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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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:
Short Reports
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
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author 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
author_facet 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
author_sort Mitchell, Rob
collection PubMed
description 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.
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spelling pubmed-93497932022-08-04 Emergency department triage and COVID‐19: Performance of the Interagency Integrated Triage Tool during a pandemic surge in Papua New Guinea 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 Emerg Med Australas Short Reports 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. Wiley Publishing Asia Pty Ltd 2022-06-27 2022-10 /pmc/articles/PMC9349793/ /pubmed/35760578 http://dx.doi.org/10.1111/1742-6723.13980 Text en © 2022 The Authors. Emergency Medicine Australasia published by John Wiley & Sons Australia, Ltd on behalf of Australasian College for Emergency Medicine. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Short Reports
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
Emergency department triage and COVID‐19: Performance of the Interagency Integrated Triage Tool during a pandemic surge in Papua New Guinea
title Emergency department triage and COVID‐19: Performance of the Interagency Integrated Triage Tool during a pandemic surge in Papua New Guinea
title_full Emergency department triage and COVID‐19: Performance of the Interagency Integrated Triage Tool during a pandemic surge in Papua New Guinea
title_fullStr Emergency department triage and COVID‐19: Performance of the Interagency Integrated Triage Tool during a pandemic surge in Papua New Guinea
title_full_unstemmed Emergency department triage and COVID‐19: Performance of the Interagency Integrated Triage Tool during a pandemic surge in Papua New Guinea
title_short Emergency department triage and COVID‐19: Performance of the Interagency Integrated Triage Tool during a pandemic surge in Papua New Guinea
title_sort emergency department triage and covid‐19: performance of the interagency integrated triage tool during a pandemic surge in papua new guinea
topic Short Reports
url 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
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