Development of an algorithm to aid triage decisions for intensive care unit admission: a clinical vignette and retrospective cohort study.

ABSTRACT:

Background

Intensive care unit (ICU) admission triage is performed routinely and is often based solely on clinical judgment, which could mask biases. A computerized algorithm to aid ICU triage decisions was developed to classify patients into the Society of Critical Care Medicine's prioritization system. In this study, we sought to evaluate the reliability and validity of this algorithm.

Methods

Nine senior physicians evaluated forty clinical vignettes based on real patients. The reference standard was defined as the priorities ascribed by two investigators with full access to patients' records. Agreement of algorithm-based priorities with the reference standard and with intuitive priorities provided by the physicians were evaluated. Correlations between algorithm prioritiza

SUBMITTER: Ramos JG 

PROVIDER: S-EPMC4818478 | biostudies-literature | 2016 Apr

REPOSITORIES: biostudies-literature