Evidence map›Paper›PMID 33299359›Full record

ArticleOpen access emergency medicine : OAEM2020

Triage Accuracy and Its Association with Patient Factors Using Emergency Severity Index: Findings from United Arab Emirates.

Yousif AlSerkal, Kalthoom AlBlooshi, Sumaya AlBlooshi, Yasir Khan, Sadaf A Naqvi, Colin Fincham, Noor AlMehiri

Open access · goldAbstract read
In one paragraph

Article in Open access emergency medicine : OAEM, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.5field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Yousif AlSerkalHospital Sector, Ministry of Health and Prevention, Dubai, United Arab Emirates.
Kalthoom AlBlooshiHospital Department, Ministry of Health and Prevention, Dubai, United Arab Emirates.
Sumaya AlBlooshiNursing Department, Ministry of Health and Prevention, Dubai, United Arab Emirates.
Yasir KhanCerner Middle East, Dubai, United Arab Emirates.ORCID 0000-0003-2134-0963
Sadaf A NaqviCerner Middle East, Dubai, United Arab Emirates.ORCID 0000-0002-7105-5266
Colin FinchamCerner Middle East, Dubai, United Arab Emirates.ORCID 0000-0002-3713-6265
Noor AlMehiriHospital Department, Ministry of Health and Prevention, Dubai, United Arab Emirates.
Ministry of Health · AE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Ministry of Health and Prevention of the UAE acquired an electronic medical record system (Wareed) through which they incorporated the Emergency Severity Index as the standard triaging tool. This raised the need to review population dynamics and the accuracy of triage performed by the health-care providers utilizing the tool.

objectiveThis research aimed to study demographics and dynamics of the population presenting to emergency departments (EDs) during 2018, evaluate the accuracy of triage assessment using comparative analysis techniques, and determine relationships between patient factors (severity of illness, age-group) and the accuracy of triage.

methodsThis was an observational study that aimed to ascertain findings from ED data over 1 year (January 2018-December 2018) and explore factors associated with reduced accuracy in acuity assignment. We employed comparative analysis to measure the level of agreement between standard guidelines and local findings.

resultsA total of 576,154 patients visited EDs in 2018, of which 54.4% were male. A statistically significant increase in length of stay with increasing severity of illness was observed (Kruskal-Wallis test). Overall triage accuracy was 41.6%, with a positive association with increasing severity of illness. We found a positive association between severity of illness and accuracy of triage (OR 0.14,

conclusionConducted on a very large data set from the UAE, our study reflects upon population dynamics and triage accuracy distribution among different variables. This study paves the way for further in-depth analysis of factors that may impact triage accuracy within EDs, and utilizing a similar approach it can be replicated in other settings as well.

Indexed as

electronic medical recordEmergency Severity IndexESItriage

Identifiers

PMID33299359
PMCPMC7718980
OpenAlexW3107459855

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.