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Evaluation of Kuman Triage Score Compared with Etat WHO Triage in Sorting Patient at Pediatric Emergency Department

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Pediatric mortality in the hospital frequently occur in 24 hours after admission. To prevent this mortality, triage system were used to sort the patient based on severity and priority of care. Emergency triage assessment and treatment (ETAT) developed by WHO as standard triage in developing countries, classified the patient in pediatric emergency department (ED) into non urgent, priority and emergency category. The limitation of ETAT WHO is that it requires special training of both staff and doctor to implement this system. In view of the drawbacks of the existing system Kumar et al developed a triage score based on physical criteria, to simplified patient identification in pediatric ED. Kumar et al. triage score examine the vital sign, oxygen saturation and capillary refill time, scored 0-7. The goal of the study was to evaluate the Kumar et al triage score compared to ETAT WHO triage. This comparative study with cross sectional design applied to the patient presenting to pediatric emergency department at Hasan Sadikin hospital Bandung. The study period was from April to May 2006. Inclusion criteria were children age 1 month - 14 years old, directly admitted to pediatric emergency unit. Subjects assessed with Kumar et al triage score compared to ETAT WHO triage system. Score 0-1 suitable with non urgent and score >2 with priority and emergency. Kappa values between two tests were calculated. From 128 study subjects, 16 children (12.5%) classified as emergency criteria, 48 (37.5%) priority criteria and 64 (50%) non urgent criteria. Kumar et al triage score revealed score 0-1 in 64 subjects (50%) and score >2 in 64 subjects (50%). Kappa value for emergency with priority and non urgent criteria, compared to ETAT WHO triage were 84.4%. Kappa value more than 80% considered very good. Triage score are capable to sort patient in pediatric emergency unit equal to ETATWHO triage

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Series Title

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Call Number

Majalah Kedokteran Bandung, 40(1)29-33

Publisher

: Fakultas Kedokteran Universitas Padjadjaran., 2008

Collation

3p.

Language

ISBN/ISSN

0126-074X

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Edition

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Subject(s)

EMERGENCY MEDICAL SERVICES
PEIATRICS
EMERGENCY TREATMENT

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