Comparing complaint-based triage scales and early warning scores for emergency department triage

Autor: Michiel Schinkel, Lyfke Bergsma, Lars Ingmar Veldhuis, Milan L Ridderikhof, Frits Holleman
Přispěvatelé: Center of Experimental and Molecular Medicine, Graduate School, Emergency Department, 02 Surgical specialisms, ACS - Diabetes & metabolism, ACS - Heart failure & arrhythmias, AMS - Amsterdam Movement Sciences, General Internal Medicine, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, AMS - Musculoskeletal Health, Internal medicine, Surgery
Rok vydání: 2022
Předmět:
Zdroj: Emergency medicine journal, 39(9), 691-696. BMJ Publishing Group
Emergency Medicine Journal, 39(9), 691-696
Schinkel, M, Bergsma, L, Veldhuis, L I, Ridderikhof, M L & Holleman, F 2022, ' Comparing complaint-based triage scales and early warning scores for emergency department triage ', Emergency Medicine Journal, vol. 39, no. 9, pp. 691-696 . https://doi.org/10.1136/emermed-2021-211544
ISSN: 1472-0213
1472-0205
DOI: 10.1136/emermed-2021-211544
Popis: BackgroundEmergency triage systems are used globally to prioritise care based on patients’ needs. These systems are commonly based on patient complaints, while the need for timely interventions on regular hospital wards is usually assessed with early warning scores (EWS). We aim to directly compare the ability of currently used triage scales and EWS scores to recognise patients in need of urgent care in the ED.MethodsWe performed a retrospective, single-centre study on all patients who presented to the ED of a Dutch Level 1 trauma centre, between 1 September 2018 and 24 June 2020 and for whom a Netherlands Triage System (NTS) score as well as a Modified Early Warning Score (MEWS) was recorded. The performance of these scores was assessed using surrogate markers for true urgency and presented using bar charts, cross tables and a paired area under the curve (AUC).ResultsWe identified 12 317 unique patient visits where NTS and MEWS scores were documented during triage. A paired comparison of the AUC of these scores showed that the MEWS score had a significantly better AUC than the NTS for predicting the need for hospital admission (0.65 vs 0.60; pConclusionsThe results of this study suggest that EWSs could potentially be used to replace the current emergency triage systems.
Databáze: OpenAIRE
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