Vital signs for children at triage: A multicentre validation of the revised South African Triage Scale (SATS) for children

被引：42

作者：

Twomey, M. ^{[1
]}

Cheema, B. ^{[1
]}

Buys, H. ^{[2
,3
]}

Cohen, K. ^{[1
,4
]}

de Sa, A. ^{[5
,6
]}

Louw, P. ^{[1
,7
]}

Ismail, M. ^{[6
,8
]}

Finlayson, H. ^{[9
]}

Cunningham, C. ^{[10
]}

Westwood, A. ^{[11
,12
]}

机构：

[1] Univ Cape Town, Div Emergency Med, ZA-7700 Rondebosch, South Africa

[2] Red Cross War Mem Childrens Hosp, Cape Town, South Africa

[3] Univ Cape Town, Fac Hlth Sci, Dept Paediat & Child Hlth, ZA-7700 Rondebosch, South Africa

[4] New Somerset Hosp, Cape Town, South Africa

[5] Retreat Community Hlth Ctr, Cape Town, South Africa

[6] Univ Cape Town, Fac Hlth Sci, Sch Publ Hlth & Family Med, ZA-7700 Rondebosch, South Africa

[7] Paarl Hosp, Paarl, Western Cape, South Africa

[8] Woodstock Community Hlth Ctr, Cape Town, South Africa

[9] Univ Stellenbosch, Fac Med & Hlth Sci, Dept Paediat & Child Hlth, Cape Town, South Africa

[10] Milnerton Mediclin, Cape Town, South Africa

[11] Prov Dept Hlth, Western Cape, South Africa

[12] Univ Cape Town, Fac Hlth Sci, Dept Paediat, ZA-7700 Rondebosch, South Africa

来源：

SAMJ SOUTH AFRICAN MEDICAL JOURNAL | 2013年 / 103卷 / 05期

关键词：

PEDIATRIC EMERGENCY CARE; SCORE; SYSTEM; ACCIDENT; TOOL;

D O I：

10.7196/SAMJ.6877

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective. To validate a revised version of the paediatric South African Triage Scale (SATS) against admission as a reference standard and compare the sensitivity of triage using: (i) clinical discriminators; (ii) an age-appropriate physiological composite score; and (iii) a combination of both. Methods. A prospective cohort study was undertaken validating the revised paediatric SATS against outcome markers of children at six emergency centres during a 2-month period in 2011. The primary outcome marker was the proportion of children admitted. Validity indicators including sensitivity (Se), specificity, positive predictive value and negative predictive value (NPV) were used to estimate the validity. Associated percentages for over-/under-triage were used to further assess practical application of the paediatric SATS. Results. A total of 2 014 children were included. The percentage of hospital admissions increased with an increase in the level of urgency from 5% in the non-urgent patients to 73% in the emergency patients. The data demonstrated that sensitivity increased substantially when using the SATS, which is a combination of clinical discriminators and the Triage Early Warning Score (TEWS) (Se 91.0%, NPV 95.3%), compared with use of clinical discriminators in isolation (Se 57.1%, NPV 86.3%) or the TEWS in isolation (Se 75.6%, NPV 89.1%). Conclusion. The results of this study illustrate that the revised paediatric SATS is a safe and robust triage tool.

引用

页码：304 / 308

页数：5

共 27 条

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