en
Scientific article
English

Triage of children with headache at the ED: a guideline implementation study

Published inThe American journal of emergency medicine, vol. 31, no. 4, p. 670-675
Publication date2013
Abstract

We present a multicenter validation of a modified Manchester Triage System (MTS) flowchart for pediatric patients who present with headache to the emergency department. A prospective observational study was conducted across 5 European pediatric emergency departments. The standard MTS headache flowchart and a modified MTS headache flowchart were tested in the participating centers, and results were compared with triage categories identified by either the physician at the end of the clinical examination or the reference classification matrix (RCM). Fifty-three patients were enrolled in the preimplementation phase and 112 in the postimplementation phase. When compared with physician's triage and RCM, the modified MTS flowchart demonstrated good sensitivity (79% and 70%, respectively), specificity (77% and 76%, respectively), and a high positive likelihood ratio (9.14 and 16.75, respectively) for the identification of low-risk children. Conclusions: Our modified headache flowchart is safe and reliable in pediatric emergency settings, especially for lower classes of urgency.

Keywords
  • Adolescent
  • Child
  • Child, Preschool
  • Emergency Service, Hospital
  • Female
  • Guideline Adherence
  • Headache/classification/etiology
  • Humans
  • Male
  • Prospective Studies
  • Triage/methods
Citation (ISO format)
BALOSSINI, Veronica et al. Triage of children with headache at the ED: a guideline implementation study. In: The American journal of emergency medicine, 2013, vol. 31, n° 4, p. 670–675. doi: 10.1016/j.ajem.2012.11.027
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Article (Published version)
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Identifiers
ISSN of the journal0735-6757
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Technical informations

Creation02/27/2014 11:39:00 AM
First validation02/27/2014 11:39:00 AM
Update time03/14/2023 9:07:08 PM
Status update03/14/2023 9:07:07 PM
Last indexation01/16/2024 9:40:31 AM
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