ArticleBMC emergency medicine2018
Potential benefits of triage for the trauma patient in a Kenyan emergency department.
Article in BMC emergency medicine, 2018. 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.
- Emergency triage in coastal Kenya: a survey of public Emergency Departments.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Effectiveness of Standardized Nurse-Led Triage Protocols in Improving Outcomes, Timeliness, and Accuracy in Road Traffic and Trauma Care in Low-Resource Settings: A Systematic Review.Journal of multidisciplinary healthcare · 2026Review
- Limited Accuracy of Mechanism, Glasgow Coma Scale, Age, And Pressure (MGAP) in Polytraumatic Patients: A Cross-sectional Study :.Galen medical journal · 2025Article
- Impact of COVID-19 pandemic on the utilization of emergency medical services in Nairobi, Kenya.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- Triage implementation audit at the adult emergency department of Debre Tabor Comprehensive Specialized Hospital in Ethiopia.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Review
- Characteristics of paediatric injuries as predictors of 24-hour disposition from the Emergency Department of a teaching hospital in Southwestern Uganda.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- A Prospective Epidemiological Survey of Paediatric Trauma in Africa: A Cross-Sectional Study.African journal of paediatric surgery : AJPS · 2024Article
- Receive, Sustain, and Flow: A simple heuristic for facilitating the identification and treatment of critically ill patients during their hospital journeys.Journal of global health · 2023Article
- Clinical emergency care quality indicators in Africa: a scoping review and data summary.BMJ open · 2023Article
- A baseline review of the ability of hospitals in Kenya to provide emergency and critical care services for COVID-19 patients.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Review
- Implementation and performance of the South African Triage Scale at Kenyatta National Hospital in Nairobi, Kenya.International journal of emergency medicine · 2019Article
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6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundImproved trauma management can reduce the time between injury and medical interventions, thus decreasing morbidity and mortality. Triage at the emergency department is essential to ensure prioritization and timely assessment of injured patients. The aim of the present study was to investigate how a lack of formal triage system impacts timely intervention and mortality in a sub-Saharan referral hospital. Further, the study attempts to assess potential benefits of triage towards efficient management of trauma patients in one middle income country.
methodsA prospective descriptive study was conducted. Adult trauma patients admitted to the emergency department during an 8-month period at Moi Teaching and Referral Hospital in Eldoret, Kenya, were included. Mode of arrival and vital parameters were registered. Variables included in the analysis were Injury Severity Score, time before physician's assessment, length of hospital stay, and mortality. The patients were retrospectively categorized according to the Rapid Emergency Triage and Treatment System (RETTS) from patient records.
resultsA total of 571 patients were analyzed, with a mean Injury Severity Score of 12.2 (SD 7.7) with a mean length of stay of 11.6 (SD 18.3) days. The mortality rate was 1.8%. The results obtained in this study illustrate that trauma patients admitted to the emergency department at Eldoret are not assessed in a timely fashion, and the time frame recommendations postulated by RETTS are not adhered to. Assessment of patients according to the triage algorithm used revealed a significantly higher average Injury Severity Score in the red category than in the other color categories.
conclusionThe results from this study clearly illustrate a lack of correct prioritization of patients in relation to the need for timely assessment. This is further demonstrated by the retrospective triage classification of patients, which identified patients with high ISS as in urgent need of care. Since no significant difference in to time to assessment regardless of injury severity was observed, the need for a well-functioning triage system is apparent.
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