Geriatric patients on antithrombotic therapy as a criterion for trauma team activation leads to over triage
作者: Zachary M. CallahanStephen P. GadomskiDeepika KogantiPankaj H. PatelAlec C. BeekleyPatricia WilliamsJulie DonnellyMurray J. CohenJoshua A. Marks
作者单位: 1Division of Trauma and Acute Care Surgery, Department of Surgery, Thomas Jefferson University Hospital, 1015 Walnut St, Curtis Building Suite 620, Philadelphia, PA, 19107, USA
刊名: The American Journal of Surgery, 2020, Vol.219 (1), pp.43-48
来源数据库: Elsevier Journal
DOI: 10.1016/j.amjsurg.2019.04.011
关键词: Geriatric traumaAntithromboticTriageUndertriageOvertriageAnticoagulation
英文摘要: Abstract(#br)Background(#br)Our institution amended its trauma activation criteria to require a Level II activation for patients ≥65 years old on antithrombotic medication presenting with suspected head trauma.(#br)Methods(#br)Our institutional trauma registry was queried for geriatric patients on antithrombotic medication in the year before and after this criteria change. Demographics, presentation metrics, level of activation, and outcomes were compared between groups.(#br)Results(#br)After policy change, a greater proportion of patients received a trauma activation (19.9 vs. 74.9%, P < 0.001) and a greater proportion of these patients were discharged directly home without injury (4.3 vs. 44%, P < 0.001). However, a smaller proportion of patients with a critical Emergency Department...
全文获取路径: Elsevier  (合作)
影响因子:2.516 (2012)

  • triage 筛余
  • antithrombotic 抗血栓形成的
  • trauma 外伤
  • leads 引线
  • criterion 准则
  • activation 活化
  • therapy 治疗
  • over 在上方