Trauma Activation Criteria

Trauma Activation Criteria Refinement

To quantify the over- and under-triage rates as relative to trauma activation criteria reform.

Study Overview

• Status: Recruiting
• Conditions: Trauma
• Intervention / Treatment: Other: over- and under-triage rates

Detailed Description

Accurately identifying the patients requiring additional care through trauma resources drives effective resource management and quality patient care. Determining the criteria used to activate the trauma team is an essential means of managing hospital resource utilization. These criteria are based off of injury patterns, physiological findings, and mechanism of injury to predict the level of care and resource consumption.Pre-hospital criteria, however, have been described as having poor sensitivity, especially in older patients. While over-activation of trauma teams potentially reduces available resources for other patients, data suggest there is minimal risk of harm to the patient. The standardized triage assessment tool has been shown to outperform other triage assessment tools at both the single center and national levels.

• Study Type: Observational
• Enrollment (Estimated): 5000

Contacts and Locations

• Study Contact: Name: Crystee Cooper, DHEd; Phone Number: 214-947-1280; Email: ClinicalResearch@mhd.com
• Study Contact Backup: Name: Kavya Mankulangara; Phone Number: 214-947-4604; Email: ClinicalResearch@mhd.com

Study Locations

• United States
  • Texas
    • Dallas, Texas, United States, 75203
      • Recruiting
      • Methodist Dallas Medical Center- Clinical Research Institute
      • Contact: Kavya Mankulangara; Phone Number: 214-947-4604; Email: ClinicalResearch@mhd.com
      • Contact: Colette Ngo Ndjom; Phone Number: 214-947-1289; Email: ClinicalResearch@mhd.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

This observational trial will be limited by actual MDMC trauma patient volumes. We anticipate one year of observations will be adequate to establish feedback on the efficacy of the activation criteria refinement. We estimate this will include approximately 5,000 patient records.

Description

Inclusion Criteria:

Patient is included in the Methodist Dallas Medical Center trauma registry. Trauma patients who recieved care at Methodist Dallas Medical Center between November 24, 2023 and November 25, 2025.

Exclusion Criteria:

Patient does not meet registry inclusion criteria.

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Methodist Dallas Medical Center trauma registry; Trauma patients who recieved care at Methodist Dallas Medical Center between November 24, 2023 and November 25, 2025.	Other: over- and under-triage rates; To quantify the over- and under-triage rates as relative to trauma activation criteria reform.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Determine the over/under-triage rates	The project will be evaluated by comparing the over- and under-triage rates of the historical criteria and the reformed criteria. As the criteria reform was live November 25, 2024, pre-implementation will be defined as November 24, 2023 - November 24, 2024 and post-implementation will be defined as November 25, 2024 - November 25, 2025.	2 year

Collaborators and Investigators

• Sponsor: Methodist Health System
• Investigators: Principal Investigator: Jennifer Burris, MD, Methodist Health System

Study record dates

Study Major Dates

• Study Start (Actual): November 24, 2024
• Primary Completion (Estimated): November 24, 2027
• Study Completion (Estimated): November 1, 2028

Study Registration Dates

• First Submitted: March 18, 2026
• First Submitted That Met QC Criteria: March 18, 2026
• First Posted (Actual): March 24, 2026

Study Record Updates

• Last Update Posted (Actual): March 24, 2026
• Last Update Submitted That Met QC Criteria: March 18, 2026
• Last Verified: February 1, 2026

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Wounds and Injuries
• Other Study ID Numbers: 047.TRA.2024.D

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: All information will be blinded in compliance with HIPAA(Health Insurance Portability and Accountability Act) regulations. The investigator will make all possible efforts to ensure compliance with all policies regarding sharing of protected health information or research information. Only de-identified protected health information will be shared in relevant research mediums.
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No