ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2022
A prospective, internal validation of an emergency patient triage tool for use in a low resource setting.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 5 citations in OpenAlex.
- Implementation of a fast triage score for patients arriving to a low resource hospital in Uganda.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- A fast emergency department triage score based on mobility, mental status and oxygen saturation compared with the emergency severity index: a prospective cohort study.QJM : monthly journal of the Association of Physicians · 2023Observational
- Decision Support System Proposal for Medical Evacuations in Military Operations.Sensors (Basel, Switzerland) · 2023Article
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aim: Assess the performance of a simple triage disposition score based on mental status, mobility and either oxygen saturation or respiratory rate by three principal metrics: 24 h mortality, the need for hospital admission and the urgency ranking of patient presentations. Method: Prospective observational non-interventional study of consecutive patients presenting to the emergency and outpatient departments of a low-resource sub-Saharan hospital. Results: Out of 14,585 consecutive patients arriving to hospital 1,804 (12.4%) were admitted and 39 died (0.3%) within 24 hours. No patients with normal mental status or a stable independent gait died within 24 h, and 95% of those who did had an oxygen saturation <94%. The c statistic of the score for death within 24 hours was >0.95 and not significantly changed if respiratory rate replaced oxygen saturation as a score component, or mental status was assessed subjectively or objectively. However, an objective measure of mental status significantly reduced the c statistic for hospital admission from 0.970 SE 0.003 to 0.956 SE 0.004, Conclusion: The score identified patients who subsequently required hospital admission and who were likely to die within 24 hours.
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