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ID
Source
Brief title
Health condition
prehopsital, trauma, triage, trauma system, trauma center, mobile app, prediction model, algorithm
pre-hospitaal, traumasysteem, traumacentrum, mobiele app, predictiemodel, algorithme
Sponsors and support
Intervention
Outcome measures
Primary outcome
The primary outcome is triage quality with the use of TTapp, based on actual destination facility the patients were transported to, in terms of undertriage and overtriage.
Secondary outcome
Sensitivity, specificity, negative predictive value and positive predictive value of TTapp itself, regardless of destination, will be calculated.
Background summary
Background
Prehospital trauma triage is a crucial component of a trauma system, to get the right patient to the right hospital. Prehospital trauma triage protocols are used worldwide to help emergency medical services (EMS) providers identify severely injured patients. However, none of the existing protocols can accurately identify severely injured patients, to ensure acceptable triage rates. In the Netherlands, the National Health Institute set the target for undertriage at 10% or less. The aim of the present study is to test a recently developed and validated prediction model, implemented in a mobile app; the Trauma Triage App (TTapp), in two different regions of the Netherlands.
Methods In this diagnostic accuracy study, conducted in two regions in the Netherlands, the use of the TTapp will be analysed. All trauma patients, aged 16 years and older, in need of transport with the highest priority to an emergency department in the Central Netherlands or Brabant region, will be included. Before the pilot with TTapp starts, the EMS providers will be trained to use the mobile app. The primary outcome is triage quality with the use of TTapp, based on actual destination facility the patients were transported to, in terms of undertriage and overtriage. Additionally, sensitivity, specificity, negative predictive value and positive predictive value of TTapp itself, regardless of destination, will be calculated. Severe injury is defined as an Injury Severity Score > 15.
Discussion This will investigate the effectiveness of TTapp, a mobile app based on a prediction model and developed to advance the prehospital trauma triage quality. The pilot will run in two regions of the Netherlands. TTapp might be the key to a tremendous improvement of prehospital trauma triage in the Netherlands.
Study design
04-09-2017 to -3-09-2018 Pilot Trauma Triage App in region Central-Netherlands
01-01-2018 to 31-12-2019 Pilot Trauma Triage App in region Brabant
Intervention
Use of the Trauma Triage App
Inclusion criteria
All trauma patients, aged 16 years and older, in need of transport with the highest priority to an emergency department (ED) in the studies regions, will be included.
Exclusion criteria
Patients transported outside of the studied regions will be excluded.
Design
Recruitment
Followed up by the following (possibly more current) registration
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Other (possibly less up-to-date) registrations in this register
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In other registers
| Register | ID |
|---|---|
| NTR-new | NL6486 |
| NTR-old | NTR6673 |
| Other | METC UMC Utrecht : 16-683/C |