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03/27/26

Major Trauma Triage Study (MATTS): diagnostic accuracy of major trauma triage tools in English regional trauma networks - A case-cohort study.

Fuller, Gordon Ward; Baird, James; Keating, Samuel; Miller, Joshua; Pilbery, Richard; Scotney, Natalie; McKnee, Katherine; Turner, Janette; Lecky, Fiona; Edwards, Antoinette; Rosser, Andy; Fothergill, Rachael; Black, Sarah; Bell, Fiona; Smyth, Michael; Smith, Jason E; Perkins, Gavin D; Reid, Stuart; Herbert, Esther; Walters, Stephen; Cooper, Cindy; and the MATTS research group. PLoS ONE

Collection Topics
Tests, Screening, and Laboratory Processes
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Summary

Under- and over-triage in emergency cases detract from effective diagnostic and treatment processes. This case-cohort study externally validated trauma triage tools in England, identifying four with varying sensitivity and specificity. The optimal tool depends on major trauma prevalence and the importance placed on false positives versus false negatives. Further real-world evaluation, considering compliance and clinical judgment, is needed.
Read the paper
Fuller GW, Baird J, Keating S, et al. Major Trauma Triage Study (MATTS): diagnostic accuracy of major trauma triage tools in English regional trauma networks - A case-cohort study. PLoS ONE. 2026;21(3):e0344996.