The Copenhagen Triage Algorithm is non-inferior to a traditional triage algorithm: A cluster-randomized study.

ABSTRACT:

Introduction

Triage systems with limited room for clinical judgment are used by emergency departments (EDs) worldwide. The Copenhagen Triage Algorithm (CTA) is a simplified triage system with a clinical assessment.

Methods

The trial was a non-inferiority, two-center cluster-randomized crossover study where CTA was compared to a local adaptation of Adaptive Process Triage (ADAPT). CTA involves initial categorization based on vital signs with a final modification based on clinical assessment by an ED nurse. We used 30-day mortality with a non-inferiority margin at 0.5%. Predictive performance was compared using Receiver Operator Characteristics.

Results

We included 45,347 patient visits, 23,158 (51%) and 22,189 (49%) were triaged with CTA and ADAPT respectively with a 3

SUBMITTER: Hasselbalch RB 

PROVIDER: S-EPMC6361446 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature