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Pediatric emergency triage systems

Hany Simon Junior1, Claudio Schvartsman1, Graziela de Almeida Sukys2

  • 1Universidade de São Paulo, São Paulo, SP, Brazil.

Revista Paulista De Pediatria : Orgao Oficial Da Sociedade De Pediatria De Sao Paulo
|July 20, 2022
PubMed

Insights

This review evaluates leading pediatric triage systems used in emergency departments, finding that several, including the Manchester Triage System and Pediatric Early Warning Score, are valid and reliable tools for patient risk classification.

Area of Science:

  • Emergency Medicine
  • Pediatric Care
  • Health Services Research

Background:

  • Pediatric triage systems are crucial for risk classification in emergency departments (EDs).
  • Evaluating the validity and reliability of these systems is essential for effective patient care.
  • A comprehensive review of leading pediatric triage tools is needed.

Purpose of the Study:

  • To conduct a narrative review of prominent pediatric triage systems utilized in EDs.
  • To assess the evidence supporting the validity and reliability of these systems.

Main Methods:

  • A systematic literature search was performed in MEDLINE, EMBASE, and PubMed for articles published between 1999 and 2019.
  • Keywords included "pediatric triage", "pediatric assessment tools", and "emergency department triage".
  • Emphasis was placed on studies evaluating the validation and reliability of triage systems.

Main Results:

  • 105 articles on pediatric emergency triage systems across 12 countries were analyzed.
  • Triage systems were categorized into color-stratified (CTAS, MTS, ESI, ATS) and alert systems (POPS, PEWS, PAT).
  • Evidence supports the validity and reliability of MTS, PaedCTAS, ESI v4, PEWS, POPS, and PAT.

Conclusions:

  • Validated pediatric triage systems are fundamental for patient risk stratification in EDs.
  • Not all systems are universally applicable or have undergone rigorous assessment.
  • Implementation in diverse regions, like Brazil, necessitates cultural adaptation, staff training, and local validation studies.
Abstract

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