ArticleJournal of Korean medical science2017
Clinical Considerations When Applying Vital Signs in Pediatric Korean Triage and Acuity Scale.
Article in Journal of Korean medical science, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 18 citations in OpenAlex.
- Emergency Department Visits after Radiotherapy in Patients with Solid Malignancies: Analysis of Causality and Severity.Oncology · 2026Article
- Streamlining pediatric vital sign assessment: innovations and insights.Scientific reports · 2024Observational
- Predictive validity of resource-adjusted Korean Triage and Acuity Scale in pediatric gastrointestinal tract foreign body patients.Scientific reports · 2024Article
- A Review of the Roles and Implementation of Pediatric Emergency Triage Systems in China and Other Countries.Medical science monitor : international medical journal of experimental and clinical research · 2023Review
- Predictive Validity of a New Triage System for Outcomes in Patients Visiting Pediatric Emergency Departments: A Nationwide Study in Korea.Children (Basel, Switzerland) · 2023Article
- Pediatric triage modifications based on vital signs: a nationwide study.Clinical and experimental emergency medicine · 2022Article
- The association between prehospital vital signs of children and their critical clinical outcomes at hospitals.Scientific reports · 2022Observational
- Changes in Emergency Department Performance during Strike of Junior Physicians in Korea.Emergency medicine international · 2021Article
- Distribution of Pediatric Vital Signs in the Emergency Department: A Nationwide Study.Children (Basel, Switzerland) · 2020Article
- Validity of the Korean Triage and Acuity Scale for predicting 30-day mortality due to severe trauma: a retrospective single-center study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Factors Associated with Triage Modifications Using Vital Signs in Pediatric Triage: a Nationwide Cross-Sectional Study in Korea.Journal of Korean medical science · 2020Article
- Artificial intelligence algorithm to predict the need for critical care in prehospital emergency medical services.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Observational
- Admission Decisions Made by Emergency Physicians Can Reduce the Emergency Department Length of Stay for Medical Patients.Emergency medicine international · 2020Article
- Transient and Adult Patients with Neurologic Diseases in the Pediatric Emergency Department: Trends and Characteristics.Journal of clinical neurology (Seoul, Korea) · 2019Article
- Validation of deep-learning-based triage and acuity score using a large national dataset.PloS one · 2018Observational
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Initial vital signs of children at the emergency department may be abnormal because of anxiety and irritability, resulting in unrealistic triage levels. This study aimed to evaluate the effectiveness of pediatric triage by clinical decision based on the patient's general condition. The Pediatric Korean Triage and Acuity Scale (PedKTAS) has been used nationwide for triage since 2016. The triage level, as assessed by an experienced triage nurse and based on the patient's clinical condition, was defined as the 'real practice (RP)-level,' while the re-calculated triage level, as assessed by the direct application of initial vital signs, was defined as the 'simulation (S)-level.' A total of 22,841 patients were triaged during the study period. The hospitalization rate according to RP-PedKTAS levels exhibited a significant correlation with the expected hospitalization rate suggested by the Pediatric Canadian Triage and Acuity Scale (CTAS) (P = 0.002), whereas the S-PedKTAS levels did not (P = 0.151). Compared with the previously reported pediatric CTAS level-specific hospitalization rate and intensive care unit (ICU) admission rate, RP-PedKTAS was significantly correlated with both hospitalization rate and ICU admission rate (P = 0.001 and P = 0.012, respectively). However, S-PedKTAS showed no significant correlation in both (P = 0.267 and P = 0.188, respectively). The determination of triage levels based on clinical decision rather than the direct application of abnormal initial vital signs to PedKTAS is more accurate in predicting the hospitalization rate and ICU admission rate.
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