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Trauma team activation varies across Dutch emergency departments: a national survey

Overview of attention for article published in Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, November 2015
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  • In the top 25% of all research outputs scored by Altmetric
  • Good Attention Score compared to outputs of the same age (78th percentile)
  • High Attention Score compared to outputs of the same age and source (81st percentile)

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Title
Trauma team activation varies across Dutch emergency departments: a national survey
Published in
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, November 2015
DOI 10.1186/s13049-015-0185-0
Pubmed ID
Authors

Rolf E. Egberink, Harm-Jan Otten, Maarten J. IJzerman, Arie B. van Vugt, Carine J. M. Doggen

Abstract

Tiered trauma team response may contribute to efficient in-hospital trauma triage by reducing the amount of resources required and by improving health outcomes. This study evaluates current practice of trauma team activation (TTA) in Dutch emergency departments (EDs). A survey was conducted among managers of all 102 EDs in the Netherlands, using a semi-structured online questionnaire. Seventy-two questionnaires were analysed. Most EDs use a one-team system (68 %). EDs with a tiered-response receive more multi trauma patients (p < 0.01) and have more trauma team alerts per year (p < 0.05) than one-team EDs. The number of trauma team members varies from three to 16 professionals. The ED nurse usually receives the pre-notification (97 %), whereas the decision to activate a team is made by an ED nurse (46 %), ED physician (30 %), by multiple professionals (20 %) or other (4 %). Information in the pre-notification mostly used for trauma team activation are Airway-Breathing-Circulation (87 %), Glasgow Coma Score (90 %), and Revised Trauma Score (85 %) or Paediatric Trauma Score (86 %). However, this information is only available for 75 % of the patients or less. Only 56 % of the respondents were satisfied with their current in-hospital trauma triage system. Trauma team activation varies across Dutch EDs and there is room for improvement in the trauma triage system used, size of the teams and the professionals involved. More direct communication and more uniform criteria could be used to efficiently and safely activate a specific trauma team. Therefore, the implementation of a revised national consensus guideline is recommended.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 55 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 2%
Sweden 1 2%
Unknown 53 96%

Demographic breakdown

Readers by professional status Count As %
Researcher 8 15%
Student > Master 7 13%
Other 5 9%
Student > Bachelor 5 9%
Professor 4 7%
Other 11 20%
Unknown 15 27%
Readers by discipline Count As %
Medicine and Dentistry 19 35%
Nursing and Health Professions 11 20%
Psychology 2 4%
Economics, Econometrics and Finance 1 2%
Social Sciences 1 2%
Other 1 2%
Unknown 20 36%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 7. 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 17 November 2015.
All research outputs
#4,456,746
of 22,833,393 outputs
Outputs from Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
#416
of 1,258 outputs
Outputs of similar age
#54,997
of 252,470 outputs
Outputs of similar age from Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
#5
of 27 outputs
Altmetric has tracked 22,833,393 research outputs across all sources so far. Compared to these this one has done well and is in the 80th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,258 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.2. This one has gotten more attention than average, scoring higher than 66% of its peers.
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 252,470 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 78% of its contemporaries.
We're also able to compare this research output to 27 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 81% of its contemporaries.