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Emergency department triage and COVID-19: Performance of the Interagency Integrated Triage Tool during a pandemic surge in Papua New Guinea.
Mitchell, Rob; Kingston, Carl; Tefatu, Rayleen; Bornstein, Sarah; Kendino, Mangu; Sengiromo, Duncan; Pole, Jasper; Kuk, Sylvia; Josaiah, Betty; Elton, Leigh; Banks, Colin; Körver, Sarah; Cameron, Peter; O'Reilly, Gerard.
  • Mitchell R; Emergency and Trauma Centre, Alfred Health, Melbourne, Victoria, Australia.
  • Kingston C; School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
  • Tefatu R; Emergency Department, Port Moresby General Hospital, Port Moresby, Papua New Guinea.
  • Bornstein S; Emergency Department, Port Moresby General Hospital, Port Moresby, Papua New Guinea.
  • Kendino M; Johnstaff International Development, Melbourne, Victoria, Australia.
  • Sengiromo D; Emergency Department, Port Moresby General Hospital, Port Moresby, Papua New Guinea.
  • Pole J; Emergency Department, Port Moresby General Hospital, Port Moresby, Papua New Guinea.
  • Kuk S; Emergency Department, Port Moresby General Hospital, Port Moresby, Papua New Guinea.
  • Josaiah B; Emergency Department, Port Moresby General Hospital, Port Moresby, Papua New Guinea.
  • Elton L; Emergency Department, Port Moresby General Hospital, Port Moresby, Papua New Guinea.
  • Banks C; Johnstaff International Development, Melbourne, Victoria, Australia.
  • Körver S; Emergency Department, Townsville University Hospital, Townsville, Queensland, Australia.
  • Cameron P; College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia.
  • O'Reilly G; Australasian College for Emergency Medicine, Melbourne, Victoria, Australia.
Emerg Med Australas ; 34(5): 822-824, 2022 10.
Article in English | MEDLINE | ID: covidwho-1909283
ABSTRACT

OBJECTIVE:

To determine the sensitivity of the Interagency Integrated Triage Tool to identify severe and critical illness among adult patients with COVID-19.

METHODS:

A retrospective observational study conducted at Port Moresby General Hospital ED during a three-month Delta surge.

RESULTS:

Among 387 eligible patients with COVID-19, 63 were diagnosed with severe or critical illness. Forty-seven were allocated a high acuity triage category, equating to a sensitivity of 74.6% (95% CI 62.1-84.7) and a negative predictive value of 92.7% (95% CI 88.4-95.8).

CONCLUSION:

In a resource-constrained context, the tool demonstrated reasonable sensitivity to detect severe and critical COVID-19, comparable with its reported performance for other urgent conditions.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Triage / COVID-19 Type of study: Observational study / Prognostic study Limits: Adult / Humans Language: English Journal: Emerg Med Australas Journal subject: Emergency Medicine Year: 2022 Document Type: Article Affiliation country: 1742-6723.13980

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Triage / COVID-19 Type of study: Observational study / Prognostic study Limits: Adult / Humans Language: English Journal: Emerg Med Australas Journal subject: Emergency Medicine Year: 2022 Document Type: Article Affiliation country: 1742-6723.13980