Evaluation of guidelines for emergency triage assessment and treatment in developing countries
Evaluation of guidelines for emergency triage assessment and treatment in developing countries
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DOI：
10.1136/adc.81.6.478
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发表时间：
1999-12-01
影响因子：
5.2
通讯作者：
Gove, S
中科院分区：
文献类型：
--
作者：
Tamburlini, G;Di Mario, S;Gove, S
Aim-To evaluate performance of a simplified algorithm and treatment instructions for emergency triage assessment and treatment（ETAT）of children presenting to hospital in developing countries. Methods-All infants against 7 days to 5 years presenting to a accident and emergency department was simultaneously triaged and assessed by a nurse and a senior paediatrician.将护士ETAT评估与儿科医生的标准紧急高级儿科生命支持（APLS）评估进行比较。灵敏度，特异性和预测值计算和适当的护士treatments进行了evaluated.Results-The ETAT算法所使用的护士确定731/3837例（19.05%）; 98例（2.6%）被归类为需要紧急治疗和633（16.5%）作为需要优先评估。APLS评估的敏感性为96.7%，儿科医生优先考虑的所有患者的敏感性为91.7%，最终入院的患者的敏感性为85.7%。特异性分别为90.6%、91.0%和85.2%。护士管理的治疗是适当的94/102（92.2%）紧急conditions. Conclusions的ETAT算法和治疗说明，当护士进行了一个短暂的特定的培训期后，执行以及作为筛选工具，以确定优先的情况下，作为紧急情况下的治疗指南。
Aim-To evaluate performance of a simplified algorithm and treatment instructions for emergency triage assessment and treatment (ETAT) of children presenting to hospital in developing countries.Methods-All infants aged 7 days to 5 years presenting to an accident and emergency department were simultaneously triaged and assessed by a nurse and a senior paediatrician. Nurse ETAT assessment was compared to standard emergency advanced paediatric life support (APLS) assessment by the paediatrician. Sensitivity, specificity, and predictive values were calculated and appropriateness of nurse treatments was evaluated.Results-The ETAT algorithm as used by nurses identified 731/3837 patients (19.05%); 98 patients (2.6%) were classified as needing emergency treatment and 633 (16.5%) as needing priority assessment. Sensitivity was 96.7% with respect to APLS assessment, 91.7% with respect to all patients given priority by the paediatrician, and 85.7% with respect to patients ultimately admitted. Specificity was 90.6%, 91.0%, and 85.2%, respectively. Nurse administered treatment was appropriate in 94/102 (92.2%) emergency conditions.Conclusions-The ETAT algorithm and treatment instructions, when carried out by nurses after a short specific training period, performed well as a screening tool to identify priority cases and as a treatment guide for emergency conditions.