ArticleEuropean journal of emergency medicine : official journal of the European Society for Emergency Medicine2019
Reliability and performance of the Swiss Emergency Triage Scale used by paramedics.
Article in European journal of emergency medicine : official journal of the European Society for Emergency Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Psychiatric Care Pathways and the Use of Coercion: From Pre-Hospital to Inpatient Settings.Community mental health journal · 2026Article
- An inter-rater reliability study of a modified version of SATS as a prehospital triage tool.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Observational
- Machine Learning-Based Model to Classify Emergency Severity Index Levels 1-3 in Febrile Patients With Tachycardia: Thailand Triage Prediction System.Journal of clinical medicine research · 2025Article
- Single-rater reliability of a three-dimensional instrument for decision-making in tertiary triage and ICU- prioritization-a case vignette simulation study.BMC anesthesiology · 2023Article
- Symptom-Based Dispatching in an Emergency Medical Communication Centre: Sensitivity, Specificity, and the Area under the ROC Curve.International journal of environmental research and public health · 2020Article
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Authors and funding
9 authors.
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Abstract
objectivesNo general emergency department triage scale has been evaluated for prehospital triage. The objective of this study was to evaluate the reliability and the performance of the Swiss Emergency Triage Scale (SETS) used by paramedics to determine the emergency level and orientation of simulated patients. PATIENTS AND
methodsIn a prospective cross-sectional study, 23 paramedics evaluated 28 clinical scenarios with the SETS using interactive computerized triage software simulating real-life triage. The primary outcome was inter-rater reliability regarding the triage level among participants measured by intraclass correlation coefficient (ICC). Secondary outcomes were the accuracy of triage level and the reliability and accuracy of orientation of patients of at least 75 years to a dedicated geriatric emergency centre.
resultsTwenty-three paramedics completed the evaluation of the 28 scenarios (644 triage decisions). Overall, ICC for triage level was 0.84 (95% confidence interval: 0.77-0.99). Correct emergency level was assigned in 89% of cases, overtriage rate was 4.8%, and undertriage was 6.2%. ICC regarding orientation in the subgroup of simulated patients of at least 75 years was 0.76 (95% confidence interval: 0.61-0.89), with 93% correct orientation.
conclusionReliability of paramedics rating simulated emergency situations using the SETS was excellent, and the accuracy of their rating was very high. This suggests that in Switzerland, the SETS could be safely used in the prehospital setting by paramedics to determine the level of emergency and guide patients to the most appropriate hospital.
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