Triage results of children who visited the emergency department via emergency medical service providers: an observational study in a regional emergency medical center
Pediatric Emergency Medicine Journal
; : 18-24, 2017.
Article
em Ko
| WPRIM
| ID: wpr-27200
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
We aimed to investigate the triage results and the degree of agreement between prehospital and hospital stages of pediatric patients who visited the emergency department (ED) via emergency medical service providers (EMSP) in comparison with adult patients.METHODS:
We retrospectively reviewed 8,152 pediatric patients who visited a regional emergency medical center ED via EMSP from January 2015 to December 2015. Pediatric patients were defined as younger than 15 years according to the Korean Triage and Acuity Scale (KTAS). Given the difference of the triage tools of the prehospital (EMSP) and hospital (KTAS) stages, we performed the re-triage into “critical” and “non-critical” Comparisons of characteristics between pediatric and adult patients were made using chi-square tests. The degree of agreement between the tools was analyzed using κ analysis.RESULTS:
Of 8,152 patients, 654 (8.0%) were pediatric patients. Direct medical control was more frequently performed to adult patients (P < 0.001). Critical patients were more common among adults (12.2% by KTAS, 24.8% by EMSP) than children (3.5% by KTAS, 14.1% by EMSP). The κ value of pediatric patients was lower than that of adult patients (0.09 [poor]; 95% confidence interval [CI], 0.01–0.18 vs. 0.38 [fair]; 95% CI, 0.35–0.40).CONCLUSIONS:
Pediatric patients transferred by EMSP showed lower severity and degree of agreements of the triage results between prehospital and hospital stages than adult patients. It is necessary to pay particular attention to pediatric triage in a pre-hospital setting.Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Pediatria
/
Reprodutibilidade dos Testes
/
Estudos Retrospectivos
/
Triagem
/
Estado Terminal
/
Emergências
/
Serviços Médicos de Emergência
/
Serviço Hospitalar de Emergência
/
Estudo Observacional
Tipo de estudo:
Observational_studies
Limite:
Adult
/
Child
/
Humans
Idioma:
Ko
Revista:
Pediatric Emergency Medicine Journal
Ano de publicação:
2017
Tipo de documento:
Article
País de publicação:
COREA DEL SUR
/
COREIA DO SUL
/
KR
/
SOUTH KOREA