+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

The Validity of the Pediatric Assessment Triangle as the First Step in the Triage Process in a Pediatric Emergency Department



The Validity of the Pediatric Assessment Triangle as the First Step in the Triage Process in a Pediatric Emergency Department



Pediatric Emergency Care 33(4): 234-238



This study aimed to assess the association between pediatric assessment triangle (PAT) findings during triage and markers of severity in a pediatric emergency department (PED). During the study period, patients arriving to the PED were classified by trained nurses with the Pediatric Canadian Triage and Acuity Scale using a computer system, from which data were obtained and analyzed retrospectively. The primary outcome measure was the percentage of children hospitalized related with PAT findings. The secondary outcome measures were the admission to the intensive care unit (%), PED length of stay, and performance of blood tests (%). Among the 302,103 episodes included, there were abnormal PAT findings in 24,120 cases (7.9%). Multivariate analysis adjusted for age confirmed that PAT findings and triage level were independent risk factors for admission (odds ratio [OR], 2.21; 95% confidence interval [CI], 2.13-2.29; OR, 6.01; 95% CI, 5.79-6.24, respectively). Abnormal findings in appearance or in more than 1 PAT component were even more strongly associated with admission (3.99; 95% CI, 3.63-4.38; 14.99, 95% CI, 11.99-18.74, respectively). When adjusted for triage level and age, abnormal PAT findings were also an independent risk factor for intensive care unit admission (OR, 4.44; 95% CI, 3.77-5.24) and a longer stay in the PED (OR, 1.78; 95% CI, 1.72-1.84). Abnormal findings in the PAT applied by trained nurses at triage identify patients with a higher risk of hospitalization. The PAT seems to be a valid tool for identifying the most severe patients as a first step in the triage process.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 059036756

Download citation: RISBibTeXText

PMID: 27176906

DOI: 10.1097/pec.0000000000000717


Related references

Respiratory diseases in pediatric triage: a comparison between a general emergency department and a pediatric emergency department. Pediatric Emergency Care 30(2): 81-83, 2014

Assessment of the triage system in a pediatric emergency department. A pilot study on critical codes. Journal of Preventive Medicine and Hygiene 49(3): 120-123, 2009

Impact of an Emergency Triage Assessment and Treatment (ETAT)-based triage process in the paediatric emergency department of a Guatemalan public hospital. Paediatrics and International Child Health 36(3): 219-224, 2015

The Pediatric Asthma Control and Communication Instrument for the Emergency Department (PACCI-ED) improves physician assessment of asthma morbidity in pediatric emergency department patients. Journal of Asthma 51(2): 200-208, 2014

Reliability and validity of the modified preverbal, early verbal pediatric pain scale in emergency department pediatric patients. International Emergency Nursing 19(4): 178-185, 2012

The Pediatric Assessment Triangle: accuracy of its application by nurses in the triage of children. Journal of Emergency Nursing: Jen 39(2): 182-189, 2014

Experience With a Care Process Model in the Evaluation of Pediatric Musculoskeletal Infections in a Pediatric Emergency Department. Pediatric Emergency Care 2017, 2017

Emergency Severity Index version 4: a valid and reliable tool in pediatric emergency department triage. Pediatric Emergency Care 28(8): 753-757, 2013

Triage and satisfaction in the pediatric emergency department. Clinical Research 41(4): 759A, 1993

Criterion validity of a computer-assisted instrument of self-triage (ca-ISET) compared to the validity of regular triage in an ophthalmic emergency department. International Journal of Medical Informatics 85(1): 61-67, 2016

Reliability and validity of the emergency severity index for pediatric triage. Academic Emergency Medicine 16(9): 843-849, 2011

Validity and Reliability of the Emergency Severity Index and Australasian Triage System in Pediatric Emergency Care of Mofid Children's Hospital in Iran. Bulletin of Emergency and Trauma 6(4): 329-333, 2018

Triage of the pediatric patient in the emergency department: are we all in agreement?. Pediatrics 114(2): 356-360, 2004

Impact of a triage scale in a pediatric emergency department. Archives de Pediatrie 13(12): 1507-1513, 2006

Validation of different pediatric triage systems in the emergency department. World Journal of Emergency Medicine 8(3): 223-227, 2017