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

页码：822 / 824

页数：3