지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 1 - 13 (13page)
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Background: Previous studies on inter-rater reliability of pediatric triage systems have compared triage levels classified by two or more triage providers using the same information about individual patients. This overlooks the fact that the evaluator can decide whether or not to use the information provided. The authors therefore aimed to analyze the differences in the use of vital signs for triage modification in pediatric triage. Methods: This was an observational cross-sectional study of national registry data collected in real time from all emergency medical services beyond the local emergency medical centers (EMCs) throughout Korea. Data from patients under the age of 15 who visited EMC nationwide from January 2016 to December 2016 were analyzed. Depending on whether triage modifications were made using respiratory rate or heart rate beyond the normal range by age during the pediatric triage process, they were divided into down-triage and non-down-triage groups. The proportions in the down-triage group were analyzed according to the triage provider's profession, mental status, arrival mode, presence of trauma, and the EMC class. Results: During the study period, 1,385,579 patients' data were analyzed. Of these, 981,281 patients were eligible for triage modification. The differences in down-triage proportions according to the profession of the triage provider (resident, 50.5%; paramedics, 47.7%; specialist, 44.9%; nurses, 44.2%) was statistically significant (P < 0.001). The triage provider's professional down-triage proportion according to the medical condition of the patients showed statistically significant differences except for the unresponsive mental state (P = 0.502) and the case of air transport (P = 0.468). Conclusion: Down-triage proportion due to abnormal heart rates and respiratory rates was significantly different according to the triage provider's condition. The existing concept of inter-rater reliability of the pediatric triage system needs to be reconsidered.
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참고문헌 (21)
참고문헌 신청
de Caen AR / 2015 / Part 6: pediatric basic life support and pediatric advanced life support: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations / Circulation 132(16 Suppl 1):S177~S203
Maconochie IK / 2015 / European resuscitation council guidelines for resuscitation 2015 : section 6. paediatric life support / Resuscitation 95:223~248
Parshuram CS / 2011 / Multicentre validation of the bedside paediatric early warning system score : a severity of illness score to detect evolving critical illness in hospitalised children / Crit Care 15(4):R184
Duncan H / 2006 / The pediatric early warning system score : a severity of illness score to predict urgent medical need in hospitalized children / J Crit Care 21(3):271~278
Warren DW / 2008 / Canadian Association of Emergency Physicians Revisions to the Canadian Triage and Acuity Scale paediatric guidelines (PaedCTAS) / CJEM 10(3):224~243
Maconochie IK / 2015 / European resuscitation council guidelines for resuscitation 2015 : section 6. paediatric life support / Resuscitation 95:223~248
Parshuram CS / 2011 / Multicentre validation of the bedside paediatric early warning system score : a severity of illness score to detect evolving critical illness in hospitalised children / Crit Care 15(4):R184
Duncan H / 2006 / The pediatric early warning system score : a severity of illness score to predict urgent medical need in hospitalized children / J Crit Care 21(3):271~278
Warren DW / 2008 / Canadian Association of Emergency Physicians Revisions to the Canadian Triage and Acuity Scale paediatric guidelines (PaedCTAS) / CJEM 10(3):224~243
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