Evidence map›Paper›PMID 41131480›Full record

ReviewInternational journal of emergency medicine2025

Optimizing pediatric emergency triage in low-resource settings: evidence-based strategies, task-shifting, and technological innovations.

Shree Rath, Shaliz Barzani, Olalekan John Okesanya, Abdelrahman M Tawfik, Wafaa Shehada, Mayam Mohamed Aziz, Sarah Urbon, Mohammed Alsabri

Abstract readReview
In one paragraph

Review in International journal of emergency medicine, 2025. 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
–field-weighted citation impact
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.

  1. Review
  2. Review
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

8 authors.

Shree RathAll India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, India.ORCID http://orcid.org/0009-0000-4273-0827
Shaliz BarzaniSt. George's University, Saint George Parish, West Indies, Grenada.
Olalekan John OkesanyaDepartment of Public Health and Maritime Transport, University of Thessaly, Volos, Greece.
Abdelrahman M TawfikFaculty of Medicine, Alexandria University, Alexandria, Egypt.
Wafaa ShehadaFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Mayam Mohamed AzizFaculty of Medicine, Menoufia University, Menoufia, Egypt.
Sarah UrbonDepartment of Pediatrics, Pediatric Emergency Medicine, St. Christopher's Hospital for Children, Philadelphia, PA, USA.
Mohammed AlsabriDepartment of Pediatrics, Pediatric Emergency Medicine, St. Christopher's Hospital for Children, Philadelphia, PA, USA. alsabri5000@gmail.com.ORCID http://orcid.org/0000-0002-7278-2289

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEffective triage in emergency settings is crucial to reduce pediatric mortality and improve timely access to care. However, in low-resource settings, the sustainability of models still faces barriers. This review aims to assess pediatric emergency triage in low-resource settings by employing evidence-based strategies, task-shifting, and technological innovations.

methodsA comprehensive literature review was conducted to assess current pediatric triage models, identify barriers to effective triage, and explore innovations suitable for low-resource settings.

resultsKey challenges include overcrowding, limited training, scarce diagnostic resources, and inappropriate adaptation of adult triage systems. Successful models of triage assessment and treatment show promise but face sustainability challenges. Task-shifting to non-physician clinicians and community health workers enhances capacity, while digital tools, artificial intelligence, and point-of-care biomarkers improve diagnostic precision and triage accuracy. Ethical challenges and inequitable access persist, particularly for marginalized populations.

conclusionOptimizing pediatric triage in low-resource settings requires a multipronged approach including policy integration, capacity building, technology adoption, and community involvement. Sustainable triage systems should combine standardized protocols, training, real-time decision support, and continuous quality improvement tailored to local contexts.

Indexed as

LMICsPediatric emergencyResourcesTask-sharingTriage

Identifiers

PMID41131480
PMCPMC12548228

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.