title: [Should high-energy traumas always result in a trauma team call?].
abstract: BACKGROUND
  This study was performed to evaluate the trauma triage system currently used by the general hospital of Viborg County, Denmark. According to the trauma triage system, an isolated high-energy trauma leads to a trauma team call. The aim of the study was to determine whether a high-energy trauma patient with no symptoms of injury is a sufficient indication to lead to a trauma team call.
  
  
  METHODS
  The study was based on prospective registration of traumatised patients admitted to the hospital during the period from 1 March 2000 to 28 February 2003. A ROC curve analysis was used to validate the ability of the trauma points to predict severe injury by isolated high-energy traumas.
  
  
  RESULTS
  The study included 514 trauma patients, 304 of whom had suffered high-energy traumas. The positive predictive value of a trauma team call was 45% of severe injury. Among the subgroup of patients with no immediate symptoms, the positive predictive value was 15%. The ROC curve analysis found the optimum cut point to be a high-energy trauma with at least one symptom of injury. The sensitivity was 70% and the specificity 52%.
  
  
  CONCLUSIONS
  The study suggests that a high-energy trauma patient showing no symptoms of injury is not a sufficient indication to lead to a trauma team call. This has caused a change in the scoring system. A trauma team call based on a high-energy trauma now implies that the patient shows signs of at least one symptom of injury.
authors.affiliation: Sygehus Viborg, Ortopaedkirurgisk Afdeling, Forskningssektionen Karkirurgisk Afsnit og Anaestesiologisk Afdeling. louiseclemmesen@dadlnet.dk
authors.forename: Marie Louise
authors.initials: ML
authors.lastname: Clemmesen
authors.forename: Søren
authors.initials: S
authors.lastname: Rytter
authors.forename: Kathrine
authors.initials: K
authors.lastname: Birch
authors.forename: Jes S
authors.initials: JS
authors.lastname: Lindholt
authors.forename: Steffen Skov
authors.initials: SS
authors.lastname: Jensen
authors.forename: Svend
authors.initials: S
authors.lastname: Troelsen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D011237:Predictive Value of Tests; D011446:Prospective Studies; D011785:Quality Assurance, Health Care; D012680:Sensitivity and Specificity; D014193:Trauma Centers; D015599:Trauma Severity Indices; D014218:Triage / Q000592:standards*; D000078329:Workforce; D014947:Wounds and Injuries / Q000175:diagnosis* / Q000628:therapy