急诊老年创伤患者分诊标准研究的范围综述

doi:10.3761/j.issn.2096-7446.2025.09.008

Abstract

Abstract:

Objective To conduct a scoping review of studies on the triage standards for elderly trauma patients，to summarize and analyze the content，accuracy and related clinical outcomes of triage standards. Methods PubMed，Web of Science，Embase，CINAHL，Cochrane Library，CBM，CNKI，Wanfang，and VIP databases were searched up to November 30，2024. Studies reporting elderly-specific triage standards were screened. Data regarding the content，accuracy and related clinical outcomes were extracted. Results Fourteen articles were included. Most standards involved physiological indicators，mechanisms of injury，and anatomical considerations，with adjustments to conventional adult criteria. Eight studies elevated thresholds for systolic blood pressure and Glasgow Coma Scale scores. Three studies modified injury mechanisms and anatomical indicators. Two studies included anticoagulant/antiplatelet use and ≥2 comorbidities. Sensitivity ranged from 23.5% to 93%，and specificity from 41.5% to 95.7%. No studies directly evaluated the impact of triage standards on clinical outcomes. Conclusion Existing triage standards for elderly trauma patients vary widely in content and require improvement in accuracy. The effect of such standards on patient outcomes remains uncertain. In the future，we should develop more precise triage criteria for elderly trauma，evaluate its clinical application value，and provide basis for optimizing the treatment strategies of elderly trauma patients and improving the clinical outcomes of patients.

Key words: Elderly, Trauma, Triage, Scoping Review

YANG Yunli, ZHANG Xiaofeng, LIU Yanan, WANG Huarong. Triage standards of elderly trauma patients in emergency department：a scoping review[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(9): 1074-1081.

Figures/Tables 4

References 34

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Triage standards of elderly trauma patients in emergency department：a scoping review

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