Pediatric Canadian Triage and Acuity Scale (PaedsCTAS) as a Measure of Injury Severity

Abstract

This research explored whether the pediatric version of the Canadian Triage Acuity Scale (PaedsCTAS) represented a valid alternative indicator for surveillance of injury severity. Every patient presenting in a Canadian emergency department is assigned a CTAS or PaedsCTAS score in order to prioritize access to care and to predict the nature and scope of care that is likely to be required. The five-level PaedsCTAS score ranges from I (resuscitation) to V (non-urgent). A total of 256 children, 0 to 17-years-old, who attended a pediatric hospital for an injury were followed longitudinally. Of these children, 32.4% (n = 83) were hospitalized and 67.6% (n = 173) were treated in the emergency department and released. They completed the PedsQLTM, a validated measure of health related quality of life, at baseline (pre-injury status), one-month, four- to six-months, and 12-months post-injury. In this secondary data analysis, PaedsCTAS was found to be significantly associated with hospitalization and length of stay, sensitive to the differences between PaedsCTAS II and III, and related to physical but not psychosocial HRQoL. The findings suggest that PaedsCTAS may be a useful proxy measure of injury severity to supplement or replace hospitalization status and/or length of stay, currently proxy measures.

Prognostic value of a four-level Chinese emergency triage for an Emergency Department: A prospective cohort study

“…In this study, the results showed that triage level as defined in the triage system is closely related to clinical outcomes, such as in-hospital mortality and admission to the ICU. Similarly, other studies also show that the urgency categories are related to patient outcomes [8,[17][18][19][20][21].…”

Dental injuries in younger emergency department patients

“…• Use of safety equipment during sports • Canadian Triage and Acuity Scale (CTAS) classification 10,11 • Previous dental care prior to arrival to the ED • Type of injury: concussion, subluxation, extrusion, lateral luxation, intrusion, avulsion, infraction, enamel fracture, enamel-dentin fracture, enamel-dentin-pulp fracture, crown-root fracture without pulp involvement, crown-root fracture with pulp involvement, root fracture, alveolar fracture, and jaw fracture…”

Triaje como herramienta en emergencias pediátricas del Hospital Infantil Dr. Robert Reid Cabral septiembre 2018 - noviembre 2018

“…Cada nivel va a determinar el tiempo óptimo entre la llegada y la atención médica; así, el tiempo de demora oscila entre la atención inmediata (nivel I) hasta 240 minutos (nivel V). 9 Al igual se reconocen cinco modelos de triaje estructurado con una amplia implantación:…”