Validation of Modified Paediatric Triage Score in a Tertiary Care Hospital
Introduction: The global burden of paediatric mortality is high and majority of the deaths are preventable by providing timely access to specialised emergency care. An appropriate triage in a busy emergency department can identify the sickest patient for early intervention. Aim: To develop a si...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2020-11-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/14204/45187_CE[Ra1]_F(SL)_PF1(ShG_KM)_PN(SL).pdf |
| _version_ | 1818733737726181376 |
|---|---|
| author | Bandya Sahoo Reshmi Mishra Mukesh Kumar Jain Sibabratta Patnaik |
| author_facet | Bandya Sahoo Reshmi Mishra Mukesh Kumar Jain Sibabratta Patnaik |
| author_sort | Bandya Sahoo |
| collection | DOAJ |
| description | Introduction: The global burden of paediatric mortality is high
and majority of the deaths are preventable by providing timely
access to specialised emergency care. An appropriate triage in
a busy emergency department can identify the sickest patient
for early intervention.
Aim: To develop a simple score based on physical variables
alone and assess its validation so as to predict Intensive Care
Unit (ICU) admission.
Materials and Methods: This prospective hospital based study
included 936 children, aged 1 month to 18 years. Baseline
demographic data along with clinical variables were noted in a
pre-designed proforma at the time of admission. A scoring system
was developed based on severity of various clinical variables
i.e., heart rate, respiratory rate, respiratory effort, Oxygen
Saturation (SpO2
), Capillary Refill Time (CFT), temperature, level
of consciousness and behaviour. The outcome i.e., admission
to ward or Pediatric Intensive Care Unit (PICU) of the patient
was correlated with the study variables and total score. An
association of modified PETS with the PICU admission was
done using Chi-square test. A p-value of <0.01 was considered
as statistically significant.
Results: The modified Paediatric Triage Score (PETS) which
is developed based on eight physical variables, is reliable in
discriminating the children with ward and ICU admission. A
score of ≥6 leads to 14.8 times higher risk of getting admitted to
ICU as compared to a child with score of <6. A cut-off of ≥6 for
modified PETS score has a sensitivity of 79.6% and specificity
of 79.2% in predicting ICU admission.
Conclusion: This simple clinically developed scoring system
based on physical variables alone with an optimal cut-off of ≥6
can predict severity of illness and need for PICU admission in
Emergency Department with acceptable validity and can serve
as a potentially excellent screening tool. |
| first_indexed | 2024-12-17T23:54:14Z |
| format | Article |
| id | doaj.art-11d64987e90e414bb6c9a1545a6e6b60 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-17T23:54:14Z |
| publishDate | 2020-11-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-11d64987e90e414bb6c9a1545a6e6b602022-12-21T21:28:06ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2020-11-011411SC01SC0410.7860/JCDR/2020/45187.14204Validation of Modified Paediatric Triage Score in a Tertiary Care HospitalBandya Sahoo0Reshmi Mishra1Mukesh Kumar Jain2Sibabratta Patnaik3Professor, Department of Paediatrics, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.Associate Professor, Department of Paediatrics, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.Assistant Professor, Department of Paediatrics, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.Associate Professor, Department of Paediatrics, Kalinga Institute of Medical Sciences, Infocity, Bhubaneswar, Odisha, India.Introduction: The global burden of paediatric mortality is high and majority of the deaths are preventable by providing timely access to specialised emergency care. An appropriate triage in a busy emergency department can identify the sickest patient for early intervention. Aim: To develop a simple score based on physical variables alone and assess its validation so as to predict Intensive Care Unit (ICU) admission. Materials and Methods: This prospective hospital based study included 936 children, aged 1 month to 18 years. Baseline demographic data along with clinical variables were noted in a pre-designed proforma at the time of admission. A scoring system was developed based on severity of various clinical variables i.e., heart rate, respiratory rate, respiratory effort, Oxygen Saturation (SpO2 ), Capillary Refill Time (CFT), temperature, level of consciousness and behaviour. The outcome i.e., admission to ward or Pediatric Intensive Care Unit (PICU) of the patient was correlated with the study variables and total score. An association of modified PETS with the PICU admission was done using Chi-square test. A p-value of <0.01 was considered as statistically significant. Results: The modified Paediatric Triage Score (PETS) which is developed based on eight physical variables, is reliable in discriminating the children with ward and ICU admission. A score of ≥6 leads to 14.8 times higher risk of getting admitted to ICU as compared to a child with score of <6. A cut-off of ≥6 for modified PETS score has a sensitivity of 79.6% and specificity of 79.2% in predicting ICU admission. Conclusion: This simple clinically developed scoring system based on physical variables alone with an optimal cut-off of ≥6 can predict severity of illness and need for PICU admission in Emergency Department with acceptable validity and can serve as a potentially excellent screening tool.https://jcdr.net/articles/PDF/14204/45187_CE[Ra1]_F(SL)_PF1(ShG_KM)_PN(SL).pdfoutcomepredicttriage systemvariables |
| spellingShingle | Bandya Sahoo Reshmi Mishra Mukesh Kumar Jain Sibabratta Patnaik Validation of Modified Paediatric Triage Score in a Tertiary Care Hospital Journal of Clinical and Diagnostic Research outcome predict triage system variables |
| title | Validation of Modified Paediatric Triage Score in a Tertiary Care Hospital |
| title_full | Validation of Modified Paediatric Triage Score in a Tertiary Care Hospital |
| title_fullStr | Validation of Modified Paediatric Triage Score in a Tertiary Care Hospital |
| title_full_unstemmed | Validation of Modified Paediatric Triage Score in a Tertiary Care Hospital |
| title_short | Validation of Modified Paediatric Triage Score in a Tertiary Care Hospital |
| title_sort | validation of modified paediatric triage score in a tertiary care hospital |
| topic | outcome predict triage system variables |
| url | https://jcdr.net/articles/PDF/14204/45187_CE[Ra1]_F(SL)_PF1(ShG_KM)_PN(SL).pdf |
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