Geriatric patients on antithrombotic therapy as a criterion for trauma team activation leads to over triage

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. Our institutional trauma registry was queried for geriatric patients on antithrombotic medication in the year before...

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Bibliographic Details
Published in:The American journal of surgery 2020-01, Vol.219 (1), p.43-48
Main Authors: Callahan, Zachary M., Gadomski, Stephen P., Koganti, Deepika, Patel, Pankaj H., Beekley, Alec C., Williams, Patricia, Donnelly, Julie, Cohen, Murray J., Marks, Joshua A.
Format: Article
Language:English
Subjects:
Activation
Age
Aged
Aged, 80 and over
Anticoagulation
Antithrombotic
Blood banks
Coma
Criteria
Demographics
Demography
Emergency medical services
Female
Fibrinolytic Agents - therapeutic use
Geriatric Assessment
Geriatric trauma
Geriatrics
Head injuries
Hemorrhage
Humans
Intensive care
Male
Mortality
Nursing
Overtriage
Patients
Retrospective Studies
Statistical analysis
Trauma
Triage
Triage - standards
Triage - statistics & numerical data
Undertriage
Wounds and Injuries - therapy
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Summary: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. 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. After policy change, a greater proportion of patients received a trauma activation (19.9 vs. 74.9%, P 
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2019.04.011