AIS and START Grade With Films Transferring in Disaster Management

Trauma Clinical Trial

— START  

Official title:

Abbreviated Injury Scale (AIS) Grading and Simple Triage and Rapid Treatment (START) Triage Method Combined With Film Transferring on Instant Message Improve Difference of Disaster Triage and Disaster Management

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05358418
• Other study ID #: StMartinDPH
• Status: Completed
• Start date: December 1, 2022
• Est. completion date: September 30, 2023

Study information

• Verified date: November 2023
• Source: St. Martin De Porress Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Disaster medical teams are formed by hospitals in response to the manpower needs of a large number of injured and sick patients. The current planning of hospitals for a large number of disaster medical manpower is too superficial. The application of today's inspection methods in the treatment of a large number of injured patients is not as good as it is. Therefore, understanding the scene situation has become the key point of manpower deployment. Today's internet transmission speed and computer artificial intelligence technology are very different from 9 years ago. The investigators adopt one more simple and easy-to-operate inspection method and use artificial intelligence technology to assist.

Description:

Disaster medical teams are formed by hospitals in response to the manpower needs of a large number of injured and sick patients. However, the current planning of hospitals for a large number of disaster medical manpower is too superficial. The application of today's inspection methods in the treatment of a large number of injured patients is not as good as it is. Therefore, understanding the scene situation has become the key point of manpower deployment. Today's network transmission speed and computer artificial intelligence technology are very different from 9 years ago. The image transmission of the communication software to understand the scene will help the hospital's manpower deployment or should the investigators adopt a more easy-to-operate inspection method and use artificial intelligence technology to assist Implementation method: 82 patients with a large number of injuries in the Ali mountain traffic accident over the years were included, medical records were reviewed. The photos of patients recorded at the hospital site and existing vital signs of the patients were mainly used to make grading of the traditional STAR triage and the AIS to understand the possible differences in image interpretation and injury detection. Excluding patients with incomplete clinical data of treatment, the statistical methods of the samples were Correlation analysis and Wilcoxon signed rank test, and the p value of statistical significance was 0.05

Recruitment information / eligibility

• Status: Completed
• Enrollment: 90
• Est. completion date: September 30, 2023
• Est. primary completion date: June 10, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• All patients in the high mountain disaster

Exclusion Criteria:

• Excluding patients with incomplete clinical data of treatment and clinical films

Related Conditions & MeSH terms

• Disaster
• Trauma

Intervention

Other:
• AIS,START with films transferring
Excluding patients with incomplete clinical data of treatment

Locations

Country	Name	City	State
Taiwan	St. Martin De Porres Hospital	Chiayi City

Sponsors (1)

Lead Sponsor	Collaborator
Chia-hsi Chen

Country where clinical trial is conducted

Taiwan, 

References & Publications (1)

Turner CD, Lockey DJ, Rehn M. Pre-hospital management of mass casualty civilian shootings: a systematic literature review. Crit Care. 2016 Nov 8;20(1):362. doi: 10.1186/s13054-016-1543-7. Erratum In: Crit Care. 2017 Apr 13;21(1):94. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Abbreviated Injury Scale (AIS) Grading and Simple Triage and Rapid Treatment (START) Triage Method Combined with Film Transferring on Instant Message Improve Difference of Disaster Triage and Disaster Management	The AIS and START grading are usually defined in trauma disaster when patients are sent off to emergency room. The AIS is an anatomically-based injury severity scoring system that classifies each injury by body region on a 6 points scale from minor to maximal (currently untreatable) status. The START grading assign the disaster patients to one of the following four categories: grade 0: deceased/expectant (black), grade1: immediate (red), grade 2: delayed (yellow), grade 3: minor (green) The investigators use the recorded exterior photo, radiological film and vital sign data of the injured patients to re-define the AIS and START grading. The results are compared with the original data that are documented in our medical records and want to know that the consistency exist between two groups. Excluding patients with incomplete clinical data of treatment. Statistical methods were Correlation analysis and Wilcoxon signed rank test. The p value of statistical significance was 0.05	3 months

External Links

•   Pre-hospital management of mass casualty civilian shootings: a systematic literature review