A Validation of Current Hospital Triage Performance System Versus RETTS

NCT02303613 | Completed

• 1 other identifier: KMC-001
• Study Type: observational
• Target: 628
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Triage in the emergency department (ED) together with initial assessment is used to identify patient's level of urgency and treatment based on their triage level. Triage in the ED is a complex decision-making process, and several triage scales have been designed as decision support systems to guide the triage nurse to a correct decision. Worldwide there are four well known five-level triage systems in use. In 2010, 97% of all EDs in Sweden introduced a process-oriented triage scale with physiological parameters called Rapid Emergency Traige and Treatment System (RETTS). RETTS has two main assessment variables: vital signs and chief complaints, which describe the incident or symptoms that caused the patient to seek care. These two variables are evaluated and results in a color coded 5-level scale. Each level of priority has a defined time limit within which evaluation by a doctor should begin. Although, all international triage system guidelines seem to function well in western countries, they are difficult to implement and have a high failure rate in developing low-income countries. One of the reasons may be the lack of extensive training. Teaching and assessing abilities in performing mass casualty triage in inherently challenging due to the inability to accurately replicate a given disaster environment in a comprehensive way. Disaster drills and simulation exercises are ways of training triage performance and there are different tools available. One tool that can contribute to this kind of training may be the Emergo Train System® (ETS). ETS or similar interactive educational simulation systems could be used to test and evaluate incident and command systems, surge capacity, hospital preparedness and triage. Study objective study III: The aim of the study is to validate the currently practiced system for triage in the ED in Moi Teaching and Referral Hospital in Eldoret, Kenya with RETTS. Furthermore map the current patient outcome of trauma patients.

Conditions

Wound and Injuries; Trauma

Outcome Measures

Primary Outcomes (1)

• Identify and mapping of the current 30 days mortality and morbidity.

  30 days

Interventions

Mapping OTHER

Mapping of current triage situation regarding 30 days mortality

Eligibility Criteria

• Age: 14 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Close to 600 trauma patients of ages 14 and above seen at the ED will be captured. All patients presenting through the ED will be identified and those who meet the inclusion criteria will be recruited into the study on a daily basis until close to the 600 patient records is achieved. Patients will be followed through the ED to the receiving facilities (wards, ICU, HDU, theatre etc)

You may not qualify if:

• Those brought in dead, those below 14 years, revisits, or referred patients will be excluded The patient records will be traced for the entire period the patient is in the hospital or until key decisions are made on triage category by the ED or receiving units.
• There may be need to follow up patients for longer but since the study has a limited period, records will have to be made up to 30 days admission for those admitted during the last month.

Sponsors & Collaborators

• University Hospital, Linkoeping: lead

Study Sites (1)

Moi Teaching and Referral Hospital, Kenya.

Eldoret, 30100, Kenya

Location

Related Publications (1)

• Lampi M, Junker JPE, Tabu JS, Berggren P, Jonson CO, Wladis A. Potential benefits of triage for the trauma patient in a Kenyan emergency department. BMC Emerg Med. 2018 Nov 29;18(1):49. doi: 10.1186/s12873-018-0200-7.

  PMID: 30497397 DERIVED

MeSH Terms

Conditions

Wounds and Injuries

Study Officials

• Maria Lampi, PhD-cand

  Linkoeping University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 30 Days
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: RN, MSc DM, PhD-candidate

Study Record Dates

• First Submitted: November 25, 2014
• First Posted: December 1, 2014
• Study Start: November 1, 2014
• Primary Completion: July 1, 2015
• Study Completion: July 1, 2015
• Last Updated: September 29, 2015

Record last verified: 2015-09

Locations

KE (1)