n South African Medical Journal - Vital signs for children at triage : a multicentre validation of the revised South African Triage Scale (SATS) for children : research
|Article Title||Vital signs for children at triage : a multicentre validation of the revised South African Triage Scale (SATS) for children : research|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||South African Medical Journal|
|Affiliations||1 University of Cape Town, 2 University of Cape Town, 3 University of Cape Town, 4 University of Cape Town, 5 University of Cape Town, 6 University of Cape Town, 7 University of Cape Town, 8 University of Cape Town, 9 Red Cross War Memorial Children's Hospital, 10 New Somerset Hospital, 11 Retreat Community Health Centre, 12 Paarl Hospital, 13 Woodstock Community Health Centre, 14 Stellenbosch University, 15 Milnerton Mediclinic and 16 Provincial Department of Health, Western Cape|
|Publication Date||May 2013|
|Pages||304 - 309|
Objective. To validate a revised version of the paediatric South African Triage Scale (SATS) against admission as a reference standard and compare the sensitivity of triage using: (i) clinical discriminators; (ii) an age-appropriate physiological composite score; and (iii) a combination of both.
Methods. A prospective cohort study was undertaken validating the revised paediatric SATS against outcome markers of children at six emergency centres during a 2-month period in 2011. The primary outcome marker was the proportion of children admitted. Validity indicators including sensitivity (Se), specificity, positive predictive value and negative predictive value (NPV) were used to estimate the validity. Associated percentages for over-/under-triage were used to further assess practical application of the paediatric SATS.
Results. A total of 2 014 children were included. The percentage of hospital admissions increased with an increase in the level of urgency from 5% in the non-urgent patients to 73% in the emergency patients. The data demonstrated that sensitivity increased substantially when using the SATS, which is a combination of clinical discriminators and the Triage Early Warning Score (TEWS) (Se 91.0%, NPV 95.3%), compared with use of clinical discriminators in isolation (Se 57.1%, NPV 86.3%) or the TEWS in isolation (Se 75.6%, NPV 89.1%).
Conclusion. The results of this study illustrate that the revised paediatric SATS is a safe and robust triage tool.
Article metrics loading...