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01-06-2015 | Editorial

To score or not to score during triage in the emergency department?

Author: Christian Mélot

Published in: Intensive Care Medicine | Issue 6/2015

Excerpt

In this issue, Coslovsky et al. [1] report a model to detect high-risk patients during the triage process in the emergency department (ED) with a very high discriminant power. …

Coslovsky M, Takala J, Exadaktylos AK, Martinolli L, Merrz TM (2015) A clinical prediction model to identify patients at high risk of death in the emergency department. Intensive Care Med. doi:10.1007/s00134-015-3737-x PubMed

Gilboy N, Travers D, Wuerz R (1999) Re-evaluating triage in the new millennium: a comprehensive look at the need for standardization and quality. J Emerg Nurs 25:468–473PubMedCrossRef

Australasian College for Emergency Medicine’s (ACEM), policy and guideline on triage and the College of Emergency Nursing Australasia (CENA) (2013) position statements on triage. http://www0.health.nsw.gov.au/policies/pd/2013/pdf/PD2013_047.pdf. Accessed 30 Mar 2015

Murray M, Bullard M, Grafstein E (2004) Revisions to the Canadian emergency department triage and acuity scale implementation guidelines. CJEM 2004(6):421–427

Parenti N, Reggiani ML, Iannone P, Percudani D, Dowding D (2014) A systematic review on the validity and reliability of an emergency department triage scale, the Manchester triage system. Int J Nurs Stud 51:1062–1069. doi:10.1016/j.ijnurstu.2014.01.013 PubMedCrossRef

Taboulet P, Moreira V, Hass L, Porcher R, Braganca A, Fontaine JP, Poncet MC (2009) Triage with the French emergency nurses classification in hospital scale: reliability and validity. Eur J Emerg Med 16:61–67PubMedCrossRef

Eitel DR, Travers DA, Rosenau AM, Gilboy N, Wuerz RC (2003) The emergency severity index triage algorithm version 2 is reliable and valid. Acad Emerg Med 10:1070–1080PubMedCrossRef

Farrohknia N, Castrén M, Ehrenberg A, Lind L, Oredsson S, Jonsson H, Kjell Asplund, Göransson K (2011) Emergency department triage scales and their components: a systematic review of the scientific evidence. Scand J Trauma Resusc Emerg Med 19:42PubMedCentralPubMedCrossRef

Wright MM, Stenhouse CW, Morgan RJM (2000) Early detection of patients at risk (PART). Anesthesia 55:391–392CrossRef

10.

Smith GB, Prytherch DR, Meredith P, Schmidt PE, Featherstone PI (2013) The ability of the national early warning score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission, and death. Resuscitation 84:465–470PubMedCrossRef

11.

Alam N, Vegting IL, Houben E, van Berkel B, Vaughan L, Kramer MHH, Nanayakkara PWB (2015) Exploring the performance of the national early warning score (NEWS) in a European emergency department. Resuscitation 90:111–115PubMedCrossRef

12.

Pepe MS, Janes H, Longton G, Leisenring W, Newcomb P (2004) Limitations of the odds ratio in gauging the performance of a diagnostic, prognostic, or screening marker. Am J Epidemiol 159:882–890PubMedCrossRef

13.

Slovic P, Fischhoff B, Lichtenstein S (2008) Facts versus fears: understanding perceived risk. In: Khaneman D, Slovic P, Tversky A (eds) Judgment under uncertainty: heuristics and bias, 24th edn. Cambridge University Press, New York, pp 463–489

Title: To score or not to score during triage in the emergency department?
Author: Christian Mélot
Publication date: 01-06-2015
Publisher: Springer Berlin Heidelberg
Published in: Intensive Care Medicine / Issue 6/2015
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-015-3814-1

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To score or not to score during triage in the emergency department?

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