Improving paediatric undertriage in a regional trauma network — A registry cohort study
Main finding · UndertriageResult — go to the resultOdds ratio 0.5 95% CI 0.3–0.9Authors' conclusion
The implementation of regional revised triage rule contributed to a reduction in the paediatric undertriage rate to 9%; several clinical factors were associated with undertriage.
Study context
- Population
- Injured children <15 years admitted to hospitals in the Northern French Alps with suspected major trauma and/or Abbreviated Injury Scale ≥3, January 2009 to December 2020
- Participants
- 1,524 children
- Exposure
- After vs before implementation of a revised paediatric triage rule
- Outcome
- Undertriage (child with major trauma [need for trauma intervention] not directly transported to the paediatric trauma centre)
Methodological detailsmulticentre, before-and-after
- Multicentre
- Before-and-after
Main finding
Undertriage
Odds ratio
0.5
95% CI 0.3–0.9
P < 0.02
By group
After vs Before
OR 0.5 (95% CI 0.3–0.9); P < 0.02
As reported in the abstract
Observational data: associations, not effects.
Further findings
Major trauma and referral
- Major trauma
- 725/1524 (47.6%)
- Referred to a non-paediatric trauma centre
- 593/1524 (38.9%)
Risk factors of undertriage (multivariate regression)
- Children >10 years, two-wheel vehicle road traffic accident, girls after a fall, boys after a winter ski accident, infants with severe limb and pelvic injuries
Original publication
Improving paediatric undertriage in a regional trauma network — A registry cohort study. Anaesth Crit Care Pain Med. Published 21 February 2025. doi:10.
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