An observational study in Trauma Injury, sponsored by Uppsala University. Completed. Per ClinicalTrials.gov, last updated 2018-01-10.
Sponsored by Uppsala University · Observational
New trauma alert criteria has been introduced in Sweden, and our aim in this study is to evaluate the outcome of the old and new trauma alert criteria in a cohort of 1.300.000 inhabitants at six hospitals regarding over- and undertriage and number of alerts initiated. The Swedish trauma registry is used to identify eligible patients.
The Swedish trauma registry (SweTrau) was initiated in 2011, and has up to date 40.000 registered patients. In order to evaluate trauma alert criteria implemented during 2017, we plan a prospective stepped wedge trial at six hospitals in the Uppsala/Örebro region. These hospitals register in SweTrau and all had the same alert criteria prior to the implementation of new alert criteria.
A power estimation show the need for 588 patients in each group in order to show a statistical difference between 2-5% undertriage at a 95% CI.
The including hospitals has a population base of 1.300.000 inhabitants, and the annual number of trauma alerts has been about 3.000.
The registry has information about time of trauma, initiated alerts, Injury Severity Score and mechanism of injury suitable for analysis for our hypothesis.
128 studies on the registry are indexed under Accidental Injuries; 39 are open to participants now.
This study's enrollment of 2,200 is above the median of 170 across 59 observational studies indexed under Accidental Injuries.
Browse Accidental Injuries studies →Uppsala University is the lead sponsor of 390 studies on the registry; 86 are open to participants now.
Counted across the registry records on this site, refreshed daily.
All patients subject to trauma where a trauma alert was initiated OR registered patients subject to trauma without an alert call, but with an Injury Severity Score >15.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Patients who activated full, limited or no alert criteria according to the prior alert criteria
Diagnostic Test: Implementation of new alert criteria
Patients who activated full, limited or no alert criteria according to the present alert criteria
Diagnostic Test: Implementation of new alert criteria
The intervention is when the prior alert criteria are replaced by the present alert criteria
Number of alerts initiated
The total number of trauma alerts initiated in the study group
Time frame: One year data with intervention
Analysis of over- and undertriage with the Matrix method
Analyse proportions of patients subject to a full trauma team activation who have an injury severity score \<15 (overtriage). Analyse proportion of patients who do not initiate a full trauma team activation but have an injury severity score \>15 (undertriage) The Matrix method is a well defined method for analysing resource allocation in trauma triage.
Time frame: One year data with intervention
No study locations are listed for this record.
Plan to share: No
No publications or documents are linked to this record.
Ran from Jun 2016 to primary completion in Nov 2017, 17 months.
Of 33 non-industry observational studies under Accidental Injuries, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 60. This study's 17 months is below that.
Counting every sponsor, half of 39 studies reached it within 31 months; a quarter within 12 and three quarters within 60.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Jan 2018. You cannot join it, but the record below documents what was studied.
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