ArticleAmerican journal of disaster medicine2018
Validation of a novel irritant gas syndrome triage algorithm.
Article in American journal of disaster medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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Who cites it
3 citing papers in PubMed.
- Terrorism-Related Attacks in East Asia from 1970 through 2020.Prehospital and disaster medicine · 2023Observational
- Designing and executing a functional exercise to test a novel informatics tool for mass casualty triage.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Data Capture and Analysis of Signs and Symptoms in a Chemically Exposed Population.Journal of informatics nursing · 2018Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveOur objective was to validate a novel irritant gas syndrome agent (IGSA) triage algorithm for use in an emergency department (ED). We assessed efficiency, accuracy, and precision of our IGSA triage algorithm based on signs/symptoms of actual patients.
designAfter characterizing the signs/symptoms of an actual IGSA exposure event, we developed and validated the IGSA triage algorithm using a simulated computer exercise to compare the IGSA triage algorithm to the preferred hospital triage algorithm, the Emergency Severity Index (ESI).
settingThis study was a simulated computer exercise using surveys developed in Research Electronic Data Capture software. Nurse volunteers simulated triaging 298 patients.
participantsPatient data included 146 patients treated during the disaster as well as 152 unexposed patients. Twenty-six nurse volunteers were assigned to triage the patients using one of the algorithms in the simulated computer exercise. MAIN OUTCOME MEASURE(S): The precision of the IGSA triage algorithm was 0.82 (confidence interval [CI] 0.78-0.85) and ESI 0.73 (CI 0.69-0.77). Weighted κ for ESI and IGSA accuracy for exposed patients was 0.32 (95% CI 0.26-0.37) and 0.81 (95% CI 0.77-0.85), respectively.
resultsThe IGSA triage algorithm was more accurate and precise than the ESI algorithm for triaging patients exposed to an irritant gas.
conclusionsThis study validates the IGSA triage algorithm as the basis for the development of a prototype software application to quickly identify victims of a chemical disaster and triage patients efficiently and accurately with the potential to dramatically improve the processing of patients in EDs.
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