Triage Accuracy and the 2015 Field Trauma Triage Criteria Update

Was the implementation of updated field trauma triage (FTT) guidelines on triage practices associated with changes in rates of overtriage or undertriage in a large, regional trauma system?In this population-based cohort study of 281 268 injured patients, the implementation of updated FTT guidelines was associated with a 15.2% instantaneous decrease in the rate of undertriage. However, during the 5 years after the implementation of the new guidelines, rates of undertriage increased by 2.4% annually.These findings suggest that while implementation of updated FTT guidelines was associated with a decrease in undertriage, ongoing monitoring is required to ensure that the benefits associated with new guidelines are maintained.

Corresponding Author: Bourke W. Tillmann, MD, PhD, Interdepartmental Division of Critical Care, University of Toronto, 399 Bathurst St, Room 2 MCLL 411D, Toronto, ON M5T 2S8, Canada (bourkewilliam.tillmann@uhn.ca).

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