Inter-facility transfers to an urban level 1 trauma center and rates of secondary overtriage

U.S. Department of Health & Human Services. Center for Disease Control and Prevention. WISQARS Fatal and Nonfatal Injury Reports; Injury Counts and Rates. 2021. Available at: https://wisqars.cdc.gov/reports/. Accessed September 27, 2023.

Delgado MK, Yokell MA, Staudenmayer KL, et al. Factors associated with the disposition of severely injured patients initially seen at non–trauma center emergency departments: disparities by insurance status. JAMA Surg. 2014;149:422–30. https://doi.org/10.1001/jamasurg.2013.4398.

Article  PubMed  PubMed Central  Google Scholar 

Slocum JD, Holl JL, Love R, et al. Defining obstacles to emergency transfer of trauma patients: an evaluation of retriage processes from nontrauma and lower-level Illinois trauma centers. Surgery. 2022;172:1860–5. https://doi.org/10.1016/j.surg.2022.08.027.

Article  PubMed  Google Scholar 

Rotondo MF, Cribari C, Smith RS, et al. Resources for Optimal Care of the injured patient. Chicago, IL: American College of Surgeons Committee on Trauma; 2014.

Google Scholar 

Newgard CD, Fu R, Lerner EB, et al. Deaths and high-risk trauma patients missed by standard trauma data sources. J Trauma Acute Care Surg. 2017;83:427–37. https://doi.org/10.1097/TA.0000000000001616.

Article  PubMed  Google Scholar 

Newgard CD, Hedges JR, Diggs B, et al. Establishing the need for trauma center care: anatomic injury or resource use? Prehosp Emerg Care. 2008;12:451–8. https://doi.org/10.1080/10903120802290737.

Article  PubMed  Google Scholar 

van Rein EAJ, van der Sluijs R, Houwert RM, et al. Effectiveness of prehospital trauma triage systems in selecting severely injured patients: is comparative analysis possible? Am J Emerg Med. 2018;36:1060–9. https://doi.org/10.1016/j.ajem.2018.01.055.

Article  PubMed  Google Scholar 

Waalwijk JF, Lokerman RD, van der Sluijs R, et al. Eur J Trauma Emerg Surg. 2023;49:441–9. https://doi.org/10.1007/s00068-022-02087-7.

Article  PubMed  Google Scholar 

Newgard CD, Fischer PE, Gestring M, et al. National guideline for the field triage of injured patients: recommendations of the National Expert Panel on Field Triage, 2021. J Trauma Acute Care Surg. 2022;93:e49–60. https://doi.org/10.1097/TA.0000000000003627.

Article  PubMed  PubMed Central  Google Scholar 

Lynch KT, Essig RM, Long DM, et al. Nationwide secondary overtriage in level 3 and level 4 trauma centers: are these transfers necessary? J Surg Res. 2016;204:460–6. https://doi.org/10.1016/j.jss.2016.05.035.

Article  PubMed  PubMed Central  Google Scholar 

Broderick CT, Slocum JD, Visenio M, et al. Characterizing re-triage guidelines: a scoping review of states’ rules and regulations. Surgery. 2024;175:522–8. https://doi.org/10.1016/j.surg.2023.10.024.

Article  PubMed  Google Scholar 

Newgard CD, Hedges JR, Adams A, et al. Secondary triage: early identification of high-risk trauma patients presenting to non-tertiary hospitals. Prehosp Emerg Care. 2007;11:154–63. https://doi.org/10.1080/10903120701205778.

Article  PubMed  Google Scholar 

Mohan D, Rosengart MR, Farris C, et al. Assessing the feasibility of the American College of surgeons’ benchmarks for the triage of trauma patients. Arch Surg. 2011;146:786–92. https://doi.org/10.1001/archsurg.2011.43.

Article  PubMed  PubMed Central  Google Scholar 

Fakhry SM, Shen Y, Garland JM, et al. The burden of geriatric traumatic brain injury on trauma systems: analysis of 348,800 Medicare inpatient claims. J Am Geriatr Soc. 2023;71:516–27. https://doi.org/10.1111/jgs.18114.

Article  PubMed  Google Scholar 

Velez AM, Frangos SG, DiMaggio CJ, et al. Trauma center transfer of elderly patients with mild traumatic Brain Injury improves outcomes. Am J Surg. 2020;219:665–9. https://doi.org/10.1016/j.amjsurg.2019.06.008.

Article  PubMed  Google Scholar 

Miller KE, Zylstra RG, Standridge JB. The geriatric patient: a systematic approach to maintaining health. Am Fam Physician. 2000;61:1089–104.

CAS  PubMed  Google Scholar 

Eichinger M, Robb HDP, Scurr C, et al. Challenges in the PREHOSPITAL emergency management of geriatric trauma patients - a scoping review. Scand J Trauma Resusc Emerg Med. 2021;29:100. https://doi.org/10.1186/s13049-021-00922-1.

Article  PubMed  PubMed Central  Google Scholar 

Garwe T, Stewart K, Stoner J, et al. Out-of-hospital and inter-hospital under-triage to designated Tertiary Trauma centers among injured older adults: a 10-year Statewide Geospatial-adjusted analysis. Prehosp Emerg Care. 2017;21:734–43. https://doi.org/10.1080/10903127.2017.1332123.

Article  PubMed  PubMed Central  Google Scholar 

Ciesla DJ, Sava JA, Street JH 3rd, et al. Secondary overtriage: a consequence of an immature trauma system. J Am Coll Surg. 2008;206:131–7. https://doi.org/10.1016/j.jamcollsurg.2007.06.285.

Article  PubMed  Google Scholar 

Sampalis JS, Denis R, Fréchette P, et al. Direct transport to tertiary trauma centers versus transfer from lower level facilities: impact on mortality and morbidity among patients with major trauma. J Trauma. 1997;43:288–96. https://doi.org/10.1097/00005373-199708000-00014.

Article  CAS  PubMed  Google Scholar 

Newgard CD, McConnell KJ, Hedges JR, et al. The benefit of higher level of care transfer of injured patients from nontertiary hospital emergency departments. J Trauma. 2007;63. https://doi.org/10.1097/TA.0b013e31803c5665.:965– 71.

Garwe T, Cowan LD, Neas B, et al. Survival benefit of transfer to tertiary trauma centers for major trauma patients initially presenting to nontertiary trauma centers. Acad Emerg Med. 2010;17:1223–32. https://doi.org/10.1111/j.1553-2712.2010.00918.x.

Article  PubMed  Google Scholar 

Baxt WG, Upenieks V. The lack of full correlation between the Injury Severity score and the resource needs of injured patients. Ann Emerg Med. 1990;19. https://doi.org/10.1016/s0196-0644(05)82606-x.:1396– 400.

Roden-Foreman JW, Rapier NR, Foreman ML, et al. Rethinking the definition of major trauma: the need for trauma intervention outperforms Injury Severity score and revised trauma score in 38 adult and pediatric trauma centers. J Trauma Acute Care Surg. 2019;87:658–65. https://doi.org/10.1097/TA.0000000000002402.

Article  PubMed  Google Scholar 

Mercier É, Nadeau A, Le Sage N, et al. A Canadian consensus-based list of urgent and specialized in-hospital trauma care interventions to assess the accuracy of prehospital trauma triage protocols: a modified Delphi study. Can J Surg. 2023;66:E181–8. https://doi.org/10.1503/cjs.019920.

Article  PubMed  PubMed Central  Google Scholar 

Faul M, Xu L, Sasser SM. Hospitalized traumatic Brain Injury: low Trauma Center utilization and high interfacility transfers among older adults. Prehosp Emerg Care. 2016;20:594–600. https://doi.org/10.3109/10903127.2016.1149651.

Article  PubMed  PubMed Central  Google Scholar 

van den Driessche CRL, Sewalt CA, van Ditshuizen JC, et al. Primary admission and secondary transfer of trauma patients to Dutch level I and level II trauma centers: predictors and outcomes. Eur J Trauma Emerg Surg. 2022;48:2459–67. https://doi.org/10.1007/s00068-021-01790-1.

Article  PubMed  Google Scholar 

Wycech Knight J, Fokin AA, Menzione N, et al. Are geriatric transfer patients with traumatic brain injury at risk for worse outcomes compared to non-geriatric? Propensity-matched study. Brain Inj. 2024;1–9. https://doi.org/10.1080/02699052.2024.2337904.

Aldridge JR, Quinn SA, Peine BS, et al. A statewide analysis of predictors of Trauma Center transfer: the Burden of non-clinical factors. Am Surg. 2023;89:3702–9. https://doi.org/10.1177/00031348231173938.

Article  PubMed  Google Scholar 

Priestap F, Veens J, Vogt K. Transfer status may not be associated with worse outcomes in elderly trauma patients. Injury. 2023;54:1314–20. https://doi.org/10.1016/j.injury.2023.01.047.

Article  PubMed  Google Scholar 

Prabhakaran K, Petrone P, Lombardo G, et al. Mortality rates of severe traumatic brain injury patients: impact of direct versus nondirect transfers. J Surg Res. 2017;219:66–71. https://doi.org/10.1016/j.jss.2017.05.103.

Article  PubMed  Google Scholar 

Moen KG, Klepstad P, Skandsen T, et al. Direct transport versus interhospital transfer of patients with severe head injury in Norway. Eur J Emerg Med. 2008;15:249–55. https://doi.org/10.1097/MEJ.0b013e3282f4d111.

Article  PubMed  Google Scholar 

Bracco D, Deckelbaum D, Artho G, et al. Additional and repeated computed tomography in interfacility trauma transfers: room for standardization. Surgery. 2018;164:872–8. https://doi.org/10.1016/j.surg.2018.07.007.

Article  PubMed  Google Scholar 

Wan Y, Stewart KE, Lansdale MQ. Repeat computed tomography scans among inter-facility transferred major trauma patients in Oklahoma, 2009–2015. Emerg Radiol. 2018;25:349–56. https://doi.org/10.1007/s10140-018-1581-3.

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