کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6218737 1607423 2016 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Safety of the Manchester Triage System to Detect Critically Ill Children at the Emergency Department
ترجمه فارسی عنوان
ایمنی سیستم ترجیج منچستر برای شناسایی کودکان مبتلا به بحرانی در بخش اورژانس
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

ObjectiveTo assess the safety of the Manchester Triage System in pediatric emergency care for children who require admission to the intensive care unit (ICU).Study DesignBetween 2006 and 2013, 50 062 consecutive emergency department visits of children younger than the age of 16 years were included. We determined the percentage of undertriage, defined as the proportion of children admitted to ICU triaged as low urgent according to the Manchester Triage System, and diagnostic performance measures, including sensitivity, specificity, and diagnostic OR. Characteristics of undertriaged patients were compared with correctly triaged patients. In a logistic regression model, risk factors for undertriage were determined.ResultsIn total, 238 (28.7%) of the 830 children admitted to ICU during the study period were undertriaged. Sensitivity of high Manchester Triage System urgency levels to detect ICU admission was 71% (95% CI 68%-74%) and specificity 85% (95% CI 85%-85%). Severity of illness was lower in undertriaged children than correctly triaged children admitted to ICU. Risk factors for undertriage were age <3 months, medical presenting problem, comorbidity, referral by a medical specialist or emergency medical services, and presentation during the evening or night shift.ConclusionThe Manchester Triage System misclassifies a substantial number of children who require ICU admission. Modifications targeted at young children and children with a comorbid condition could possibly improve safety of the Manchester Triage System in pediatric emergency care.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Pediatrics - Volume 177, October 2016, Pages 232-237.e1
نویسندگان
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