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Validation of a Modified Triage Scale in a Norwegian Pediatric Emergency Department
المؤلفون المشاركون
Engan, Mette
Hirth, Asle
Trønnes, Håvard
المصدر
International Journal of Pediatrics
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-10-15
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Objective.
Triage is a tool developed to identify patients who need immediate care and those who can safely wait.
The aim of this study was to assess the validity and interrater reliability of a modified version of the pediatric South African triage scale (pSATS) in a single-center tertiary pediatric emergency department in Norway.
Methods.
This prospective, observational study included all patients with medical conditions, referred to the pediatric emergency department of a tertiary hospital in Norway from September 1, 2015, to November 17, 2015.
Their assigned triage priority was compared with rate of hospitalization and resource utilization.
Validity parameters were sensitivity, specificity, positive and negative predictive value, and percentage of over- and undertriage.
Interrater agreement and accuracy of the triage ratings were calculated from triage performed by nurses on written case scenarios.
Results.
During the study period, 1171 patients arrived at the hospital for emergency assessment.
A total of 790 patients (67 %) were triaged and included in the study.
The percentage of hospital admission increased with increasing level of urgency, from 30 % of the patients triaged to priority green to 81 % of those triaged to priority red.
The sensitivity was 74 %, the specificity was 48 %, the positive predictive value was 52 %, and the negative predictive value was 70 % for predicting hospitalization.
The level of over- and undertriage was 52 % and 26 %, respectively.
Resource utilization correlated with higher triage priority.
The interrater agreement had an intraclass correlation coefficient of 0.99 by Cronbach’s alpha, and the accuracy was 92 %.
Conclusions.
The modified pSATS had a moderate sensitivity and specificity but showed good correlation with resource utilization.
The nurses demonstrated excellent interrater agreement and accuracy when triaging written case scenarios.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Engan, Mette& Hirth, Asle& Trønnes, Håvard. 2018. Validation of a Modified Triage Scale in a Norwegian Pediatric Emergency Department. International Journal of Pediatrics،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1174638
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Engan, Mette…[et al.]. Validation of a Modified Triage Scale in a Norwegian Pediatric Emergency Department. International Journal of Pediatrics No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1174638
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Engan, Mette& Hirth, Asle& Trønnes, Håvard. Validation of a Modified Triage Scale in a Norwegian Pediatric Emergency Department. International Journal of Pediatrics. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1174638
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1174638
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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