Reliability and validity of the four-level Chinese emergency triage scale in mainland China: A multicenter assessment

Guo, Zhiling; Jin, Jingfen; Chen, Shuihong; Yang, Minghui; Wang, Yuwei; Wang, Sa

doi:10.1016/j.ijnurstu.2019.103447

Cited by 19 publications

(9 citation statements)

References 29 publications

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“…In our study, the process of tool development and validation was consistent with steps routinely recommended and used in previous scale development studies (Lee et al, 2018;Zhiting et al, 2020). First, using the Delphi consensus technique, we successfully engaged a number of experts in the field of HIV research to identify the most relevant items for measuring HRPD on the basis of the findings from qualitative interviews.…”

Section: Discussionmentioning

confidence: 99%

“…However, this technique may be ineffective in developing patient self-rated questionnaires because of a lack of feedback from the target population. Therefore, conducting a pilot cross-sectional survey concurrently with Delphi rounds can provide valuable additional information from the target population that can be used in scale development and item revision (Zhiting et al, 2020).…”

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confidence: 99%

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Development and Validation of a New Comprehensive Assessment Scale of HIV-Related Psychological Distress in China: A Methodological Study

Wang

et al. 2023

J Assoc Nurses AIDS Care

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Instruments evaluating HIV-related psychological distress (HRPD) in people living with HIV may lack sensitivity to capture patients' psychological burden. We developed a comprehensive scale measuring HRPD and evaluated its psychometric properties. A mixedmethod study was conducted from July 2021 to April 2022; it involved a literature review, semistructured interviews (n 5 15), three rounds of panel discussions, two rounds of Delphi studies (n 5 20), a pilot test (n 5 20) to generate new scale items, and a crosssectional survey (n 5 659) to evaluate the psychometric properties of the HIV-related psychological distress scale. The scale contains 22 items across 4 subscales (i.e., disease-related distress, treatment adherence distress, identity distress, and disclosure distress). The confirmatory factor analysis revealed high goodness of fit (x 2 /df 5 2.412, comparative fit index 5 0.916, incremental fit index 5 0.917, and Tucker-Lewis index 5 0.902), showing that the HIV-related psychological distress scale is a reliable (Cronbach's a 5 0.871 overall) and valid scale for evaluating HRPD in China and can be used to dynamically evaluate and monitor HRPD levels during patient follow-up.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Development and Validation of a New Comprehensive Assessment Scale of HIV-Related Psychological Distress in China: A Methodological Study

Wang

et al. 2023

J Assoc Nurses AIDS Care

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“…Emergency triage is a systematic process of determining patients' priority for medical management based on the severity of their current condition 22 . To prioritize healthcare for severely ill patients, medical centers have instituted triage systems in recent decades, with the aim of identifying patients with more severe conditions and increased risk of death, thereby ensuring faster service with shorter waiting times 23 .…”

Section: Discussionmentioning

confidence: 99%

Prediction of mortality with Charlson Comorbidity Index in super-elderly patients admitted to a tertiary referral hospital

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Bardakçı

Akdur

et al. 2022

Cukurova Medical Journal

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ÖzPurpose: In most countries, there is an ever-increasing admission rate of the elderly population into emergency departments (EDs). In particular, these elderly patients differ from younger patients because they have multiple comorbidities that affect the functionality and quality of life. The goal of this study is to reveal whether the Charlson comorbidity index (CCI) foresee the short-and long-term prognosis of the super-elderly patient population. Materials and Methods: The study was a descriptive, retrospective analysis of emergency department (ED) admissions by patients over 85 years of age and admitted to the Canakkale Onsekiz Mart University (COMU) Hospital between 2013 and 2018. The demographic data of the patients were analyzed according to CCI. Coxregression analyses were conducted to determine whether the variables affected mortality. Results: A total of 1142 patients aged 85 and older (507 men, 635 women) with a mean age of 86.96±2.49 were included in the study. According to the multivariable Cox regression analysis male gender, CCI ≥6 and ICU admission were significantly associated with increased mortality rates Conclusion: The CCI predicts short and long-term prognosis in acutely ill, hospitalized super-elderly patients. The CCI could be used to select super-elderly patients at admission as an indicator of improvement at hospital discharge. Amaç: Çoğu ülkede, yaşlı nüfusun acil servislere (AS'ler) giderek artan bir başvuru oranı vardır. Özellikle bu yaşlı hastalar, fonksiyonel ve yaşam kalitesini etkileyen birden fazla komorbiditeye sahip oldukları için genç hastalardan farklıdır. Bu çalışmanın amacı, Charlson komorbidite indeksinin (CCI) çok yaşlı hasta popülasyonunun kısa ve uzun vadeli prognozunu tahmin edip etmediğini belirlemektir. Gereç ve Yöntem: Çalışma, 2013 ve 2018 yılları arasında Çanakkale Onsekiz Mart Üniversitesi (ÇOMÜ) Hastanesine başvuran 85 yaş ve üstü hastaların acil servis (AS) ziyaretlerinin tanımlayıcı, retrospektif bir analiziydi. Hastaların demografik verileri CCI'ye göre analiz edildi. Değişkenlerin mortaliteyi etkileyip etkilemediğini belirlemek için Cox-regresyon analizleri yapıldı. Bulgular: Yaş ortalaması 86,96±2,49 olan 85 yaş ve üzeri (507 erkek, 635 kadın) toplam 1142 hasta çalışmaya dahil edildi. Çok değişkenli Cox regresyon analizine göre erkek cinsiyet, CCI ≥6 ve yoğun bakım ünitesine yatış, artan mortalite oranları ile anlamlı şekilde ilişkiliydi. Sonuç: CCI akut hasta olarak hastaneye yatırılan çok yaşlı hastalarda kısa ve uzun dönem prognozu tahmin eder. CCI, hastaneden taburculukta iyileşmenin bir göstergesi olarak, kabulde, çok yaşlı hastaların seçilmesinde kullanılabilir.

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“…Hospital-based emergency departments (ED) use triage scale systems to prioritize patients by severity and medical needs, with the first level requiring immediate assessment [ 1 – 5 ]. Triage is important in settings with prolonged waiting times or to identify patients with time-sensitive conditions [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and clinical significance of point of care elevated lactate at emergency admission in older patients: a prospective study

et al. 2022

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Objective Patients who are over 65 years old represent up to 24% of emergency department (ED) admissions. They are at increased risk of under-triage due to impaired physiological responses. The primary objective of this study was to assess the prevalence of elevated lactate by point of care testing (POCT) in this population. The secondary objective was to assess the additional value of lactate level in predicting an early poor outcome, as compared to and combined with common clinical scores and triage scales. Methods This monocentric prospective study recruited ED patients who were over 65 years old between July 19th 2019 and June 17th 2020. Patients consulting for seizures or needing immediate assessment were excluded. POCT lactates were considered elevated if ≥ 2.5 mmol/L. A poor outcome was defined based on certain complications or therapeutic decisions. Results In total, 602 patients were included; 163 (27.1%) had elevated lactate and 44 (7.3%) had a poor outcome. There was no association between poor outcome and lactate level. Modified Early Warning Score (MEWS) was significantly associated with poor outcome, alongside National Early Warning Score (NEWS). Logistic regression also associated lactate level combined with MEWS and poor outcome. Conclusion The prevalence of elevated lactate was 27.1%. Lactate level alone or combined with different triage scales or clinical scores such as MEWS, NEWS and qSOFA was not associated with prediction of a poor outcome. MEWS alone performed best in predicting poor outcome. The usefulness of POCT lactate measurement at triage is questionable in the population of 65 and above.

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Reliability and validity of the four-level Chinese emergency triage scale in mainland China: A multicenter assessment

Cited by 19 publications

References 29 publications

Development and Validation of a New Comprehensive Assessment Scale of HIV-Related Psychological Distress in China: A Methodological Study

Development and Validation of a New Comprehensive Assessment Scale of HIV-Related Psychological Distress in China: A Methodological Study

Prediction of mortality with Charlson Comorbidity Index in super-elderly patients admitted to a tertiary referral hospital

Prevalence and clinical significance of point of care elevated lactate at emergency admission in older patients: a prospective study

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