ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2020
Evaluation of a modified South African Triage Score as a predictor of patient disposition at a tertiary hospital in Rwanda.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2020. 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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11 citing papers in PubMed, 21 citations in OpenAlex.
- An assessment of emergency care capacity at three hospitals in the Harare metropol, Zimbabwe: A descriptive cross-sectional study using the WHO Hospital Emergency Assessment Tool (HEAT).African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025Article
- Reaching the right facility for emergency patients - destinations of patients transported by emergency medical services in Kigali, Rwanda.International journal of emergency medicine · 2025Article
- Epidemiology and outcomes of critically ill patients in the emergency department of a tertiary teaching hospital in Rwanda.International journal of emergency medicine · 2024Article
- Epidemiology and outcomes of geriatric trauma patients consulting at the center hospitalier universitaire de Kigali emergency department.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- Clinical emergency care quality indicators in Africa: a scoping review and data summary.BMJ open · 2023Article
- Clinical profile and predictors of renal failure in emergency department patients at a tertiary level hospital, a cross sectional study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Article
- Managing acute abdominal pain in the emergency centre: Lessons from a patient's experience.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- Validation of the Interagency Integrated Triage Tool in a resource-limited, urban emergency department in Papua New Guinea: a pilot study.The Lancet regional health. Western Pacific · 2021Article
- Performance of Prognostication Scores for Mortality in Injured Patients in Rwanda.The western journal of emergency medicine · 2021Article
- Implementation of a novel three-tier triage tool in Papua New Guinea: A model for resource-limited emergency departments.The Lancet regional health. Western Pacific · 2020Review
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Authors and funding
9 authors at 3 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundTriage is essential for efficient and effective delivery of care in emergency centers (ECs) where numerous patients present simultaneously with varying acuity of conditions. Implementing EC triage systems provides a method of recognizing which patients may require admission and are at higher risks for poor health outcomes. Rwanda is experiencing increased demand for emergency care; however, triage has not been well-studied. The University Teaching Hospital of Kigali (UTH-K) is an urban tertiary care health center utilizing a locally modified South African Triage Score (mSATS) that classifies patients into five color categories. Our study evaluated the utility of the mSATS tool at UTH-K.
methodsUTH-K implemented mSATS in April 2013. All patients aged 15 years or older from August 2015 to July 2016 were eligible for inclusion in the database. Variables of interest included demographic information, mSATS category, patient case type (trauma or medical), disposition from the ED and mortality.
results1438 cases were randomly sampled; the majority were male (61.9%) and median age was 35 years. Injuries accounted for 56.7% of the cases while medical conditions affected 43.3%. Admission likelihood significantly increased with higher triage color category for medical patients (OR: Yellow = 3.61, p < .001 to Red (with alarm) = 7.80, p < .01). Likelihood for trauma patients, however, was not significantly increased (OR: Yellow = .84, p = .75 to Red (with alarm) = 1.50, p = .65). Mortality rates increased with increasing triage category with the red with alarm category having the highest mortality (7.7%, OR 18.91).
conclusionThe mSATS tool accurately predicted patient disposition and mortality for the overall ED population. The mSATS tool provided useful clinical guidance on the need for hospital admission for medical patients but did not accurately predict patient disposition for injured patients. Further trauma-specific triage studies are needed to improve emergency care in Rwanda.
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