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Emergency department triage and COVID‐19: Performance of the Interagency Integrated Triage Tool during a pandemic surge in Papua New Guinea

OBJECTIVE: To determine the sensitivity of the Interagency Integrated Triage Tool to identify severe and critical illness among adult patients with COVID‐19. METHODS: A retrospective observational study conducted at Port Moresby General Hospital ED during a three‐month Delta surge. RESULTS: Among 38...

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Detalles Bibliográficos
Autores principales: Mitchell, Rob, Kingston, Carl, Tefatu, Rayleen, Bornstein, Sarah, Kendino, Mangu, Sengiromo, Duncan, Pole, Jasper, Kuk, Sylvia, Josaiah, Betty, Elton, Leigh, Banks, Colin, Körver, Sarah, Cameron, Peter, O'Reilly, Gerard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wiley Publishing Asia Pty Ltd 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9349793/
https://www.ncbi.nlm.nih.gov/pubmed/35760578
http://dx.doi.org/10.1111/1742-6723.13980
Descripción
Sumario:OBJECTIVE: To determine the sensitivity of the Interagency Integrated Triage Tool to identify severe and critical illness among adult patients with COVID‐19. METHODS: A retrospective observational study conducted at Port Moresby General Hospital ED during a three‐month Delta surge. RESULTS: Among 387 eligible patients with COVID‐19, 63 were diagnosed with severe or critical illness. Forty‐seven were allocated a high acuity triage category, equating to a sensitivity of 74.6% (95% CI 62.1–84.7) and a negative predictive value of 92.7% (95% CI 88.4–95.8). CONCLUSION: In a resource‐constrained context, the tool demonstrated reasonable sensitivity to detect severe and critical COVID‐19, comparable with its reported performance for other urgent conditions.