ArticleHospital pediatrics2025
Pediatric Triage Accuracy in Pediatric and General Emergency Departments.
Article in Hospital pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Association Between Triage Score and Resource Use for Children Presenting to the Emergency Department with Behavioral Health Conditions.Journal of the American College of Emergency Physicians open · 2026Article
- Accuracy and Disparities in Pediatric Emergency Triage: A Multicenter Retrospective Cohort Study.Hospital pediatrics · 2026Article
- Assessing acuity in pediatric emergency department triage: performance of a large language model.npj health systems · 2026Article
- Interrater Reliability in the Triage of Children With Mental and Behavioral Health Symptoms Using Two Triage Systems.Journal of emergency nursing · 2026Article
- The invisible emergencies: metabolic and neuro-critical disorders often missed in the pediatric ED - a narrative review.International journal of emergency medicine · 2026Review
- Overtriage and Undertriage of Children Presenting to the Emergency Department for Behavioral Health.JAMA network open · 2026Article
- Nurses' perspectives on emergency room healthcare constraints in implementing family-centered care: A qualitative study in Indonesia.Belitung nursing journal · 2026Article
- Observational
- Concordance Between Emergency Department Triage Score and Resource Utilization for Children From Different Racial and Ethnic Groups.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Article
- Comparing Pediatric 72-Hour Emergency Department Returns: General vs Pediatric Emergency Departments.The western journal of emergency medicine · 2025Article
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Authors and funding
8 authors.
Funding
Abstract
BACKGROUND AND
objectivesAccurate triage at the time of emergency department (ED) presentation is critical for timely acuity assessment and anticipating resource requirements. Commonly, triage is conducted using the Emergency Severity Index (ESI); however, the accuracy of this approach for children in general EDs is uncertain. The purpose of this study was to quantify pediatric triage accuracy in a national sample of ED visits and evaluate whether presentation to a pediatric vs general ED is associated with mistriage.
methodsThis was a cross-sectional study of the 2017-2021 National Hospital Ambulatory Medical Care Survey of pediatric (aged <18 years) ED visits with an ESI score from 3 to 5. The outcome was mistriage (resource utilization discordant with ESI prediction). Standardized ESI definitions were applied to count resources. We used multivariable logistic regression to evaluate whether presentation to a pediatric or general ED was associated with triage accuracy.
resultsOf 149 million visits, mistriage occurred in 53.7% of ESI 3, 57.7% of ESI 4, and 22.9% of ESI 5 visits. Children in general EDs were more likely to be mistriaged than children in pediatric EDs (adjusted odds ratio [OR], 1.29; 95% CI, 1.11-1.50). Young age was associated with mistriage (aged <1 year vs aged 13-17: adjusted OR [95% CI], 2.42 [2.00-2.94], 1-5 years: 1.79 [1.53-2.10], 6-12 years: 1.38 [1.16-1.64]).
conclusionMistriage was common among children with an initial ESI of 3 to 5 and more common among children visiting general EDs. Our findings highlight the need for improved resource prediction at the time of triage.
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