Emergency department triage and COVID-19: Performance of the Interagency Integrated Triage Tool during a pandemic surge in Papua New Guinea

被引：4
|
作者：
Mitchell, Rob [1 ,2 ]
Kingston, Carl [3 ]
Tefatu, Rayleen [3 ]
Bornstein, Sarah [4 ]
Kendino, Mangu [3 ]
Sengiromo, Duncan [3 ]
Pole, Jasper [3 ]
Kuk, Sylvia [3 ]
Josaiah, Betty [3 ]
Elton, Leigh [4 ]
Banks, Colin [5 ,6 ]
Korver, Sarah [7 ]
Cameron, Peter [1 ,2 ]
O'Reilly, Gerard [1 ,2 ]
机构：
[1] Alfred Hlth, Emergency & Trauma Ctr, 55 Commercial Rd, Melbourne, Vic 3004, Australia
[2] Monash Univ, Sch Publ Hlth & Prevent Med, Melbourne, Vic, Australia
[3] Port Moresby Gen Hosp, Emergency Dept, Port Moresby, Papua N Guinea
[4] Johnstaff Int Dev, Melbourne, Vic, Australia
[5] Townsville Univ Hosp, Emergency Dept, Townsville, Qld, Australia
[6] James Cook Univ, Coll Med & Dent, Townsville, Qld, Australia
[7] Australasian Coll Emergency Med, Melbourne, Vic, Australia
来源：
EMERGENCY MEDICINE AUSTRALASIA | 2022年 / 34卷 / 05期
基金：
英国医学研究理事会;
关键词：
COVID-19; emergency care; Papua New Guinea; triage;
D O I：
10.1111/1742-6723.13980
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
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.
引用
收藏
页码：822 / 824
页数：3
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