ArticleWorld journal of emergency medicine2019
Comparison between Emergency Severity Index and Heart Failure Triage Scale in heart failure patients: A randomized clinical trial.
Article in World journal of emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- A machine learning model for predicting six-month rehospitalization in heart failure patients with multiple comorbidities.Frontiers in cardiovascular medicine · 2026Article
- Admission prioritization of heart failure patients with multiple comorbidities.Frontiers in digital health · 2024Article
- The Diagnostic Evaluation of the SINEH Cardiopulmonary Triage Scale and the Emergency Severity Index in the Emergency Department: A Comparative Study.Emergency medicine international · 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
- Reliability and validity of Chengdu pediatric emergency triage criteria: case study of a single center in China.BMC pediatrics · 2023Article
- Using the Delphi method to establish pediatric emergency triage criteria in a grade A tertiary women's and children's hospital in China.BMC health services research · 2022Article
- Observational
- An unexpected electrocardiogram sign of subacute left ventricular free wall rupture: Its early awareness may be lifesaving.World journal of emergency medicine · 2020Article
- Effects of intracoronary injection of nicorandil and tirofiban on myocardial perfusion and short-term prognosis in elderly patients with acute ST-segment elevation myocardial infarction after emergency PCI.World journal of emergency medicine · 2020Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt is not clear whether Emergency Severity Index (ESI) is valid to triage heart failure (HF) patients and if HF patients benefit more from a customized triage scale or not. The aim of study is to compare the effect of Heart Failure Triage Scale (HFTS) and ESI on mistriage among patients with HF who present to the emergency department (ED).
methodsA randomized clinical trial was conducted from April to June 2017. HF patients with dyspnea were randomly assigned to HFTS or ESI groups. Triage level, used resources and time to electrocardiogram (ECG) were compared between both groups among HF patients who were admitted to coronary care unit (CCU), cardiac unit (CU) and discharged patients from the ED. Content validity was examined using Kappa designating agreement on relevance (K*). Reliability of both scale was evaluated using inter-observer agreement (Kappa).
resultsSeventy-three and 74 HF patients were assigned to HFTS and ESI groups respectively. Time to ECG in HFTS group was significantly shorter than that of ESI group (2.05 vs. 16.82 minutes). Triage level between HFTS and ESI groups was significantly different among patients admitted to CCU (1.0 vs. 2.8), cardiac unit (2.26 vs. 3.06) and discharged patients from the ED (3.53 vs. 2.86). Used resources in HFTS group was significantly different among triage levels (H=25.89; df=3; P<0.001).
conclusionHFTS is associated with less mistriage than ESI for triaging HF patients. It is recommended to make use of HFTS to triage HF patients in the ED.
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