Triage in the developing world - can it be done?
Triage in the developing world - can it be done?
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DOI：
10.1136/adc.85.3.208
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发表时间：
2001-09-01
影响因子：
5.2
通讯作者：
Molyneux, EM
中科院分区：
文献类型：
--
作者：
Robertson, MA;Molyneux, EM
目的-评估发展中国家医院就诊患儿的急诊分诊、评估和治疗（ETAT）指南。本研究预先测试的准则，在马拉维，评估他们的表现时，护士相比，接受过培训的医生在先进的儿科生命支持（APLS）。方法分诊同时进行的护士和评估医生2281名儿童提出下Ss诊所。根据ETAT指南，每位患者都被分配了三个优先级之一。护士和评估员之间的任何变化被记录在评估forms.Results-Nurses确定92名儿童需要紧急治疗和661的迹象表明需要紧急医疗评估。142名（6.2%）儿童接受过APLS培训的医生分配了不同的优先次序，但这些儿童往往不需要随后入院。百分之八十五的入院优先于紧急或紧急category. Conclusion，虽然没有金标准比较的ETAT指南似乎可靠地选择出大多数需要入院的患者。
Aim-To assess guidelines for the emergency triage, assessment, and treatment (ETAT) of sick children presenting to hospitals in the developing world. This study pretested the guidelines in Malawi, assessing their performance when used by nurses compared to doctors trained in advanced paediatric life support (APLS).Methods-Triage was performed simultaneously by a nurse and assessing doctor on 2281 children presenting to the under Ss clinic. Each patient was allocated one of three priorities, according to the ETAT guidelines. Any variation between nurse and assessor was recorded on the assessment forms.Results-Nurses identified 92 children requiring emergency treatment and 661 with signs indicating a need for urgent medical assessment. One hundred and forty two (6.2%) had different priorities allocated by the APLS trained doctor, but these children did not tend to need subsequent admission. Eighty five per cent of admissions were prioritised to an emergency or urgent category.Conclusion-Although there are no gold standards for comparison the ETAT guidelines appear to reliably select out the majority of patients requiring admission.