduced in the Graded group compared with the Non-graded group, with a relative risk of 0.47 (95% CI 0.40 to 0.56) according to the definition of the American College of Surgeons Committee on Trauma (P <0.001). Where adjusted for trauma severity, the expected mortality rate at discharge from hospital was higher than observed mortality, with a difference of +2.0% (95% CI 1.4 to 2.6%; P <0.01). Implementation of a regional trauma system with a pre-hospital triage procedure was effective in detecting severe trauma patients and in lowering the rate of pre-hospital undertriage. A beneficial effect on outcome of such an organization is suggested. |
X Demographics
The data shown below were collected from the profiles of 8 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 2 | 25% |
| Puerto Rico | 2 | 25% |
| United Kingdom | 1 | 13% |
| Turkey | 1 | 13% |
| Unknown | 2 | 25% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 3 | 38% |
| Practitioners (doctors, other healthcare professionals) | 3 | 38% |
| Science communicators (journalists, bloggers, editors) | 1 | 13% |
| Scientists | 1 | 13% |
Mendeley readers
The data shown below were compiled from readership statistics for 106 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Mexico | 1 | <1% |
| Turkey | 1 | <1% |
| Brazil | 1 | <1% |
| Unknown | 103 | 97% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 19 | 18% |
| Student > Ph. D. Student | 16 | 15% |
| Student > Bachelor | 14 | 13% |
| Researcher | 12 | 11% |
| Other | 6 | 6% |
| Other | 16 | 15% |
| Unknown | 23 | 22% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 53 | 50% |
| Nursing and Health Professions | 10 | 9% |
| Psychology | 3 | 3% |
| Business, Management and Accounting | 2 | 2% |
| Biochemistry, Genetics and Molecular Biology | 2 | 2% |
| Other | 10 | 9% |
| Unknown | 26 | 25% |
Attention Score in Context
This research output has an Altmetric Attention Score of 5. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 22 May 2015.
All research outputs
#7,119,031
of 25,373,627 outputs
Outputs from Critical Care
#3,963
of 6,554 outputs
Outputs of similar age
#101,932
of 395,397 outputs
Outputs of similar age from Critical Care
#344
of 466 outputs
Altmetric has tracked 25,373,627 research outputs across all sources so far. This one has received more attention than most of these and is in the 71st percentile.
So far Altmetric has tracked 6,554 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 20.8. This one is in the 39th percentile – i.e., 39% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 395,397 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 74% of its contemporaries.
We're also able to compare this research output to 466 others from the same source and published within six weeks on either side of this one. This one is in the 26th percentile – i.e., 26% of its contemporaries scored the same or lower than it.