Reliability and Accuracy of the Pediatric Swiss Emergency Triage Scale

Article Article scientifique Article Reliability and Accuracy of the Pediatric Swiss Emergency Triage Scale—the SETSped Study eng 2024-01-24 2024-05-01 author Fehlmann Christophe A 0000-0002-4163-0338 From the Division of Emergency Medicine, Department of Acute Medicine, Geneva University Hospitals, Geneva, Switzerland. 633754 Département d'anesthésiologie, pharmacologie et soins intensifs (APSIC) Christophe Fehlmann author Garcin Sophie From the Division of Emergency Medicine, Department of Acute Medicine, Geneva University Hospitals, Geneva, Switzerland. 530151 author Poncet Antoine 814032 author Marti Christophe Alberic Division of General Internal Medicine, Department of Medicine, Geneva University Hospitals, Geneva, Switzerland. 97449 Département de médecine (DEMED) author Rutschmann Olivier T Magellan Medical Center, Geneva, Switzerland. author Brandle Gabriel Pediatric Emergency Department, Hirslanden Clinique des Grangettes, Chêne-Bougerie, Switzerland. author Faundez Tamara Pediatric Emergency Department, Clinique et Permanence d'Onex, Onex, Switzerland. author Simon Josette From the Division of Emergency Medicine, Department of Acute Medicine, Geneva University Hospitals, Geneva, Switzerland. 688395 author Delieutraz-Petit Tatiana 437085 iEH2 (COETH) author Grosgurin Olivier 0000-0001-6233-6579 503200 Département de médecine (DEMED) 353-358 10.1097/pec.0000000000003127 38270474 0749-5161 https://journals.lww.com/10.1097/PEC.0000000000003127 Background and importance: The Swiss Emergency Triage Scale (SETS) is an adult triage tool used in several emergency departments. It has been recently adapted to the pediatric population but, before advocating for its use, performance assessment of this tool is needed. Objectives: The purpose of this study was to assess the reliability and the accuracy of the pediatric version of the SETS for the triage of pediatric patients. Design, setting, and participants: This study was a cross-sectional study among a sample of emergency triage nurses (ETNs) exposed to 17 clinical scenarios using a computerized simulator. Outcome measures and analysis: The primary outcome was the reliability of the triage level performed by the ETNs. It was assessed using an intraclass correlation coefficient.Secondary outcomes included accuracy of triage compared with expert-based triage levels and factors associated with accurate triage. Main results: Eighteen ETNs participated in the study and completed the evaluation of all scenarios, for a total of 306 triage decisions. The intraclass correlation coefficient was 0.80 (95% confidence interval, 0.69-0.91), with an agreement by scenario ranging from 61.1% to 100%. The overall accuracy was 85.8%, and nurses were more likely to undertriage (16.0%) than to overtriage (4.3%). No factor for accurate triage was identified. Conclusions: This simulator-based study showed that the SETS is reliable and accurate among a pediatric population. Future research is needed to confirm these results, compare this triage scale head-to-head with other recognized international tools, and study the SETSped in real-life setting. Triage Swiss Emergency Triage Scale Reliability Accuracy Dewey 616 Dewey 617 Dewey 618 63 Département d'anesthésiologie, pharmacologie, soins intensifs et urgences 229 56 Département de médecine 221 217 Centre de recherche clinique 201 false Pediatric emergency care 40 5 aeaf8824-86fc-4dc4-b408-dcb98187587f Article (Published version) Public reliability_and_accuracy_of_the_ped.pdf 401815 application/pdf CC BY-NC-ND-4.0 bf67933ccadbd0b9de3f89213494b90a19b6365412159312b53d9148e5030d63 openAccess Faculté de médecine / Section de médecine clinique / Département d'anesthésiologie, pharmacologie, soins intensifs et urgences Faculté de médecine / Section de médecine clinique / Département de médecine Faculté de médecine / Centre de recherche clinique

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Reliability and Accuracy of the Pediatric Swiss Emergency Triage Scale—the SETSped Study	Pediatric emergency care			2024	10	349

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