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VALIDITY AND RELIABILITY OF A NEW TRIAGE SYSTEM FOR PEDIATRIC EMERGENCY CARE: CLARIPED

Maria Clara de Magalhães-Barbosa1, Arnaldo Prata-Barbosa1, Carlos Eduardo Raymundo1

  • 1Instituto D'Or de Pesquisa e Ensino, Rio de Janeiro, RJ, Brasil.

Revista Paulista De Pediatria : Orgao Oficial Da Sociedade De Pediatria De Sao Paulo
|December 13, 2018
PubMed

Insights

The CLARIPED triage system demonstrates strong validity and reliability for pediatric emergency care. This Brazilian system accurately assesses urgency, improving resource allocation and patient outcomes in emergency departments.

Area of Science:

  • Emergency Medicine
  • Pediatric Care
  • Healthcare Systems

Background:

  • Pediatric emergency departments (EDs) require efficient triage systems to manage patient flow and ensure timely care.
  • The CLARIPED system was developed in Brazil to address the need for a validated pediatric triage tool.

Purpose of the Study:

  • To evaluate the validity and reliability of the CLARIPED triage system for pediatric emergency care.
  • To assess the association between CLARIPED urgency levels and clinical outcomes.
  • To compare CLARIPED performance against a reference standard.

Main Methods:

  • A prospective observational study assessed validity in 1,416 pediatric ED visits.
  • Urgency levels were correlated with resource utilization, admission rates, hospitalization, and ED length of stay.
  • Inter-rater reliability was determined through double-triage by nurses in 191 patients.

Main Results:

  • CLARIPED urgency levels significantly correlated with decreased resource use, admission rates, and length of stay.
  • Sensitivity for high urgency was 0.89 (95% CI 0.78-0.95) with an undertriage rate of 7.4%.
  • Substantial inter-rater reliability was observed (quadratic weighted kappa = 0.75).

Conclusions:

  • The CLARIPED system exhibits good validity in assessing pediatric emergency care needs.
  • The CLARIPED system demonstrates substantial reliability among healthcare professionals.
  • CLARIPED is a suitable triage tool for pediatric emergency departments.
Abstract

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