The Canadian Triage and Acuity Scale for Children; A Prospective Multi-Center Evaluation.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 1,464
- 试验地点
- 9
- 主要终点
- The inter-rater agreement between the two nurses measured by the weighted Kappa score
研究概览
简要总结
The aim of this study is to evaluate the validity and the reproducibility of the canadian triage and acuity scale when applied by regular nurses for the triage of children in the Emergency Department.
详细描述
The role of triage in the Emergency Department (ED) is to assign high priority to patients who need urgent care while identifying patients that may be able to wait safely. The Canadian Triage and Acuity Scale (CTAS) is a triage tool constructed from a consensus of experts that is universally used in Canada. Until now, there has been no evaluation of the validity of the tool for children in a clinical context. Also, its inter-rater reproducibility has not been evaluated. The expected implementation of a revised version of the Canadian triage tool in 2008 would be an ideal moment to evaluate its validity and reproducibility. Specific objective: 1. To evaluate the validity of the CTAS for children visiting a pediatric ED and 2. To measure the inter-rater agreement for nurses using the CTAS in these settings.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- — 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Every patient younger than 18 years old that presents to the ED will be eligible except for those that need to go directly to the resuscitation room (triage level 1)
排除标准
- •For ethical reasons, patients that need an immediate treatment will not be recruited in the study.
- •Patients for whom an informed consent could not be obtained (example: insurmountable language barriers) will not be included.
结局指标
主要结局
The inter-rater agreement between the two nurses measured by the weighted Kappa score
时间窗: 15 minutes
The correlation between triage level and the hospitalisation rate
时间窗: 1 day
次要结局
- The correlation between triage level and admission to the intensive care unit(1 day)
- The correlation between triage level and length of stay in the ED after being seen by a physician(1 day)
- The correlation between triage level and resources use(1 day)