tailieunhanh - Báo cáo y học: "Emergency Department Triage Scales and Their Components: A Systematic Review of the Scientific Evidence"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Emergency Department Triage Scales and Their Components: A Systematic Review of the Scientific Evidence | Farrohknia et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2011 19 42 http content 19 1 42 SCANDINAVIAN JOURNAL OF emergency medicine REVIEW Open Access Emergency Department Triage Scales and Their Components A Systematic Review of the Scientific Evidence l I - r- í m c s V n l k I s 1h ỉ ii Fi  2A Chi M s CWT 3 I vr I I L I4 c Ỉ r f v I r r r 5 I_I I I f L f r r 6 If I I I A r k Il I n 7 Nasim rarrohKnia Iviaaret Castren Anna Ehrenberg Lars Lina Sven oredsson HaKan Jonsson Kjell Asplund and Katarina E Goransson8 9 Abstract Emergency department ED triage is used to identify patients level of urgency and treat them based on their triage level. The global advancement of triage scales in the past two decades has generated considerable research on the validity and reliability of these scales. This systematic review aims to investigate the scientific evidence for published ED triage scales. The following questions are addressed 1. Does assessment of individual vital signs or chief complaints affect mortality during the hospital stay or within 30 days after arrival at the ED 2. What is the level of agreement between clinicians triage decisions compared to each other or to a gold standard for each scale reliability 3. How valid is each triage scale in predicting hospitalization and hospital mortality A systematic search of the international literature published from 1966 through March 31 2009 explored the British Nursing Index Business Source Premier CINAHL Cochrane Library EMBASE and PubMed. Inclusion was limited to controlled studies of adult patients 15 years visiting EDs for somatic reasons. Outcome variables were death in ED or hospital and need for hospitalization validity . Methodological quality and clinical relevance of each study were rated as high medium or low. The results from the studies that met the inclusion criteria and quality standards were synthesized applying the internationally developed GRADE system. Each .