Cost-effectiveness of field trauma triage among injured adults served by emergency medical services

Craig Newgard, Zhuo Yang, Daniel Nishijima, Kenneth (John) McConnell, Stacy A. Trent, James F. Holmes, Mohamud Ramzan Daya, N. Clay Mann, Renee Y. Hsia, Tom D. Rea, N. Ewen Wang, Kristan Staudenmayer, M. Kit Delgado

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background The American College of Surgeons Committee on Trauma sets national targets for the accuracy of field trauma triage at ≥95% sensitivity and ≥65% specificity, yet the cost-effectiveness of realizing these goals is unknown. We evaluated the cost-effectiveness of current field trauma triage practices compared with triage strategies consistent with the national targets. Study Design This was a cost-effectiveness analysis using data from 79,937 injured adults transported by 48 emergency medical services agencies to 105 trauma and nontrauma hospitals in 6 regions of the western United States from 2006 through 2008. Incremental differences in survival, quality-adjusted life years (QALYs), costs, and the incremental cost-effectiveness ratio (costs per QALY gained) were estimated for each triage strategy during a 1-year and lifetime horizon using a decision analytic Markov model. We considered an incremental cost-effectiveness ratio threshold of

Original languageEnglish (US)
Pages (from-to)1125-1137
Number of pages13
JournalJournal of the American College of Surgeons
Volume222
Issue number6
DOIs
StatePublished - Jun 1 2016

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Triage
Emergency Medical Services
Cost-Benefit Analysis
Wounds and Injuries
Quality-Adjusted Life Years
Costs and Cost Analysis
Sensitivity and Specificity

ASJC Scopus subject areas

  • Surgery

Cite this

Cost-effectiveness of field trauma triage among injured adults served by emergency medical services. / Newgard, Craig; Yang, Zhuo; Nishijima, Daniel; McConnell, Kenneth (John); Trent, Stacy A.; Holmes, James F.; Daya, Mohamud Ramzan; Mann, N. Clay; Hsia, Renee Y.; Rea, Tom D.; Wang, N. Ewen; Staudenmayer, Kristan; Delgado, M. Kit.

In: Journal of the American College of Surgeons, Vol. 222, No. 6, 01.06.2016, p. 1125-1137.

Research output: Contribution to journalArticle

Newgard, C, Yang, Z, Nishijima, D, McConnell, KJ, Trent, SA, Holmes, JF, Daya, MR, Mann, NC, Hsia, RY, Rea, TD, Wang, NE, Staudenmayer, K & Delgado, MK 2016, 'Cost-effectiveness of field trauma triage among injured adults served by emergency medical services', Journal of the American College of Surgeons, vol. 222, no. 6, pp. 1125-1137. https://doi.org/10.1016/j.jamcollsurg.2016.02.014
Newgard, Craig ; Yang, Zhuo ; Nishijima, Daniel ; McConnell, Kenneth (John) ; Trent, Stacy A. ; Holmes, James F. ; Daya, Mohamud Ramzan ; Mann, N. Clay ; Hsia, Renee Y. ; Rea, Tom D. ; Wang, N. Ewen ; Staudenmayer, Kristan ; Delgado, M. Kit. / Cost-effectiveness of field trauma triage among injured adults served by emergency medical services. In: Journal of the American College of Surgeons. 2016 ; Vol. 222, No. 6. pp. 1125-1137.
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