Triage of Children Clinical Trial
Official title:
Triage of Children at the Emergency Department: Manchester Triage System or Pediatric Early Warning Score?
Verified date | May 2015 |
Source | Isala |
Contact | n/a |
Is FDA regulated | No |
Health authority | Netherlands: Medical Ethics Review Committee (METC) |
Study type | Observational |
Currently, the Manchester Triage System (MTS) is used to triage all children presenting at
the emergency department(ED) in this hospital. This system has been proven safe, but many
patients are classified as too urgent. In this hospital adults are prioritised at the ED by
a score based on vital signs, the early warning score. A similar score is developed suitable
for children. This score, the Pediatric Early Warning Score (PEWS), is already used to
determine clinical deterioration.
The investigators hypothesize that children can be triaged safely with the PEWS.
If it is safe, there will be one triage system again at the ED. Another advantage will be
more continuity in assessing the condition of patients who are admitted to the hospital.
Status | Completed |
Enrollment | 727 |
Est. completion date | March 2014 |
Est. primary completion date | March 2014 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | N/A to 18 Years |
Eligibility |
Inclusion Criteria: - All children presenting at the Emergency Department of the Isala. Exclusion Criteria: - Children seen in room 17, the plaster and little trauma room (because of practical reasons). |
Time Perspective: Prospective
Country | Name | City | State |
---|---|---|---|
Netherlands | Isala | Zwolle | Overijssel |
Lead Sponsor | Collaborator |
---|---|
E.P. de Groot |
Netherlands,
van Veen M, Steyerberg EW, Ruige M, van Meurs AH, Roukema J, van der Lei J, Moll HA. Manchester triage system in paediatric emergency care: prospective observational study. BMJ. 2008 Sep 22;337:a1501. doi: 10.1136/bmj.a1501. Erratum in: BMJ. 2008;337:a1849. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Expert opinion | Assessed directly at the first contact with the patient at the ED by the pediatrician. Maximal acceptable door-to-doctor time: very urgent (immediate), urgent (<15minutes) or normal (<1hour). | <10 minutes | No |
Primary | Reference standard | A reference standard as developed by van Veen et al with 5 urgency levels to be determined with the information available from the patient file as documented after presentation at the ED. The reference standard will be separately compared to the MTS as well as the PEWS as determined for each patient presenting at the ED. |
<1day | No |
Secondary | Hospital admission | Hospital or intensive care admission directly following visiting the ED or to the utmost <12h. Admission: yes/no. |
<12 hours | No |