Table 2.
Panel agreement (n = 24) on appropriateness of transport to trauma centre modifiers for patients aged 65 years or older with major trauma
| Trauma care modifier | Median importance | Round; disagreement index* | ||
|---|---|---|---|---|
| 1 | 2 | 3 | ||
| Older patients with major trauma | 8.0 | 0.66 | — | — |
| Older patients with major trauma who are pedestrians/bicyclists struck by a vehicle at ANY speed or involved in a motorcycle crash at ANY speed | 8.0 | 0.66 | — | — |
| Older patients with major trauma taking anticoagulants (e.g., warfarin or direct oral anticoagulant) with evidence of a head injury | 8.5 | 0.29 | — | — |
| Older patients with major trauma with a Glasgow Coma Scale score < 15 or not at their baseline mental status (i.e., patients with dementia not at their baseline) | 8.0 | 1.62 | 0.66 | — |
| Older patients with major trauma with a systolic blood pressure < 110 mm Hg | 8.0 | 1.56 | 0.97 | — |
| Older patients with major trauma with a respiratory rate of < 10 or > 20 breaths/min or needing ventilatory support | 8.0 | 2.26 | 0.24 | — |
| Older patients with major trauma with ≥ 1 long-bone fracture | 8.0 | 2.26 | 0.43 | — |
| Older patients with major trauma with ≥ 2 suspected rib fractures | 8.0 | NA | 0.75 | — |
| Older patients with major trauma with falls > 2 m | 8.0 | NA | NA | 0.29 |
| Older patients with major trauma with ground-level falls who are taking anticoagulants (e.g., warfarin or direct oral anticoagulant) | 8.0 | NA | NA | 0.49 |
NA = not applicable.
*
< 1 = agreement, ≥ 1 = disagreement.