@article{ref1,
title="French pre-hospital trauma triage criteria: Does the "pre-hospital resuscitation" criterion provide additional benefit in triage?",
journal="World journal of critical care medicine",
year="2014",
author="Hornez, Emmanuel and Maurin, Olga and Mayet, Aurélie and Monchal, Tristan and Gonzalez, Federico and Kerebel, Delphine",
volume="3",
number="3",
pages="68-73",
abstract="AIM: To evaluate the performance of the specific French Vittel &quot;Pre-Hospital (PH) resuscitation&quot; criteria in selecting polytrauma patients during the pre-hospital stage and its potential to increase the positive predictive value (PPV) of pre-hospital trauma triage. <br><br>METHODS: This was a monocentric prospective cohort study of injured adults transported by emergency medical service to a trauma center. Patients who met any of the field trauma triage criteria were considered &quot;triage positive&quot;. Hospital data was statistically linked to pre-hospital records. The primary outcome of defining a &quot;major trauma patient&quot; was Injury Severity Score (ISS) > 16. <br><br>RESULTS: There were a total of 200 injured patients evaluated over a 2 years period who met at least 1 triage criterion. The number of false positives was 64 patients (ISS < 16). The PPV was 68%. The sensitivity and the negative predictive value could not be evaluated in this study since it only included patients with positive Vittel criteria. The criterion of &quot;PH resuscitation&quot; was present for 64 patients (32%), but 10 of them had an ISS < 16. This was statistically significant in correlation with the severity of the trauma in univariate analysis (OR = 7.2; P = 0.005; 95%CI: 1.6-31.6). However, despite this correlation the overall PPV was not significantly increased by the use of the criterion &quot;PH resuscitation&quot; (68% vs 67.8%). <br><br>CONCLUSION: The criterion of &quot;pre-hospital resuscitation&quot; was statistically significant with the severity of the trauma, but did not increase the PPV. The use of &quot;pre-hospital resuscitation&quot; criterion could be re-considered if these results are confirmed by larger studies.<p /> <p>Language: en</p>",
language="en",
issn="2220-3141",
doi="10.5492/wjccm.v3.i3.68",
url="http://dx.doi.org/10.5492/wjccm.v3.i3.68"
}