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Trauma patients centralization for the mechanism of trauma: old questions without answers
Rate of overtriage and undertriage 
Overtriage rates were: (1) according to an ISS < 15 was 
83.2%; (2) according to ACS-COT definition was 53.7% and 
(3) according to the discharge rate from the ED was 47.6%. 
Undertriage was 5.8% considering all patients transported to Papa Giovanni XXIII Hospital for the mechanism 
of trauma (median ISS 8, Interquartile Range, IR 4–9) and 
1% considering patients with ISS > 15 (median ISS 17, IR 
16–25). 
Characteristics of TTA prompted only b...