In India a substantial share of trauma deaths happens in urban areas. Here, prehospital care is largely lacking or poorly organised. Ambulances are mainly used for transfer of patients between hospitals. Hence, even the most severe patients arrive to hospital without being assessed in the prehospital setting and then mix with the general patient population that presents to the emergency department. In such scenarios, one of the key challenges in trauma care is how to prioritise patients so that the patients in greatest need of care are seen first, i.e. triage. Our aim is to validate and compare published prediction models for use in early trauma care.
Prospective multicentre cohort
Three hospitals in urban India
Any person aged > 18 years presenting to the emergency department (ED) of participating sites with history of trauma.
Mortality within 30 days of arrival to hospital. Extracted by project officer from patient record as date and time of death or discharge. If the patient is discharged alive before 30 days of arrival the research officer will call the patient or patient relative 30 days after arrival to hospital to establish the patient’s status.
Demographics, vital signs and injury data.
We will compare models using measures of discrimination, calibration, and net benefit.