ArticleThe Pan African medical journal2016
Triage capabilities of medical trainees in Ghana using the South African triage scale: an opportunity to improve emergency care.
Article in The Pan African medical journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 15 citations in OpenAlex.
- Emergency preparedness capacity of a university hospital in Ghana: a cross-sectional study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- Factors Contributing to and Reducing Delays in the Provision of Adequate Care in Ghana: A Qualitative Study of Trauma Care Providers.World journal of surgery · 2022Article
- Implementing a new emergency medical triage tool in one health region in Norway: some lessons learned.BMJ open quality · 2022Article
- Recognising the deterioration of patients in acute care wards: a qualitative study.Wellcome open research · 2022Article
- Injured and broke: The impacts of the Ghana National Health Insurance Scheme (NHIS) on service delivery and catastrophic health expenditure among seriously injured children.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- National health insurance and surgical care for injured people, Ghana.Bulletin of the World Health Organization · 2020Article
- The preventability of trauma-related death at a tertiary hospital in Ghana: a multidisciplinary panel review approach.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2019Article
- A descriptive study of trauma cases encountered in the Grand M'Bour Hospital Emergency Department in Senegal.The Pan African medical journal · 2019Article
- Inter-rater and intrarater reliability of the South African Triage Scale in low-resource settings of Haiti and Afghanistan.Emergency medicine journal : EMJ · 2018Article
- Strengthening Emergency Care Systems to Mitigate Public Health Challenges Arising from Influxes of Individuals with Different Socio-Cultural Backgrounds to a Level One Emergency Center in South East Europe.International journal of environmental research and public health · 2018Article
- Characterising emergency centre encounters in Mbour, Senegal as emergent-emergency care, emergent-primary care or non-emergent.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2017Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe incidence of emergency conditions is increasing worldwide, particularly in low- and middle-income countries (LMICs). However, triage and emergency care training has not been prioritized in LMICs. We aimed to assess the reliability and validity of the South African Triage Scale (SATS) when used by providers not specifically trained in SATS, as well as to compare triage capabilities between senior medical students and senior house officers to examine the effectiveness of our curriculum for house officer training with regards to triage.
methodsSixty each of senior medical students and senior house officers who had not undergone specific triage or SATS training were asked to triage 25 previously validated emergency vignettes using the SATS. Estimates of reliability and validity were calculated. Additionally, over- and under-triage, as well as triage performance between the medical students and house officers was assessed against a reference standard.
resultsFifty-nine senior medical students (98% response rate) and 43 senior house officers (72% response rate) completed the survey (84% response rate overall). A total of 2,550 triage assignments were included in the analysis (59 medical student and 43 house officer triage assignments for 25 vignettes each; 1,475 and 1,075 triage assignments, respectively). Inter-rater reliability was moderate (quadratically weighted κ 0.59 and 0.60 for medical students and house officers, respectively). Triage using SATS performed by these groups had low sensitivity (medical students: 54%, 95% CI 49-59; house officers: 55%, 95% CI 48-60) and moderate specificity (medical students: 84%, 95% CI 82 - 89; house officers: 84%, 95% CI 82 - 97). Both groups under-triaged most 'emergency' level vignette patients (i.e. SATS Red; 80 and 82% for medical students and house officers, respectively). There was no difference between the groups for any metric.
conclusionAlthough the SATS has proven utility in a number of different settings in LMICs, its success relies on its use by trained providers. Given the large and growing burden of emergency conditions, training current and future emergency care providers in triage is imperative.
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