Association between the Korean Triage and Acuity Scale level and hospitalization of children with abdominal pain in the emergency department

Purpose The Korean Triage and Acuity Scale (KTAS) is a triage tool for patients in the emergency department (ED). We aimed to investigate the association between the KTAS level and hospitalization of children with abdominal pain, a common chief complaint in the ED. Methods This study retrospectively...

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Main Authors: Sehoon Kim, Seon Hee Woo, Kyong Ho Choi, Young Min Oh, Se Min Choi, Yeon Young Kyong
Format: Article
Language:English
Published: Korean Society of Pediatric Emergency Medicine 2017-12-01
Series:Pediatric Emergency Medicine Journal
Subjects:
Online Access:http://pemj.org/upload/pdf/pemj-2017-00108.pdf
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author Sehoon Kim
Seon Hee Woo
Kyong Ho Choi
Young Min Oh
Se Min Choi
Yeon Young Kyong
author_facet Sehoon Kim
Seon Hee Woo
Kyong Ho Choi
Young Min Oh
Se Min Choi
Yeon Young Kyong
author_sort Sehoon Kim
collection DOAJ
description Purpose The Korean Triage and Acuity Scale (KTAS) is a triage tool for patients in the emergency department (ED). We aimed to investigate the association between the KTAS level and hospitalization of children with abdominal pain, a common chief complaint in the ED. Methods This study retrospectively reviewed medical records of children aged 3 to 14 years who visited the ED with abdominal pain as a chief complaint. KTAS level (1-3 vs. 4-5), age, gender, presence of associated symptoms (vomiting, diarrhea, hematochezia, and fever), and disposition (rapid discharge, discharge after intravenous hydration, and hospitalization) were collected and compared between the children with KTAS 1-3 and 4-5. Results Of 1,050 children enrolled, 618 (58.9%) were classified as KTAS 1-3, and 36 (3.4%) were hospitalized. Vomiting was the most common associated symptom in both groups (63.6%), and 41.5% underwent discharge after intravenous hydration. The children with KTAS 1-3 were more frequently hospitalized (5.0% vs. 1.2%, P < 0.001). Conclusion The KTAS may be reliable to predict the hospitalization of children with abdominal pain in the ED with additional consideration of the associated symptoms.
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spelling doaj.art-bf228b5b876744d18544f0fd52e33a2f2023-04-04T23:44:08ZengKorean Society of Pediatric Emergency MedicinePediatric Emergency Medicine Journal2383-48972508-55062017-12-01429710110.22470/pemj.2017.0010857Association between the Korean Triage and Acuity Scale level and hospitalization of children with abdominal pain in the emergency departmentSehoon Kim0Seon Hee Woo1Kyong Ho Choi2Young Min Oh3Se Min Choi4Yeon Young Kyong5Department of Emergency Medicine, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, KoreaDepartment of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, KoreaDepartment of Emergency Medicine, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, KoreaDepartment of Emergency Medicine, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, KoreaDepartment of Emergency Medicine, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, KoreaDepartment of Emergency Medicine, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, KoreaPurpose The Korean Triage and Acuity Scale (KTAS) is a triage tool for patients in the emergency department (ED). We aimed to investigate the association between the KTAS level and hospitalization of children with abdominal pain, a common chief complaint in the ED. Methods This study retrospectively reviewed medical records of children aged 3 to 14 years who visited the ED with abdominal pain as a chief complaint. KTAS level (1-3 vs. 4-5), age, gender, presence of associated symptoms (vomiting, diarrhea, hematochezia, and fever), and disposition (rapid discharge, discharge after intravenous hydration, and hospitalization) were collected and compared between the children with KTAS 1-3 and 4-5. Results Of 1,050 children enrolled, 618 (58.9%) were classified as KTAS 1-3, and 36 (3.4%) were hospitalized. Vomiting was the most common associated symptom in both groups (63.6%), and 41.5% underwent discharge after intravenous hydration. The children with KTAS 1-3 were more frequently hospitalized (5.0% vs. 1.2%, P < 0.001). Conclusion The KTAS may be reliable to predict the hospitalization of children with abdominal pain in the ED with additional consideration of the associated symptoms.http://pemj.org/upload/pdf/pemj-2017-00108.pdfabdominal paincritical illnessemergency medicinepediatricstriage
spellingShingle Sehoon Kim
Seon Hee Woo
Kyong Ho Choi
Young Min Oh
Se Min Choi
Yeon Young Kyong
Association between the Korean Triage and Acuity Scale level and hospitalization of children with abdominal pain in the emergency department
Pediatric Emergency Medicine Journal
abdominal pain
critical illness
emergency medicine
pediatrics
triage
title Association between the Korean Triage and Acuity Scale level and hospitalization of children with abdominal pain in the emergency department
title_full Association between the Korean Triage and Acuity Scale level and hospitalization of children with abdominal pain in the emergency department
title_fullStr Association between the Korean Triage and Acuity Scale level and hospitalization of children with abdominal pain in the emergency department
title_full_unstemmed Association between the Korean Triage and Acuity Scale level and hospitalization of children with abdominal pain in the emergency department
title_short Association between the Korean Triage and Acuity Scale level and hospitalization of children with abdominal pain in the emergency department
title_sort association between the korean triage and acuity scale level and hospitalization of children with abdominal pain in the emergency department
topic abdominal pain
critical illness
emergency medicine
pediatrics
triage
url http://pemj.org/upload/pdf/pemj-2017-00108.pdf
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