Over-triage occurs when considering the patient's pain in Korean Triage and Acuity Scale (KTAS)
| Autor: | Joon Min Park, Min Joung Kim, Hak Soo Lee, Yoo Seok Park, Ji Hoon Kim, Incheol Park, Sung Phil Chung, Jihwan Lee |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Critical Care and Emergency Medicine Physiology Health Care Providers Sensory Physiology Nurses Severity of Illness Index law.invention 0302 clinical medicine law Medicine and Health Sciences Medicine Medical Personnel 030212 general & internal medicine Multidisciplinary Gastrointestinal Analysis Pain scale Middle Aged Intensive care unit Hospitals Sensory Systems Hospitalization Intensive Care Units Professions Bioassays and Physiological Analysis Somatosensory System Female Emergency Service Hospital Research Article Cohort study medicine.medical_specialty Science Pain Surgical and Invasive Medical Procedures Research and Analysis Methods Digestive System Procedures 03 medical and health sciences Republic of Korea Severity of illness Humans Retrospective Studies Hospitalizations business.industry Patient Acuity Biology and Life Sciences Pain Sensation 030208 emergency & critical care medicine Retrospective cohort study Emergency department Length of Stay Triage Health Care Health Care Facilities People and Places Emergency medicine Population Groupings business Neuroscience |
| Zdroj: | PLoS ONE PLoS ONE, Vol 14, Iss 5, p e0216519 (2019) |
| ISSN: | 1932-6203 |
| DOI: | 10.1371/journal.pone.0216519 |
| Popis: | BackgroundThe Korean Triage and Acuity Scale (KTAS) was developed based on the Canadian Emergency Department Triage and Acuity Scale. In patients with pain, to determine the KTAS level, the pain scale is considered; however, since the degree of pain is subjective, this may affect the accuracy of KTAS. The purpose of this study was to evaluate the accuracy of KTAS in predicting patient's severity with the degree of pain used as a modifier.MethodA retrospective observational cohort study was conducted in an urban tertiary hospital emergency department (ED). We investigated patients over 16 years old from January to June 2016. The patients were divided into the pain and non-pain groups according to whether the degree of pain was used as a modifier or not. We compared the predictive power of KTAS on the urgency of patients between the two groups. Acute area registration in the ED, emergency procedure, emergency operation, hospitalization, intensive care unit admission, and 7-day mortality were used as markers to determine urgent patients.ResultsOverall, 24,253 patients were included in the study, with 9,175 (37.8%) in the pain group. The proportions of patients with KTAS 1-3 were 61.4% in the pain and 75.6% in the non-pain groups. Among patients with KTAS 2-3, the proportion of urgent patients was higher in the non-pain group than the pain group (pConclusionsConsidering the degree of pain with KTAS led to overestimation of patient severity and had a negative impact on the predictability of KTAS for urgent patients. |
| Databáze: | OpenAIRE |
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