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Validity of the computerized version of the pediatric triage system CLARIPED for emergency care
Traldi, Paula de Carmago; Magalhães-Barbosa, Maria Clara de; Raymundo, Carlos Eduardo; Cunha, Antonio José Ledo Alves da; Prata-Barbosa, Arnaldo.
Afiliação
  • Traldi, Paula de Carmago; Universidade Federal do Rio de Janeiro (UFRJ). Instituto de Puericultura e Pediatria Martagão Gesteira (IPPMG). Rio de Janeiro. BR
  • Magalhães-Barbosa, Maria Clara de; Instituto DOr de Pesquisa e Ensino (IDOR). Rio de Janeiro. BR
  • Raymundo, Carlos Eduardo; Instituto DOr de Pesquisa e Ensino (IDOR). Rio de Janeiro. BR
  • Cunha, Antonio José Ledo Alves da; Universidade Federal do Rio de Janeiro (UFRJ). Instituto de Puericultura e Pediatria Martagão Gesteira (IPPMG). Rio de Janeiro. BR
  • Prata-Barbosa, Arnaldo; Universidade Federal do Rio de Janeiro (UFRJ). Instituto de Puericultura e Pediatria Martagão Gesteira (IPPMG). Rio de Janeiro. BR
J. pediatr. (Rio J.) ; J. pediatr. (Rio J.);98(4): 369-375, July-Aug. 2022. tab
Article em En | LILACS-Express | LILACS | ID: biblio-1386111
Biblioteca responsável: BR1.1
ABSTRACT
Abstract

Objective:

To evaluate the validity of the computerized version of the pediatric triage system CLARIPED.

Methods:

Prospective, observational study in a tertiary emergency department (ED) from Jan-2018 to Jan-2019. A convenience sample of patients aged 0-18 years who had computerized triage and outcome variables registered. Construct validity was assessed through the association between urgency levels and patient outcomes. Sensitivity, specificity, positive and negative predictive values (PPVand NPV), undertriage, and overtriage rates were assessed.

Results:

19,122 of 38,321 visits were analyzed. The urgency levels were RED (emergency) 0.02%, ORANGE (high urgency) 3.21%, YELLOW (urgency) 35.69%, GREEN (low urgency) 58.46%, and BLUE (no urgency) 2.62%. The following outcomes increased according to the increase in the level of urgency hospital admission (0.4%, 0.6%, 3.1%, 11.9% and 25%), stay in the ED observation room (2.8%, 4.7%, 15.9%, 40.4%, 50%), ≥ 2 diagnostic or therapeutic resources (7.8%, 16.5%, 33.7%, 60.6%, 75%), and ED length of stay in minutes (18, 24, 67,120, 260). The odds of using ≥ 2 resources or being hospitalized were significantly greater in the most urgent patients (Red, Orange, and Yellow) compared to the least urgent (Green and Blue) OR 7.88 (95%CI 5.35-11.6) and OR 2.85 (95%CI 2.63-3.09), respectively. The sensitivity to identify urgency was 0.82 (95%CI 0.77-0.85); specificity, 0.62 (95%CI 0.61-0.6; NPV, 0.99 (95%CI 0.99-1.00); overtriage rate, 4.28% and undertriage, 18.41%.

Conclusion:

The computerized version of CLARIPED is a valid and safe pediatric triage system, with a significant correlation with clinical outcomes, good sensitivity, and low undertriage rate.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Tipo de estudo: Observational_studies / Prognostic_studies Idioma: En Revista: J. pediatr. (Rio J.) Assunto da revista: PEDIATRIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Tipo de estudo: Observational_studies / Prognostic_studies Idioma: En Revista: J. pediatr. (Rio J.) Assunto da revista: PEDIATRIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil