Are Pediatric Triage Systems Reliable in the Emergency Department?

Emergency Medicine International
Mohsen EbrahimiMahin Hamechizfahm Roudi

Abstract

Few studies have focused on the agreement level of pediatric triage scales (PTSs). The aim of this meta-analytic review was to examine the level of inter-rater reliability of PTSs. Detailed searches of a number of electronic databases were performed up to 1 March 2019. Studies that reported sample sizes, reliability coefficients, and a comprehensive description of the assessment of the inter-rater reliability of PTSs were included. The articles were selected according to the COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) taxonomy. Two reviewers were involved in the study selection, quality assessment, and data extraction and performed the review process. The effect size was estimated by z-transformation of reliability coefficients. Data were pooled with random-effects models, and a metaregression analysis was performed based on the method of moments estimator. Thirteen studies were included. The pooled coefficient for the level of agreement was 0.727 (confidence interval (CI) 95%: 0.650-0.790). The level of agreement on PTSs was substantial, with a value of 0.25 (95% CI: 0.202-0.297) for the Australasian Triage Scale (ATS), 0.571 (95% CI: 0.372-0.720) for the Canadian Triage and Ac...Continue Reading

References

Mar 3, 2005·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Michael R Baumann, Tania D Strout
Jul 24, 2007·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Andrew WorsterSuneel Upadhye
Sep 1, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jocelyn GravelDevendra Amre
Oct 24, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jocelyn GravelDevendra Amre
Jul 28, 2009·Pediatric Emergency Care·Yamini DuraniJohn M Loiselle
Aug 29, 2009·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Mirjam van Veen, Henriette A Moll
Oct 23, 2009·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Debbie A TraversRobert Agans
Jun 3, 2010·Emergency Medicine Journal : EMJ·M van VeenH A Moll
Feb 12, 2011·BMJ : British Medical Journal·Richard D RileyJonathan J Deeks
Feb 7, 2012·Annals of Emergency Medicine·Jocelyn GravelDevendra Amre
Oct 4, 2013·International Journal of Emergency Medicine·Amir Hossein Jafari-RouhiMohammad Barzegar
Aug 28, 2014·Pediatric Emergency Care·Irit R RasoolyJesse M Pines
Jul 25, 2015·Emergency Medicine Australasia : EMA·Mohsen Ebrahimi, Amir Mirhaghi
Aug 14, 2015·Emergency Medicine Australasia : EMA·Amy R AllenGary L Freed
Feb 26, 2016·Medizinische Klinik, Intensivmedizin und Notfallmedizin·A Mirhaghi
Oct 30, 2016·Journal of Evidence-based Medicine·Amir MirhaghiMohsen Ebrahimi
Oct 6, 2017·Emergency Medicine Journal : EMJ·Maria Clara de Magalhães-BarbosaClaudia de Souza Lopes
Nov 1, 2017·The Western Journal of Emergency Medicine·Tadahiro GotoCarlos A Camargo
May 31, 2019·BMJ Open·Joany M ZachariasseHenriette A Moll

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Software Mentioned

Endnote X8
COSMIN
Scopus
Comprehensive Meta - Analysis
Clarivate Analytics

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