Performance of the Canadian Triage and Acuity Scale for Children: A Multicenter Database Study
Performance of the Canadian Triage and Acuity Scale for Children: A Multicenter Database Study
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DOI：
10.1016/j.annemergmed.2012.05.024
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发表时间：
2013-01-01
影响因子：
6.2
通讯作者：
Osmond, Martin H.
中科院分区：
文献类型：
--
作者：
Gravel, Jocelyn;Fitzpatrick, Eleanor;Osmond, Martin H.
研究目的：我们评估了使用加拿大分诊和敏锐度量表分配的分诊级别与多个急诊科（ED）中实际儿童分诊有效性的替代标记之间的关联。这是一项回顾性队列研究，评价了12名儿科急诊科就诊的所有儿童的分诊评估和结局，所有儿童均为加拿大儿科急诊研究组的成员，在一年期间（2010年至2011年）。从艾德计算机化数据库中检索匿名数据。主要结果指标是每个分诊级别的住院儿童比例。其他结果是ICU入院，没有被医生看到的患者比例，以及在ED的住院时间。在1年内访问这些ED的所有儿童的评价预计将提供超过1,000例患者在每个分流category.Results：共550,940名儿童被纳入。汇总数据显示，加拿大分类和敏锐度量表1、2、3、4和5级患者的住院比例分别为61%、30%、10%、2%和0.9%。有一个很强的关联分流水平和入院ICU，没有被医生看到的概率离开，和stay.Conclusion：分流水平和多个标志物的严重程度在12加拿大儿科ED之间的强关联表明加拿大分流和敏锐度量表的儿童的有效性。[Ann 2013;61：27-32.]
Study objective: We evaluate the association between triage levels assigned using the Canadian Triage and Acuity Scale and surrogate markers of validity for real-life children triaged in multiple emergency departments (EDs).Methods: This was a retrospective cohort study evaluating the triage assessment and outcomes of all children presenting to 12 pediatric EDs, all of which are members of the Pediatric Emergency Research Canada group, during a 1-year period (2010 to 2011). Anonymous data were retrieved from the ED computerized databases. The primary outcome measure was the proportion of children hospitalized for each triage level. Other outcomes were ICU admission, proportion of patients who left without being seen by a physician, and length of stay in the ED. Evaluation of all children visiting these EDs during 1 year was expected to provide more than 1,000 patients in each triage category.Results: A total of 550,940 children were included. Pooled data demonstrated hospitalization proportions of 61%, 30%, 10%, 2%, and 0.9% for patients in Canadian Triage and Acuity Scale levels 1, 2, 3, 4, and 5, respectively. There was a strong association between triage level and admission to the ICU, probability of leaving without being seen by a physician, and length of stay.Conclusion: The strong association between triage level and multiple markers of severity in 12 Canadian pediatric EDs suggests validity of the Canadian Triage and Acuity Scale for children. [Ann Emerg Med. 2013;61:27-32.]