Triage in an established XXXX system.

@entity1 @entity131 @entity66 @entity130
OBJECTIVE: The goal of this study was to determine @entity1 and injury characteristics that predict undertriage and overtriage. DESIGN: This study was a retrospective analysis of admissions for @entity131 . MATERIALS AND METHODS: All admissions for acute injuries in a 2 1/2-year period were included (N = 26,025). ICD-9 clinical modification codes were converted to Injury Severity Scores. MAIN RESULTS: Seventy-nine percent of severely injured @entity1 were admitted to level I @entity130 centers. Severely injured @entity1 admitted to other hospitals (undertriage) were more likely elderly (odds ratio = 5.44) and less likely had @entity66 (odds ratio = 0.55). One-fourth of @entity1 with @entity130 were admitted to level I @entity130 centers (overtriage). Overtriaged @entity1 were more likely intoxicated, obese, or had an injury to the head or face. CONCLUSIONS: In a developed @entity130 system, severely injured elderly @entity130 @entity1 (especially females) are at risk for undertriage. The characteristics of @entity1 at risk for overtriage reflect the difficulties of prospective out-of-hospital triage.
