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, and O'Reilly, Gerard (2022) Emergency department triage and COVID-19: Performance of the Interagency Integrated Triage Tool during a pandemic surge in Papua New Guinea. Emergency Medicine Australasia, 34 (5). pp. 822-824.
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Abstract
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.
| Item ID: | 75482 |
|---|---|
| Item Type: | Article (Research - C1) |
| ISSN: | 1742-6723 |
| Keywords: | COVID-19, emergency care, Papua New Guinea, triage |
| Copyright Information: | © 2022 The Authors. Emergency Medicine Australasia published by John Wiley & Sons Australia, Ltd on behalf of Australasian College for Emergency Medicine. This is an open access article under the terms of the Creative Commons Attribution Non Commercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
| Date Deposited: | 13 Jul 2022 08:44 |
| FoR Codes: | 42 HEALTH SCIENCES > 4203 Health services and systems > 420311 Health systems @ 100% |
| SEO Codes: | 20 HEALTH > 2002 Evaluation of health and support services > 200206 Health system performance (incl. effectiveness of programs) @ 100% |
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