Evidence map›Paper›PMID 27724978›Full record

Trial reportScandinavian journal of trauma, resuscitation and emergency medicine2016

The Copenhagen Triage Algorithm: a randomized controlled trial.

Rasmus Bo Hasselbalch, Louis Lind Plesner, Mia Pries-Heje, Lisbet Ravn, Morten Lind, Rasmus Greibe, Birgitte Nybo Jensen, Lars S Rasmussen, Kasper Iversen

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Scandinavian journal of trauma, resuscitation and emergency medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02698319 (The Copenhagen Triage Algorithm), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02698319 nacompletednot on this map

The Copenhagen Triage Algorithm

TypeinterventionalSponsorHerlev HospitalRan2015 to 2016Enrolled50,000ConditionsTriageArmsCopenhagen Triage Algorithm
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Rasmus Bo HasselbalchDepartment of Cardiology, Herlev-Gentofte Hospital, Copenhagen, Denmark. r.hasselbalch@gmail.com.
Louis Lind PlesnerDepartment of Cardiology, Herlev-Gentofte Hospital, Copenhagen, Denmark.
Mia Pries-HejeDepartment of Emergency Medicine, Herlev-Gentofte Hospital, Copenhagen, Denmark.
Lisbet RavnDepartment of Emergency Medicine, Herlev-Gentofte Hospital, Copenhagen, Denmark.
Morten LindDepartment of Emergency Medicine, Herlev-Gentofte Hospital, Copenhagen, Denmark.
Rasmus GreibeDepartment of Cardiology, Bispebjerg Hospital, Copenhagen, Denmark.
Birgitte Nybo JensenDepartment of Emergency Medicine, Bispebjerg Hospital, Copenhagen, Denmark.
Lars S RasmussenDepartment of Anaesthesia, Center of Head and Orthopaedics, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Kasper IversenDepartment of Cardiology, Herlev-Gentofte Hospital, Copenhagen, Denmark.
Gentofte Hospital · DKBispebjerg Hospital · DKRigshospitalet · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCrowding in the emergency department (ED) is a well-known problem resulting in an increased risk of adverse outcomes. Effective triage might counteract this problem by identifying the sickest patients and ensuring early treatment. In the last two decades, systematic triage has become the standard in ED's worldwide. However, triage models are also time consuming, supported by limited evidence and could potentially be of more harm than benefit. The aim of this study is to develop a quicker triage model using data from a large cohort of unselected ED patients and evaluate if this new model is non-inferior to an existing triage model in a prospective randomized trial.

methodsThe Copenhagen Triage Algorithm (CTA) study is a prospective two-center, cluster-randomized, cross-over, non-inferiority trial comparing CTA to the Danish Emergency Process Triage (DEPT). We include patients ≥16 years (n = 50.000) admitted to the ED in two large acute hospitals. Centers are randomly assigned to perform either CTA or DEPT triage first and then use the other triage model in the last time period. The CTA stratifies patients into 5 acuity levels in two steps. First, a scoring chart based on vital values is used to classify patients in an immediate category. Second, a clinical assessment by the ED nurse can alter the result suggested by the score up to two categories up or one down. The primary end-point is 30-day mortality and secondary end-points are length of stay, time to treatment, admission to intensive care unit, and readmission within 30 days. DISCUSSION: If proven non-inferior to standard DEPT triage, CTA will be a faster and simpler triage model that is still able to detect the critically ill. Simplifying triage will lessen the burden for the ED staff and possibly allow faster treatment.

trial registrationClinicaltrials.gov: NCT02698319 , registered 24. of February 2016, retrospectively registered.

Indexed as

AlgorithmsCritical IllnessCross-Over StudiesDenmarkFemaleHospital MortalityHumansIntensive Care UnitsMaleProspective StudiesSurvival RateTriageWounds and InjuriesEmergency DepartmentTriageVital signs

Identifiers

PMID27724978
PMCPMC5057417
OpenAlexW2531728087

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.