The Singapore Paediatric Triage Scale Validation Study
Singapore medical journal
; : 205-209, 2018.
Article
Dans En
| WPRIM
| ID: wpr-687878
Responsable en Bibliothèque :
WPRO
ABSTRACT
<p><b>INTRODUCTION</b>This study aimed to determine the usefulness and validity of the triaging scale used in our emergency department (ED) by analysing its association with surrogate clinical outcome measures of severity consisting of hospitalisation rate, intensive care unit (ICU) admission, length of ED stay, predictive value for admission and length of hospitalisation.</p><p><b>METHODS</b>A retrospective observational study was conducted of the performance markers of the Singapore Paediatric Triage Scale (SPTS) to identify children who needed immediate and greater care. All children triaged and attended to at the paediatric ED at KK Women's and Children's Hospital, Singapore, from 1 January 2014 to 31 December 2014 were included. Data was retrieved from the Online Paediatric Emergency Care system, which is used for patients' care from initial triaging to final disposition.</p><p><b>RESULTS</b>Among 172,933 ED attendances, acuity levels 1, 2 plus, 2 and 3 were seen in 2.3%, 26.4%, 13.5% and 57.8% of patients, respectively. For admissions, triage acuity level 1 had a strong positive predictive value (79.5%), while triage acuity level 3 had a strong negative predictive value (93.7%). Fewer patients with triage acuity level 3 (6.3%) were admitted as compared to those with triage acuity level 1 (79.5%) (p < 0.001). There was a correlation between triage level and length of ED stay.</p><p><b>CONCLUSION</b>The SPTS is a valid tool for use in the paediatric emergency setting. This was supported by strong performance in important patient outcomes, such as admission to hospital, ICU admissions and length of ED stay.</p>
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Admission du patient
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Pédiatrie
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Singapour
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Facteurs temps
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Valeur prédictive des tests
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Études rétrospectives
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Triage
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Résultat thérapeutique
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Soins de réanimation
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Service hospitalier d'urgences
Type d'étude:
Observational_studies
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Prognostic_studies
Limites du sujet:
Child
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Child, preschool
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Female
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Humans
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Infant
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Male
Pays comme sujet:
Asia
langue:
En
Texte intégral:
Singapore medical journal
Année:
2018
Type:
Article