Reliability and validity of triage systems in paediatric emergency care

<p>Abstract</p> <p>Background</p> <p>Triage in paediatric emergency care is an important tool to prioritize seriously ill children. Triage can also be used to identify patients who do not need urgent care and who can safely wait. The aim of this review was to provide an...

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Main Authors: Moll Henriette A, van Veen Mirjam
Format: Article
Language:English
Published: BMC 2009-08-01
Series:Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Online Access:http://www.sjtrem.com/content/17/1/38
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author Moll Henriette A
van Veen Mirjam
author_facet Moll Henriette A
van Veen Mirjam
author_sort Moll Henriette A
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Triage in paediatric emergency care is an important tool to prioritize seriously ill children. Triage can also be used to identify patients who do not need urgent care and who can safely wait. The aim of this review was to provide an overview of the literature on reliability and validity of current triage systems in paediatric emergency care</p> <p>Methods</p> <p>We performed a search in Pubmed and Cochrane on studies on reliability and validity of triage systems in children</p> <p>Results</p> <p>The Manchester Triage System (MTS), the Emergency Severity Index (ESI), the Paediatric Canadian Triage and Acuity Score (paedCTAS) and the Australasian Triage Scale (ATS) are common used triage systems and contain specific parts for children. The reliability of the MTS is good and reliability of the ESI is moderate to good. Reliability of the paedCTAS is moderate and is poor to moderate for the ATS.</p> <p>The internal validity is moderate for the MTS and confirmed for the CTAS, but not studied for the most recent version of the ESI, which contains specific fever criteria for children.</p> <p>Conclusion</p> <p>The MTS and paedCTAS both seem valid to triage children in paediatric emergency care. Reliability of the MTS is good, moderate to good for the ESI and moderate for the paedCTAS. More studies are necessary to evaluate if one triage system is superior over other systems when applied in emergency care.</p>
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spelling doaj.art-8dfceb32c7e24aaab66d06b9dc1537002022-12-22T02:47:57ZengBMCScandinavian Journal of Trauma, Resuscitation and Emergency Medicine1757-72412009-08-011713810.1186/1757-7241-17-38Reliability and validity of triage systems in paediatric emergency careMoll Henriette Avan Veen Mirjam<p>Abstract</p> <p>Background</p> <p>Triage in paediatric emergency care is an important tool to prioritize seriously ill children. Triage can also be used to identify patients who do not need urgent care and who can safely wait. The aim of this review was to provide an overview of the literature on reliability and validity of current triage systems in paediatric emergency care</p> <p>Methods</p> <p>We performed a search in Pubmed and Cochrane on studies on reliability and validity of triage systems in children</p> <p>Results</p> <p>The Manchester Triage System (MTS), the Emergency Severity Index (ESI), the Paediatric Canadian Triage and Acuity Score (paedCTAS) and the Australasian Triage Scale (ATS) are common used triage systems and contain specific parts for children. The reliability of the MTS is good and reliability of the ESI is moderate to good. Reliability of the paedCTAS is moderate and is poor to moderate for the ATS.</p> <p>The internal validity is moderate for the MTS and confirmed for the CTAS, but not studied for the most recent version of the ESI, which contains specific fever criteria for children.</p> <p>Conclusion</p> <p>The MTS and paedCTAS both seem valid to triage children in paediatric emergency care. Reliability of the MTS is good, moderate to good for the ESI and moderate for the paedCTAS. More studies are necessary to evaluate if one triage system is superior over other systems when applied in emergency care.</p>http://www.sjtrem.com/content/17/1/38
spellingShingle Moll Henriette A
van Veen Mirjam
Reliability and validity of triage systems in paediatric emergency care
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
title Reliability and validity of triage systems in paediatric emergency care
title_full Reliability and validity of triage systems in paediatric emergency care
title_fullStr Reliability and validity of triage systems in paediatric emergency care
title_full_unstemmed Reliability and validity of triage systems in paediatric emergency care
title_short Reliability and validity of triage systems in paediatric emergency care
title_sort reliability and validity of triage systems in paediatric emergency care
url http://www.sjtrem.com/content/17/1/38
work_keys_str_mv AT mollhenriettea reliabilityandvalidityoftriagesystemsinpaediatricemergencycare
AT vanveenmirjam reliabilityandvalidityoftriagesystemsinpaediatricemergencycare