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Reliability and performance of the Swiss Emergency Triage Scale used by paramedics

OBJECTIVES: No general emergency department triage scale has been evaluated for prehospital triage. The objective of this study was to evaluate the reliability and the performance of the Swiss Emergency Triage Scale (SETS) used by paramedics to determine the emergency level and orientation of simula...

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Autores principales: Grosgurin, Olivier, Gayet-Ageron, Angèle, Suppan, Laurent, Simon, Josette, Villar, Adolfo, Trombert, Véronique, Marti, Christophe, Sarasin, François P., Rutschmann, Olivier T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6504125/
https://www.ncbi.nlm.nih.gov/pubmed/29252610
http://dx.doi.org/10.1097/MEJ.0000000000000530
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author Grosgurin, Olivier
Gayet-Ageron, Angèle
Suppan, Laurent
Simon, Josette
Villar, Adolfo
Trombert, Véronique
Marti, Christophe
Sarasin, François P.
Rutschmann, Olivier T.
author_facet Grosgurin, Olivier
Gayet-Ageron, Angèle
Suppan, Laurent
Simon, Josette
Villar, Adolfo
Trombert, Véronique
Marti, Christophe
Sarasin, François P.
Rutschmann, Olivier T.
author_sort Grosgurin, Olivier
collection PubMed
description OBJECTIVES: No general emergency department triage scale has been evaluated for prehospital triage. The objective of this study was to evaluate the reliability and the performance of the Swiss Emergency Triage Scale (SETS) used by paramedics to determine the emergency level and orientation of simulated patients. PATIENTS AND METHODS: In a prospective cross-sectional study, 23 paramedics evaluated 28 clinical scenarios with the SETS using interactive computerized triage software simulating real-life triage. The primary outcome was inter-rater reliability regarding the triage level among participants measured by intraclass correlation coefficient (ICC). Secondary outcomes were the accuracy of triage level and the reliability and accuracy of orientation of patients of at least 75 years to a dedicated geriatric emergency centre. RESULTS: Twenty-three paramedics completed the evaluation of the 28 scenarios (644 triage decisions). Overall, ICC for triage level was 0.84 (95% confidence interval: 0.77–0.99). Correct emergency level was assigned in 89% of cases, overtriage rate was 4.8%, and undertriage was 6.2%. ICC regarding orientation in the subgroup of simulated patients of at least 75 years was 0.76 (95% confidence interval: 0.61–0.89), with 93% correct orientation. CONCLUSION: Reliability of paramedics rating simulated emergency situations using the SETS was excellent, and the accuracy of their rating was very high. This suggests that in Switzerland, the SETS could be safely used in the prehospital setting by paramedics to determine the level of emergency and guide patients to the most appropriate hospital.
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spelling pubmed-65041252019-07-22 Reliability and performance of the Swiss Emergency Triage Scale used by paramedics Grosgurin, Olivier Gayet-Ageron, Angèle Suppan, Laurent Simon, Josette Villar, Adolfo Trombert, Véronique Marti, Christophe Sarasin, François P. Rutschmann, Olivier T. Eur J Emerg Med Original Articles OBJECTIVES: No general emergency department triage scale has been evaluated for prehospital triage. The objective of this study was to evaluate the reliability and the performance of the Swiss Emergency Triage Scale (SETS) used by paramedics to determine the emergency level and orientation of simulated patients. PATIENTS AND METHODS: In a prospective cross-sectional study, 23 paramedics evaluated 28 clinical scenarios with the SETS using interactive computerized triage software simulating real-life triage. The primary outcome was inter-rater reliability regarding the triage level among participants measured by intraclass correlation coefficient (ICC). Secondary outcomes were the accuracy of triage level and the reliability and accuracy of orientation of patients of at least 75 years to a dedicated geriatric emergency centre. RESULTS: Twenty-three paramedics completed the evaluation of the 28 scenarios (644 triage decisions). Overall, ICC for triage level was 0.84 (95% confidence interval: 0.77–0.99). Correct emergency level was assigned in 89% of cases, overtriage rate was 4.8%, and undertriage was 6.2%. ICC regarding orientation in the subgroup of simulated patients of at least 75 years was 0.76 (95% confidence interval: 0.61–0.89), with 93% correct orientation. CONCLUSION: Reliability of paramedics rating simulated emergency situations using the SETS was excellent, and the accuracy of their rating was very high. This suggests that in Switzerland, the SETS could be safely used in the prehospital setting by paramedics to determine the level of emergency and guide patients to the most appropriate hospital. Lippincott Williams & Wilkins 2019-06 2017-12-15 /pmc/articles/PMC6504125/ /pubmed/29252610 http://dx.doi.org/10.1097/MEJ.0000000000000530 Text en Copyright © 2017 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Original Articles
Grosgurin, Olivier
Gayet-Ageron, Angèle
Suppan, Laurent
Simon, Josette
Villar, Adolfo
Trombert, Véronique
Marti, Christophe
Sarasin, François P.
Rutschmann, Olivier T.
Reliability and performance of the Swiss Emergency Triage Scale used by paramedics
title Reliability and performance of the Swiss Emergency Triage Scale used by paramedics
title_full Reliability and performance of the Swiss Emergency Triage Scale used by paramedics
title_fullStr Reliability and performance of the Swiss Emergency Triage Scale used by paramedics
title_full_unstemmed Reliability and performance of the Swiss Emergency Triage Scale used by paramedics
title_short Reliability and performance of the Swiss Emergency Triage Scale used by paramedics
title_sort reliability and performance of the swiss emergency triage scale used by paramedics
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6504125/
https://www.ncbi.nlm.nih.gov/pubmed/29252610
http://dx.doi.org/10.1097/MEJ.0000000000000530
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