Observational studyQJM : monthly journal of the Association of Physicians2023
A fast emergency department triage score based on mobility, mental status and oxygen saturation compared with the emergency severity index: a prospective cohort study.
Observational study in QJM : monthly journal of the Association of Physicians, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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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.
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Who cites it
8 citing papers in PubMed.
- Development and temporal evaluation of an emergency severity index-informed Bayesian sequential model for hospital admission prediction using time-to-urination.Scientific reports · 2026Article
- Systematic Review of Emergency Severity Index (ESI) triage tool's utility in predicting mortality and critical care unit admission in Emergency Departments.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Reducing Mis-triage in Emergency Departments (RemEDy): Protocol for Improving Triage Accuracy Through Real-time Evaluation and Artificial Intelligence.JMIR research protocols · 2026Article
- Clinical Gestalt to Predict Bacterial Infection and Mortality in Emergency Department Patients: A Prospective Observational Study.Journal of general internal medicine · 2026Observational
- Phlebotomists on Emergency Department Performance: A Retrospective Comparative Study.Emergency medicine Australasia : EMA · 2025Article
- The association between urgency level and hospital admission, mortality and resource utilization in three emergency department triage systems: an observational multicenter study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Observational
- 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
- Predictive value and interrater reliability of mental status and mobility assessment in the emergency department.Clinical medicine (London, England) · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundWaiting for triage in overburdened emergency departments (ED) has become an increasing problem, which endangers patients. A fast triage system to rapidly identify low-acuity patients should divert care and resources to more urgent cases.
aimThe objective of this study was to compare the performance of the Kitovu Hospital fast triage (KFT) score with the Emergency Severity Index (ESI), using mortality and hospital admission as proxies for the patients' acuity.
designThis is a prospective observational study of consecutive patients presenting to a Swiss academic ED.
methodsPatients were prospectively triaged into one of five ESI strata and retrospectively assessed by the KFT score, which awards one point each for altered mental status, impaired mobility and oxygen saturation <94%.
resultsThe KFT score had a lower discrimination than the ESI for hospital admission, but a higher discrimination for mortality from 24 h to 1 year after ED presentation. A total of 5544 (67%) patients were assigned to the lowest acuity by the KFT score compared with 2374 (28.7%) by the ESI; there was no significant difference in the 24-h mortality of patients who were deemed low acuity by either score.
conclusionCompared to the ESI, the KFT score identifies more than twice as many patients at low risk of early death. Therefore, this score might help to identify patients who could be managed through alternative pathways. This may be particularly helpful in situations of ED crowding and access block.
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