A New Quantitative Triage System for Hospitalized Neonates to Assist with Decisions of Hospital Evacuation Priorities
Hospitalized neonates are vulnerable to natural and man-made disasters because of their persistent requirement for medical resources and may need to be evacuated to safe locations when electricity and medical gas supply become unreliable. In Japan, a triage system for hospitalized neonates, or the S...
Gespeichert in:
| Veröffentlicht in: | Prehospital and disaster medicine 2022-06, Vol.37 (3), p.343-349 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 349 |
|---|---|
| container_issue | 3 |
| container_start_page | 343 |
| container_title | Prehospital and disaster medicine |
| container_volume | 37 |
| creator | Imai, Kazunori Suzuki, Tomoko Fukaya, Satoko Karasawa, Yuko Bando, Yoko Sawaki, Daisuke Araki, Yuko Saitoh, Shinji Iwata, Osuke |
| description | Hospitalized neonates are vulnerable to natural and man-made disasters because of their persistent requirement for medical resources and may need to be evacuated to safe locations when electricity and medical gas supply become unreliable. In Japan, a triage system for hospitalized neonates, or the Simple Triage and Rapid Treatment for Neonates, Revised (START-Neo-R), has been used to determine whether neonates are in suitable conditions for transportation. However, this scale is not useful to determine the evacuation order of neonates because a considerable number of evacuees are classified into the same categories.
To solve this problem, a novel triage system, Neonatal Extrication Triage (NEXT) was developed. This study tested the validity and reproducibility of both triages and compared them with a standardized prognostic scoring system for hospitalized neonates, the Neonatal Therapeutic Intervention Scoring System (NTISS).
In this retrospective observational study, physicians and nurses independently assessed each neonate hospitalized at a tertiary neonatal intensive care unit (NICU) twice weekly using NEXT and START-Neo-R. The NEXT system comprises six questionnaires regarding medical resources required during transition and transportation, providing composite scores on a 12-point scale. The START-Neo-R classified neonates into five levels based on the severity of disease and dependence on medical care. Inter-rater reliability of both systems was assessed using Cohen's kappa coefficient, whereas the criterion validity with NTISS was assessed using Spearman's correlation coefficient.
Overall, 162 neonates were assessed for 49 days, resulting in triage data for 1,079 accumulated patients. Both NEXT scores and START-Neo-R ranks were well-dispersed across different levels without excessive accumulation in specific categories. Inter-rater reliability of NEXT (kappa coefficient, 0.973; 95% confidence interval, 0.969-0.976) and START-Neo-R (kappa coefficient, 0.952; 95% confidence interval, 0.946-0.957) between physicians and nurses was sufficiently high. The correlation coefficient of NEXT and START-Neo-R scores with NTISS scores were 0.889 (P |
| doi_str_mv | 10.1017/S1049023X22000553 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2648063645</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><cupid>10_1017_S1049023X22000553</cupid><sourcerecordid>2665523723</sourcerecordid><originalsourceid>FETCH-LOGICAL-c255t-819443b023caad80f15eef2e0090894c7f0510760cd14645c8a653946aa4a2ed3</originalsourceid><addsrcrecordid>eNp1kd1LHTEQxYO0-NX-AX0pgb70Ze3kazf7eLFWBWkVLfRtyc3O2sjdzW0mq9i_3ohXCy19msD5nTMZDmPvBBwIEM2nSwG6Bal-SAkAxqgttitabSrRKvuqvItcPeo7bI_oBkC2RtbbbEcZZW1j9S6bF_wr3vGL2U05ZJfDLfKrFNw18st7yjjyISZ-Emld1FX4jX3h4-QyEs-RL4gCZX4X8k_-GX2gECficXhx8KNb5-eSGyd-nkJMIQekN-z14FaEbzdzn33_cnR1eFKdfTs-PVycVV4akytbjtFqWS7wzvUWBmEQB4kALdhW-2YAI6CpwfdC19p462qjWl07p53EXu2zj0-56xR_zUi5GwN5XK3chHGmTtbaQq2KtaAf_kJv4pym8rtC1cZI1UhVKPFE-RSJEg7dOoXRpftOQPfYSfdPJ8XzfpM8L0fsXxzPJRRAbULduEyhv8Y_u_8f-wBsIJYt</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2665523723</pqid></control><display><type>article</type><title>A New Quantitative Triage System for Hospitalized Neonates to Assist with Decisions of Hospital Evacuation Priorities</title><source>Cambridge University Press Journals Complete</source><creator>Imai, Kazunori ; Suzuki, Tomoko ; Fukaya, Satoko ; Karasawa, Yuko ; Bando, Yoko ; Sawaki, Daisuke ; Araki, Yuko ; Saitoh, Shinji ; Iwata, Osuke</creator><creatorcontrib>Imai, Kazunori ; Suzuki, Tomoko ; Fukaya, Satoko ; Karasawa, Yuko ; Bando, Yoko ; Sawaki, Daisuke ; Araki, Yuko ; Saitoh, Shinji ; Iwata, Osuke</creatorcontrib><description>Hospitalized neonates are vulnerable to natural and man-made disasters because of their persistent requirement for medical resources and may need to be evacuated to safe locations when electricity and medical gas supply become unreliable. In Japan, a triage system for hospitalized neonates, or the Simple Triage and Rapid Treatment for Neonates, Revised (START-Neo-R), has been used to determine whether neonates are in suitable conditions for transportation. However, this scale is not useful to determine the evacuation order of neonates because a considerable number of evacuees are classified into the same categories.
To solve this problem, a novel triage system, Neonatal Extrication Triage (NEXT) was developed. This study tested the validity and reproducibility of both triages and compared them with a standardized prognostic scoring system for hospitalized neonates, the Neonatal Therapeutic Intervention Scoring System (NTISS).
In this retrospective observational study, physicians and nurses independently assessed each neonate hospitalized at a tertiary neonatal intensive care unit (NICU) twice weekly using NEXT and START-Neo-R. The NEXT system comprises six questionnaires regarding medical resources required during transition and transportation, providing composite scores on a 12-point scale. The START-Neo-R classified neonates into five levels based on the severity of disease and dependence on medical care. Inter-rater reliability of both systems was assessed using Cohen's kappa coefficient, whereas the criterion validity with NTISS was assessed using Spearman's correlation coefficient.
Overall, 162 neonates were assessed for 49 days, resulting in triage data for 1,079 accumulated patients. Both NEXT scores and START-Neo-R ranks were well-dispersed across different levels without excessive accumulation in specific categories. Inter-rater reliability of NEXT (kappa coefficient, 0.973; 95% confidence interval, 0.969-0.976) and START-Neo-R (kappa coefficient, 0.952; 95% confidence interval, 0.946-0.957) between physicians and nurses was sufficiently high. The correlation coefficient of NEXT and START-Neo-R scores with NTISS scores were 0.889 (P <.001) and 0.850 (P <.001), respectively.
Both START-Neo-R and NEXT had good reproducibility and correlation with the severity of neonates indicated by NTISS. With its well-dispersed scores across different levels, the NEXT system might be a powerful tool to determine the priority of evacuation objectively.</description><identifier>ISSN: 1049-023X</identifier><identifier>EISSN: 1945-1938</identifier><identifier>DOI: 10.1017/S1049023X22000553</identifier><identifier>PMID: 35388784</identifier><language>eng</language><publisher>New York, USA: Cambridge University Press</publisher><subject>Confidence intervals ; Correlation coefficient ; Disasters ; Emergency medical care ; Evacuation ; Hospitalization ; Medical personnel ; Neonates ; Newborn babies ; Observational studies ; Original Research ; Reproducibility</subject><ispartof>Prehospital and disaster medicine, 2022-06, Vol.37 (3), p.343-349</ispartof><rights>The Author(s), 2022. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c255t-819443b023caad80f15eef2e0090894c7f0510760cd14645c8a653946aa4a2ed3</cites><orcidid>0000-0002-1994-2466</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1049023X22000553/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,777,781,27905,27906,55609</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35388784$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Imai, Kazunori</creatorcontrib><creatorcontrib>Suzuki, Tomoko</creatorcontrib><creatorcontrib>Fukaya, Satoko</creatorcontrib><creatorcontrib>Karasawa, Yuko</creatorcontrib><creatorcontrib>Bando, Yoko</creatorcontrib><creatorcontrib>Sawaki, Daisuke</creatorcontrib><creatorcontrib>Araki, Yuko</creatorcontrib><creatorcontrib>Saitoh, Shinji</creatorcontrib><creatorcontrib>Iwata, Osuke</creatorcontrib><title>A New Quantitative Triage System for Hospitalized Neonates to Assist with Decisions of Hospital Evacuation Priorities</title><title>Prehospital and disaster medicine</title><addtitle>Prehosp. Disaster med</addtitle><description>Hospitalized neonates are vulnerable to natural and man-made disasters because of their persistent requirement for medical resources and may need to be evacuated to safe locations when electricity and medical gas supply become unreliable. In Japan, a triage system for hospitalized neonates, or the Simple Triage and Rapid Treatment for Neonates, Revised (START-Neo-R), has been used to determine whether neonates are in suitable conditions for transportation. However, this scale is not useful to determine the evacuation order of neonates because a considerable number of evacuees are classified into the same categories.
To solve this problem, a novel triage system, Neonatal Extrication Triage (NEXT) was developed. This study tested the validity and reproducibility of both triages and compared them with a standardized prognostic scoring system for hospitalized neonates, the Neonatal Therapeutic Intervention Scoring System (NTISS).
In this retrospective observational study, physicians and nurses independently assessed each neonate hospitalized at a tertiary neonatal intensive care unit (NICU) twice weekly using NEXT and START-Neo-R. The NEXT system comprises six questionnaires regarding medical resources required during transition and transportation, providing composite scores on a 12-point scale. The START-Neo-R classified neonates into five levels based on the severity of disease and dependence on medical care. Inter-rater reliability of both systems was assessed using Cohen's kappa coefficient, whereas the criterion validity with NTISS was assessed using Spearman's correlation coefficient.
Overall, 162 neonates were assessed for 49 days, resulting in triage data for 1,079 accumulated patients. Both NEXT scores and START-Neo-R ranks were well-dispersed across different levels without excessive accumulation in specific categories. Inter-rater reliability of NEXT (kappa coefficient, 0.973; 95% confidence interval, 0.969-0.976) and START-Neo-R (kappa coefficient, 0.952; 95% confidence interval, 0.946-0.957) between physicians and nurses was sufficiently high. The correlation coefficient of NEXT and START-Neo-R scores with NTISS scores were 0.889 (P <.001) and 0.850 (P <.001), respectively.
Both START-Neo-R and NEXT had good reproducibility and correlation with the severity of neonates indicated by NTISS. With its well-dispersed scores across different levels, the NEXT system might be a powerful tool to determine the priority of evacuation objectively.</description><subject>Confidence intervals</subject><subject>Correlation coefficient</subject><subject>Disasters</subject><subject>Emergency medical care</subject><subject>Evacuation</subject><subject>Hospitalization</subject><subject>Medical personnel</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Observational studies</subject><subject>Original Research</subject><subject>Reproducibility</subject><issn>1049-023X</issn><issn>1945-1938</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kd1LHTEQxYO0-NX-AX0pgb70Ze3kazf7eLFWBWkVLfRtyc3O2sjdzW0mq9i_3ohXCy19msD5nTMZDmPvBBwIEM2nSwG6Bal-SAkAxqgttitabSrRKvuqvItcPeo7bI_oBkC2RtbbbEcZZW1j9S6bF_wr3vGL2U05ZJfDLfKrFNw18st7yjjyISZ-Emld1FX4jX3h4-QyEs-RL4gCZX4X8k_-GX2gECficXhx8KNb5-eSGyd-nkJMIQekN-z14FaEbzdzn33_cnR1eFKdfTs-PVycVV4akytbjtFqWS7wzvUWBmEQB4kALdhW-2YAI6CpwfdC19p462qjWl07p53EXu2zj0-56xR_zUi5GwN5XK3chHGmTtbaQq2KtaAf_kJv4pym8rtC1cZI1UhVKPFE-RSJEg7dOoXRpftOQPfYSfdPJ8XzfpM8L0fsXxzPJRRAbULduEyhv8Y_u_8f-wBsIJYt</recordid><startdate>202206</startdate><enddate>202206</enddate><creator>Imai, Kazunori</creator><creator>Suzuki, Tomoko</creator><creator>Fukaya, Satoko</creator><creator>Karasawa, Yuko</creator><creator>Bando, Yoko</creator><creator>Sawaki, Daisuke</creator><creator>Araki, Yuko</creator><creator>Saitoh, Shinji</creator><creator>Iwata, Osuke</creator><general>Cambridge University Press</general><general>Jems Publishing Company, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1994-2466</orcidid></search><sort><creationdate>202206</creationdate><title>A New Quantitative Triage System for Hospitalized Neonates to Assist with Decisions of Hospital Evacuation Priorities</title><author>Imai, Kazunori ; Suzuki, Tomoko ; Fukaya, Satoko ; Karasawa, Yuko ; Bando, Yoko ; Sawaki, Daisuke ; Araki, Yuko ; Saitoh, Shinji ; Iwata, Osuke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c255t-819443b023caad80f15eef2e0090894c7f0510760cd14645c8a653946aa4a2ed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Confidence intervals</topic><topic>Correlation coefficient</topic><topic>Disasters</topic><topic>Emergency medical care</topic><topic>Evacuation</topic><topic>Hospitalization</topic><topic>Medical personnel</topic><topic>Neonates</topic><topic>Newborn babies</topic><topic>Observational studies</topic><topic>Original Research</topic><topic>Reproducibility</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Imai, Kazunori</creatorcontrib><creatorcontrib>Suzuki, Tomoko</creatorcontrib><creatorcontrib>Fukaya, Satoko</creatorcontrib><creatorcontrib>Karasawa, Yuko</creatorcontrib><creatorcontrib>Bando, Yoko</creatorcontrib><creatorcontrib>Sawaki, Daisuke</creatorcontrib><creatorcontrib>Araki, Yuko</creatorcontrib><creatorcontrib>Saitoh, Shinji</creatorcontrib><creatorcontrib>Iwata, Osuke</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Prehospital and disaster medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Imai, Kazunori</au><au>Suzuki, Tomoko</au><au>Fukaya, Satoko</au><au>Karasawa, Yuko</au><au>Bando, Yoko</au><au>Sawaki, Daisuke</au><au>Araki, Yuko</au><au>Saitoh, Shinji</au><au>Iwata, Osuke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A New Quantitative Triage System for Hospitalized Neonates to Assist with Decisions of Hospital Evacuation Priorities</atitle><jtitle>Prehospital and disaster medicine</jtitle><addtitle>Prehosp. Disaster med</addtitle><date>2022-06</date><risdate>2022</risdate><volume>37</volume><issue>3</issue><spage>343</spage><epage>349</epage><pages>343-349</pages><issn>1049-023X</issn><eissn>1945-1938</eissn><abstract>Hospitalized neonates are vulnerable to natural and man-made disasters because of their persistent requirement for medical resources and may need to be evacuated to safe locations when electricity and medical gas supply become unreliable. In Japan, a triage system for hospitalized neonates, or the Simple Triage and Rapid Treatment for Neonates, Revised (START-Neo-R), has been used to determine whether neonates are in suitable conditions for transportation. However, this scale is not useful to determine the evacuation order of neonates because a considerable number of evacuees are classified into the same categories.
To solve this problem, a novel triage system, Neonatal Extrication Triage (NEXT) was developed. This study tested the validity and reproducibility of both triages and compared them with a standardized prognostic scoring system for hospitalized neonates, the Neonatal Therapeutic Intervention Scoring System (NTISS).
In this retrospective observational study, physicians and nurses independently assessed each neonate hospitalized at a tertiary neonatal intensive care unit (NICU) twice weekly using NEXT and START-Neo-R. The NEXT system comprises six questionnaires regarding medical resources required during transition and transportation, providing composite scores on a 12-point scale. The START-Neo-R classified neonates into five levels based on the severity of disease and dependence on medical care. Inter-rater reliability of both systems was assessed using Cohen's kappa coefficient, whereas the criterion validity with NTISS was assessed using Spearman's correlation coefficient.
Overall, 162 neonates were assessed for 49 days, resulting in triage data for 1,079 accumulated patients. Both NEXT scores and START-Neo-R ranks were well-dispersed across different levels without excessive accumulation in specific categories. Inter-rater reliability of NEXT (kappa coefficient, 0.973; 95% confidence interval, 0.969-0.976) and START-Neo-R (kappa coefficient, 0.952; 95% confidence interval, 0.946-0.957) between physicians and nurses was sufficiently high. The correlation coefficient of NEXT and START-Neo-R scores with NTISS scores were 0.889 (P <.001) and 0.850 (P <.001), respectively.
Both START-Neo-R and NEXT had good reproducibility and correlation with the severity of neonates indicated by NTISS. With its well-dispersed scores across different levels, the NEXT system might be a powerful tool to determine the priority of evacuation objectively.</abstract><cop>New York, USA</cop><pub>Cambridge University Press</pub><pmid>35388784</pmid><doi>10.1017/S1049023X22000553</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-1994-2466</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1049-023X |
| ispartof | Prehospital and disaster medicine, 2022-06, Vol.37 (3), p.343-349 |
| issn | 1049-023X 1945-1938 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2648063645 |
| source | Cambridge University Press Journals Complete |
| subjects | Confidence intervals Correlation coefficient Disasters Emergency medical care Evacuation Hospitalization Medical personnel Neonates Newborn babies Observational studies Original Research Reproducibility |
| title | A New Quantitative Triage System for Hospitalized Neonates to Assist with Decisions of Hospital Evacuation Priorities |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-20T02%3A55%3A52IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20New%20Quantitative%20Triage%20System%20for%20Hospitalized%20Neonates%20to%20Assist%20with%20Decisions%20of%20Hospital%20Evacuation%20Priorities&rft.jtitle=Prehospital%20and%20disaster%20medicine&rft.au=Imai,%20Kazunori&rft.date=2022-06&rft.volume=37&rft.issue=3&rft.spage=343&rft.epage=349&rft.pages=343-349&rft.issn=1049-023X&rft.eissn=1945-1938&rft_id=info:doi/10.1017/S1049023X22000553&rft_dat=%3Cproquest_cross%3E2665523723%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2665523723&rft_id=info:pmid/35388784&rft_cupid=10_1017_S1049023X22000553&rfr_iscdi=true |