Institute of Clinical Sciences, Department of Surgery, Sahlgrenska Academy, Gothenburg University, 413 45, Gothenburg, Sweden.
Gothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska Academy, 413 45, Gothenburg, Sweden.
Scand J Trauma Resusc Emerg Med. 2021 Aug 17;29(1):119. doi: 10.1186/s13049-021-00932-z.
There is no global consensus on the use of prehospital triage system in mass casualty incidents. The purpose of this study was to evaluate the most commonly used pre-existing prehospital triage systems for the possibility of creating one universal translational triage tool.
The Rapid Evidence Review consisted of (1) a systematic literature review (2) merging and content analysis of the studies focusing on similarities and differences between systems and (3) development of a universal system.
There were 17 triage systems described in 31 eligible articles out of 797 identified initially. Seven of the systems met the predesignated criteria and were selected for further analysis. The criteria from the final seven systems were compiled, translated and counted for in means of 1/7's. As a product, a universal system was created of the majority criteria.
This study does not create a new triage system itself but rather identifies the possibility to convert various prehospital triage systems into one by using a triage translational tool. Future research should examine the tool and its different decision-making steps either by using simulations or by experts' evaluation to ensure its feasibility in terms of speed, continuity, simplicity, sensitivity and specificity, before final evaluation at prehospital level.
全球范围内对于在大规模伤亡事件中使用院前分诊系统尚无共识。本研究旨在评估目前最常用的、预先存在的院前分诊系统，以探索是否有可能创建一个通用的翻译分诊工具。
快速证据审查包括：（1）系统文献综述；（2）合并和分析重点关注系统异同的研究；（3）开发通用系统。
最初从 797 篇文章中确定了 31 篇符合条件的文章，描述了 17 种分诊系统。其中 7 个系统符合预定标准，被选作进一步分析。从最终的 7 个系统中汇总、翻译并计算了所有标准的平均值。最终创建了一个使用分诊翻译工具将各种院前分诊系统转换为一个系统的通用系统。
本研究本身并未创建新的分诊系统，而是确定了使用分诊翻译工具将各种院前分诊系统转换为一个系统的可能性。未来的研究应该通过模拟或专家评估来检验该工具及其不同的决策步骤，以确保其在速度、连续性、简单性、敏感性和特异性方面的可行性，然后再在院前水平进行最终评估。
