Clinical trial NCT03357835: Trauma Triage Decision With Software (TraumaDS)
Official title: Triage With Software Assistance To Trauma Patient Who Attending To Emergency Department
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Trauma
Triage
Keywords: trauma
triage
software
emergency
Lead sponsor: Derince Training and Research Hospital
Sponsor class: OTHER
First posted: 2017-11-30
Enrollment: 1000
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: all trauma patients who want to participate in the study

Brief summary: It is intended to show that a computer software called Trauma Decision System (TravmaDS) for the determination of the urgency of trauma patients who applied to Emergency Medical Clinic gives more accurate, more objective, faster results than the triage scored by medical and non-medical personnel and to show the fact that TraumaDS provides more patient satisfaction.

Detailed description: There are limitations in our routine standard of practice in Emergency medical clinic in rapid triage about the adequacy particularly in the patient group where specific and rapid decision-making, such as trauma. The process of evaluating the patients who are directed to the green area unnecessarily in trauma care by the physician is prolonged, the evaluation process of patients who are directed to the red area unnecessarily shortens but hospital resources are being used extensively. Therefore, in this study, it was planned to perform objective triage with a computer based scoring system. Triage scoring determined by the Ministry of Health (SB ), routinely performed by an emergency medical technician (EMT), will be applied when the patients are admitted to emergency services. According to this scoring, patients who need urgent care and who should not wait less than 15 minutes will be considered red coded, patients who can wait up to 60 minutes will be considered yellow coded, patients who can wait for 120 minutes or more will be considered green coded. To the other group, triage maintenance / evaluation will be done with computer software developed by us. All patients with trauma should be included in the study, demographic data, trauma mechanism and trauma type vital signs at the time of application of the patients will be routinely observed in both groups of patients. These observations are routine for this disease group and we will not undertake any interventional procedures or screening except special routine application for research purposes. The observation and file information will be organized by the triage staff in both groups at the time of the application of the patients. In this software-based program before working on the software informative training will be given to triage staff and for this patient triage handheld computers will be given to triage staff. In order for the referring patients to be able to see the entries made with the triage software a simultaneous large-screen monitor will be used. At the time of application, color codes indicating the urgency of the patients will be given according to the demographic data of the patients, the type of trauma and the vital signs were directed by the software program. As a result of the software program's direction, patients will be coded as green-yellow-orange-red area and patient care will be made in accordance with these codes.

Eligibility criteria: Inclusion Criteria:

* all trauma patients who want to participate

Exclusion Criteria:

* who do not want to participate, who are not triaged, who leave the hospital before the treatment is completed

Primary outcomes:
measure: Difference between software triage time and traditional triage time
timeFrame: 5 minutes
Secondary outcomes:
measure: 30-day mortality
timeFrame: 30 days
Other outcomes:
Locations:
city: Derince
country: Turkey
facility: Kocaeli Derince Training and Research Hospital
state: Kocaeli
Study officials:
affiliation: Research Assistant
name: Ahmet Akdoğan, RA
role: PRINCIPAL_INVESTIGATOR
References: