{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T10:28:42Z","timestamp":1781087322274,"version":"3.54.1"},"reference-count":28,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T00:00:00Z","timestamp":1697760000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Prehospital field triage often fails to accurately identify the need for emergent surgical or non-surgical procedures, resulting in inefficient resource utilization and increased costs. This study aimed to analyze prehospital factors associated with the need for emergent procedures (such as surgery or interventional angiography) within 6 h of hospital admission. Additionally, our goal was to develop a prehospital triage tool capable of estimating the likelihood of requiring an emergent procedure following hospital admission. We conducted a retrospective observational study, analyzing both prehospital and in-hospital data obtained from the Lombardy Trauma Registry. We conducted a multivariable logistic regression analysis to identify independent predictors of emergency procedures within the first 6 h from admission. Subsequently, we developed and internally validated a triage score composed of factors associated with the probability of requiring an emergency procedure. The study included a total of 3985 patients, among whom 295 (7.4%) required an emergent procedure within 6 h. Age, penetrating injury, downfall, cardiac arrest, poor neurological status, endotracheal intubation, systolic pressure, diastolic pressure, shock index, respiratory rate and tachycardia were identified as predictors of requiring an emergency procedure. A triage score generated from these predictors showed a good predictive power (AUC of the ROC curve: 0.81) to identify patients requiring an emergent surgical or non-surgical procedure within 6 h from hospital admission. The proposed triage score might contribute to predicting the need for immediate resource availability in trauma patients.<\/jats:p>","DOI":"10.3390\/jcm12206660","type":"journal-article","created":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T11:53:56Z","timestamp":1697802836000},"page":"6660","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Identifying Trauma Patients in Need for Emergency Surgery in the Prehospital Setting: The Prehospital Prediction of In-Hospital Emergency Treatment (PROPHET) Study"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4035-6805","authenticated-orcid":false,"given":"Stefano","family":"Isgr\u00f2","sequence":"first","affiliation":[{"name":"Department of Emergency and Intensive Care, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8048-2721","authenticated-orcid":false,"given":"Marco","family":"Giani","sequence":"additional","affiliation":[{"name":"Department of Emergency and Intensive Care, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, Italy"},{"name":"Department of Medicine and Surgery, Universit\u00e0 degli Studi di Milano-Bicocca, 20126 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Antolini","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, Universit\u00e0 degli Studi di Milano-Bicocca, 20126 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Giudici","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care Medicine, Niguarda Hospital, 20162 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Grazia","family":"Valsecchi","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, Universit\u00e0 degli Studi di Milano-Bicocca, 20126 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giacomo","family":"Bellani","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care, Santa Chiara Regional Hospital, APSS, 38122 Trento, Italy"},{"name":"Centre for Medical Sciences CISMed, University of Trento, 38122 Trento, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2409-2109","authenticated-orcid":false,"given":"Osvaldo","family":"Chiara","sequence":"additional","affiliation":[{"name":"Department of Emergency and Trauma Surgery, Niguarda Hospital, 20162 Milan, Italy"},{"name":"Department of Pathophysiology and Transplantation, Universit\u00e0 degli Studi di Milano, 20100 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriele","family":"Bassi","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care Medicine, Niguarda Hospital, 20162 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2521-5871","authenticated-orcid":false,"given":"Nicola","family":"Latronico","sequence":"additional","affiliation":[{"name":"Department of Emergency, Spedali Civili University Hospital, 25123 Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Cabrini","sequence":"additional","affiliation":[{"name":"General and Neurosurgical Intensive Care Units, Ospedale di Circolo, 21100 Varese, Italy"},{"name":"Department of Biotechnologies and Life Sciences, University of Insubria, ASST Sette Laghi, 21100 Varese, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0398-1329","authenticated-orcid":false,"given":"Roberto","family":"Fumagalli","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, Universit\u00e0 degli Studi di Milano-Bicocca, 20126 Monza, Italy"},{"name":"Department of Anesthesia and Intensive Care Medicine, Niguarda Hospital, 20162 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6690-8597","authenticated-orcid":false,"given":"Arturo","family":"Chieregato","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care Medicine, Neuro Intensive Care, ASST Niguarda, 20162 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"Sammartano","sequence":"additional","affiliation":[{"name":"Emergency Department, Emergency and Trauma Surgery, ASST Santi Carlo e Paolo, 20142 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Sechi","sequence":"additional","affiliation":[{"name":"Regional Agency of Emergency and Urgency (AREU), 20124 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Zoli","sequence":"additional","affiliation":[{"name":"Regional Agency of Emergency and Urgency (AREU), 20124 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Pagliosa","sequence":"additional","affiliation":[{"name":"Regional Agency of Emergency and Urgency (AREU), 20124 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Palo","sequence":"additional","affiliation":[{"name":"Regional Agency of Emergency and Urgency (AREU), 27100 Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliviero","family":"Valoti","sequence":"additional","affiliation":[{"name":"Regional Agency of Emergency and Urgency (AREU), 24121 Bergamo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Carlucci","sequence":"additional","affiliation":[{"name":"General and Emergency Surgery Department, Ospedale San Raffaele, 20132 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annalisa","family":"Benini","sequence":"additional","affiliation":[{"name":"Department of Emergency and Intensive Care, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Foti","sequence":"additional","affiliation":[{"name":"Department of Emergency and Intensive Care, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, Italy"},{"name":"Department of Medicine and Surgery, Universit\u00e0 degli Studi di Milano-Bicocca, 20126 Monza, 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