Is the South African Triage Scale valid for use in Afghanistan, Haiti and Sierra Leone?
ObjectiveTo assess the validity of the South African Triage Scale (SATS) in four Médecins Sans Frontières (MSF)-supported emergency departments (ED, two trauma-only sites, one mixed site (both medical and trauma cases) and one paediatric-only site) in Afghanistan, Haiti and Sierra Leone.MethodsThis...
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| creator | Dalwai, Mohammed Valles, Pola Twomey, Michele Nzomukunda, Yvonne Jonjo, Prince Sasikumar, Manoj Nasim, Masood Razaaq, Abdul Gayraud, Olivia Jecrois, Pierre Ronald Wallis, Lee Tayler-Smith, Katie |
| description | ObjectiveTo assess the validity of the South African Triage Scale (SATS) in four Médecins Sans Frontières (MSF)-supported emergency departments (ED, two trauma-only sites, one mixed site (both medical and trauma cases) and one paediatric-only site) in Afghanistan, Haiti and Sierra Leone.MethodsThis was a retrospective cohort study conducted between June 2013 and June 2014. Validity was assessed by comparing patients’ SATS ratings with their final ED outcome (ie, hospital admission, death or discharge).ResultsIn the two trauma settings, the SATS demonstrated good validity: it accurately predicted an increase in the likelihood of mortality and hospitalisation across incremental acuity levels (p |
| doi_str_mv | 10.1136/bmjgh-2016-000160 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5594211</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2551753653</sourcerecordid><originalsourceid>FETCH-LOGICAL-b464t-9352afad84f8bc935f69229499575a2176d8784a1497ad1097dd8799ae12daf63</originalsourceid><addsrcrecordid>eNqNkc1uGyEUhVGVqo5cP0A3FVI3WWQSYPgZNq2iqKkjWcoijrpE1zOMB2sMLsxEytsXx6mVdJXNBS7fOeJyEPpCyQWlpbxcbTfrrmCEyoKQXMkHdMqI0IXSpDp5tZ-gWUqbPaNyIfITmrBKU6YlP0W_bxMeOovvwzh0-KqNrgaPl9HBOjdr6C1-hN41uA0Rj8li5zO17sC7NIA_x3Nwg8PgG3zvbIyAFzZ4--Mz-thCn-zsZZ2ih5ufy-t5sbj7dXt9tShWXPKh0KVg0EJT8bZa1fnUSs2Y5loLJYBRJZtKVRwo1woaSrRqckNrsJQ10Mpyir4ffHfjamub2vohQm920W0hPpkAzry98a4z6_BohNCc5Y-corMXgxj-jDYNZutSbfsevA1jMlRzQgRRqszot__QTRijz-MZJgRVopRiT9EDVceQUrTt8TGUmH1y5jk5s0_OHJLLmq-vpzgq_uWUgfMDkLXv8PsLDqqgyw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2551753653</pqid></control><display><type>article</type><title>Is the South African Triage Scale valid for use in Afghanistan, Haiti and Sierra Leone?</title><source>BMJ Open Access Journals</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central Open Access</source><source>PubMed Central</source><creator>Dalwai, Mohammed ; Valles, Pola ; Twomey, Michele ; Nzomukunda, Yvonne ; Jonjo, Prince ; Sasikumar, Manoj ; Nasim, Masood ; Razaaq, Abdul ; Gayraud, Olivia ; Jecrois, Pierre Ronald ; Wallis, Lee ; Tayler-Smith, Katie</creator><creatorcontrib>Dalwai, Mohammed ; Valles, Pola ; Twomey, Michele ; Nzomukunda, Yvonne ; Jonjo, Prince ; Sasikumar, Manoj ; Nasim, Masood ; Razaaq, Abdul ; Gayraud, Olivia ; Jecrois, Pierre Ronald ; Wallis, Lee ; Tayler-Smith, Katie</creatorcontrib><description>ObjectiveTo assess the validity of the South African Triage Scale (SATS) in four Médecins Sans Frontières (MSF)-supported emergency departments (ED, two trauma-only sites, one mixed site (both medical and trauma cases) and one paediatric-only site) in Afghanistan, Haiti and Sierra Leone.MethodsThis was a retrospective cohort study conducted between June 2013 and June 2014. Validity was assessed by comparing patients’ SATS ratings with their final ED outcome (ie, hospital admission, death or discharge).ResultsIn the two trauma settings, the SATS demonstrated good validity: it accurately predicted an increase in the likelihood of mortality and hospitalisation across incremental acuity levels (p<0.001) and ED outcomes for ‘green’ and ‘red’ patients matched the predicted ED outcomes in 84%–99% of cases. In the mixed ED, the SATS was able to predict an incremental increase in hospitalisation (p<0.001) across both trauma and non-trauma cases. In the paediatric-only settings, SATS was able to predict an incremental increase in hospitalisation in the non-trauma cases only (p<0.001). However, 87% (non-trauma) and 94% (trauma) of ‘red’ patients in the mixed-medical setting were overtriaged and 76% (non-trauma) and 100% (trauma) of ‘green’ patients in the paediatric settings were undertriaged.ConclusionThe SATS is a valid tool for trauma-only settings in low-resource countries. Its use in mixed settings seems justified, but context-specific assessments would seem prudent. Finally, in paediatric settings with endemic malaria, adding haemoglobin level to the SATS discriminator list may help to improve the undertriage of patients with malaria.</description><identifier>ISSN: 2059-7908</identifier><identifier>EISSN: 2059-7908</identifier><identifier>DOI: 10.1136/bmjgh-2016-000160</identifier><identifier>PMID: 28912964</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Emergency medical care ; Ethics ; Global health ; Hospitals ; Intensive care ; Malaria ; Mortality ; Orthopedics ; Patients ; Pediatrics ; Population ; Trauma ; Validity ; Vector-borne diseases</subject><ispartof>BMJ global health, 2017-06, Vol.2 (2), p.e000160-e000160</ispartof><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>2017 Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b464t-9352afad84f8bc935f69229499575a2176d8784a1497ad1097dd8799ae12daf63</citedby><cites>FETCH-LOGICAL-b464t-9352afad84f8bc935f69229499575a2176d8784a1497ad1097dd8799ae12daf63</cites><orcidid>0000-0003-2163-8321 ; 0000-0003-2711-3139</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://gh.bmj.com/content/2/2/e000160.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttp://gh.bmj.com/content/2/2/e000160.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>230,315,729,782,786,866,887,27556,27557,27931,27932,53798,53800,77609,77640</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28912964$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dalwai, Mohammed</creatorcontrib><creatorcontrib>Valles, Pola</creatorcontrib><creatorcontrib>Twomey, Michele</creatorcontrib><creatorcontrib>Nzomukunda, Yvonne</creatorcontrib><creatorcontrib>Jonjo, Prince</creatorcontrib><creatorcontrib>Sasikumar, Manoj</creatorcontrib><creatorcontrib>Nasim, Masood</creatorcontrib><creatorcontrib>Razaaq, Abdul</creatorcontrib><creatorcontrib>Gayraud, Olivia</creatorcontrib><creatorcontrib>Jecrois, Pierre Ronald</creatorcontrib><creatorcontrib>Wallis, Lee</creatorcontrib><creatorcontrib>Tayler-Smith, Katie</creatorcontrib><title>Is the South African Triage Scale valid for use in Afghanistan, Haiti and Sierra Leone?</title><title>BMJ global health</title><addtitle>BMJ Glob Health</addtitle><description>ObjectiveTo assess the validity of the South African Triage Scale (SATS) in four Médecins Sans Frontières (MSF)-supported emergency departments (ED, two trauma-only sites, one mixed site (both medical and trauma cases) and one paediatric-only site) in Afghanistan, Haiti and Sierra Leone.MethodsThis was a retrospective cohort study conducted between June 2013 and June 2014. Validity was assessed by comparing patients’ SATS ratings with their final ED outcome (ie, hospital admission, death or discharge).ResultsIn the two trauma settings, the SATS demonstrated good validity: it accurately predicted an increase in the likelihood of mortality and hospitalisation across incremental acuity levels (p<0.001) and ED outcomes for ‘green’ and ‘red’ patients matched the predicted ED outcomes in 84%–99% of cases. In the mixed ED, the SATS was able to predict an incremental increase in hospitalisation (p<0.001) across both trauma and non-trauma cases. In the paediatric-only settings, SATS was able to predict an incremental increase in hospitalisation in the non-trauma cases only (p<0.001). However, 87% (non-trauma) and 94% (trauma) of ‘red’ patients in the mixed-medical setting were overtriaged and 76% (non-trauma) and 100% (trauma) of ‘green’ patients in the paediatric settings were undertriaged.ConclusionThe SATS is a valid tool for trauma-only settings in low-resource countries. Its use in mixed settings seems justified, but context-specific assessments would seem prudent. Finally, in paediatric settings with endemic malaria, adding haemoglobin level to the SATS discriminator list may help to improve the undertriage of patients with malaria.</description><subject>Emergency medical care</subject><subject>Ethics</subject><subject>Global health</subject><subject>Hospitals</subject><subject>Intensive care</subject><subject>Malaria</subject><subject>Mortality</subject><subject>Orthopedics</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Population</subject><subject>Trauma</subject><subject>Validity</subject><subject>Vector-borne diseases</subject><issn>2059-7908</issn><issn>2059-7908</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>ACMMV</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkc1uGyEUhVGVqo5cP0A3FVI3WWQSYPgZNq2iqKkjWcoijrpE1zOMB2sMLsxEytsXx6mVdJXNBS7fOeJyEPpCyQWlpbxcbTfrrmCEyoKQXMkHdMqI0IXSpDp5tZ-gWUqbPaNyIfITmrBKU6YlP0W_bxMeOovvwzh0-KqNrgaPl9HBOjdr6C1-hN41uA0Rj8li5zO17sC7NIA_x3Nwg8PgG3zvbIyAFzZ4--Mz-thCn-zsZZ2ih5ufy-t5sbj7dXt9tShWXPKh0KVg0EJT8bZa1fnUSs2Y5loLJYBRJZtKVRwo1woaSrRqckNrsJQ10Mpyir4ffHfjamub2vohQm920W0hPpkAzry98a4z6_BohNCc5Y-corMXgxj-jDYNZutSbfsevA1jMlRzQgRRqszot__QTRijz-MZJgRVopRiT9EDVceQUrTt8TGUmH1y5jk5s0_OHJLLmq-vpzgq_uWUgfMDkLXv8PsLDqqgyw</recordid><startdate>20170601</startdate><enddate>20170601</enddate><creator>Dalwai, Mohammed</creator><creator>Valles, Pola</creator><creator>Twomey, Michele</creator><creator>Nzomukunda, Yvonne</creator><creator>Jonjo, Prince</creator><creator>Sasikumar, Manoj</creator><creator>Nasim, Masood</creator><creator>Razaaq, Abdul</creator><creator>Gayraud, Olivia</creator><creator>Jecrois, Pierre Ronald</creator><creator>Wallis, Lee</creator><creator>Tayler-Smith, Katie</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</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>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-2163-8321</orcidid><orcidid>https://orcid.org/0000-0003-2711-3139</orcidid></search><sort><creationdate>20170601</creationdate><title>Is the South African Triage Scale valid for use in Afghanistan, Haiti and Sierra Leone?</title><author>Dalwai, Mohammed ; Valles, Pola ; Twomey, Michele ; Nzomukunda, Yvonne ; Jonjo, Prince ; Sasikumar, Manoj ; Nasim, Masood ; Razaaq, Abdul ; Gayraud, Olivia ; Jecrois, Pierre Ronald ; Wallis, Lee ; Tayler-Smith, Katie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b464t-9352afad84f8bc935f69229499575a2176d8784a1497ad1097dd8799ae12daf63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Emergency medical care</topic><topic>Ethics</topic><topic>Global health</topic><topic>Hospitals</topic><topic>Intensive care</topic><topic>Malaria</topic><topic>Mortality</topic><topic>Orthopedics</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Population</topic><topic>Trauma</topic><topic>Validity</topic><topic>Vector-borne diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dalwai, Mohammed</creatorcontrib><creatorcontrib>Valles, Pola</creatorcontrib><creatorcontrib>Twomey, Michele</creatorcontrib><creatorcontrib>Nzomukunda, Yvonne</creatorcontrib><creatorcontrib>Jonjo, Prince</creatorcontrib><creatorcontrib>Sasikumar, Manoj</creatorcontrib><creatorcontrib>Nasim, Masood</creatorcontrib><creatorcontrib>Razaaq, Abdul</creatorcontrib><creatorcontrib>Gayraud, Olivia</creatorcontrib><creatorcontrib>Jecrois, Pierre Ronald</creatorcontrib><creatorcontrib>Wallis, Lee</creatorcontrib><creatorcontrib>Tayler-Smith, Katie</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><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>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 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>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>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ global health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dalwai, Mohammed</au><au>Valles, Pola</au><au>Twomey, Michele</au><au>Nzomukunda, Yvonne</au><au>Jonjo, Prince</au><au>Sasikumar, Manoj</au><au>Nasim, Masood</au><au>Razaaq, Abdul</au><au>Gayraud, Olivia</au><au>Jecrois, Pierre Ronald</au><au>Wallis, Lee</au><au>Tayler-Smith, Katie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is the South African Triage Scale valid for use in Afghanistan, Haiti and Sierra Leone?</atitle><jtitle>BMJ global health</jtitle><addtitle>BMJ Glob Health</addtitle><date>2017-06-01</date><risdate>2017</risdate><volume>2</volume><issue>2</issue><spage>e000160</spage><epage>e000160</epage><pages>e000160-e000160</pages><issn>2059-7908</issn><eissn>2059-7908</eissn><abstract>ObjectiveTo assess the validity of the South African Triage Scale (SATS) in four Médecins Sans Frontières (MSF)-supported emergency departments (ED, two trauma-only sites, one mixed site (both medical and trauma cases) and one paediatric-only site) in Afghanistan, Haiti and Sierra Leone.MethodsThis was a retrospective cohort study conducted between June 2013 and June 2014. Validity was assessed by comparing patients’ SATS ratings with their final ED outcome (ie, hospital admission, death or discharge).ResultsIn the two trauma settings, the SATS demonstrated good validity: it accurately predicted an increase in the likelihood of mortality and hospitalisation across incremental acuity levels (p<0.001) and ED outcomes for ‘green’ and ‘red’ patients matched the predicted ED outcomes in 84%–99% of cases. In the mixed ED, the SATS was able to predict an incremental increase in hospitalisation (p<0.001) across both trauma and non-trauma cases. In the paediatric-only settings, SATS was able to predict an incremental increase in hospitalisation in the non-trauma cases only (p<0.001). However, 87% (non-trauma) and 94% (trauma) of ‘red’ patients in the mixed-medical setting were overtriaged and 76% (non-trauma) and 100% (trauma) of ‘green’ patients in the paediatric settings were undertriaged.ConclusionThe SATS is a valid tool for trauma-only settings in low-resource countries. Its use in mixed settings seems justified, but context-specific assessments would seem prudent. Finally, in paediatric settings with endemic malaria, adding haemoglobin level to the SATS discriminator list may help to improve the undertriage of patients with malaria.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>28912964</pmid><doi>10.1136/bmjgh-2016-000160</doi><orcidid>https://orcid.org/0000-0003-2163-8321</orcidid><orcidid>https://orcid.org/0000-0003-2711-3139</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Emergency medical care Ethics Global health Hospitals Intensive care Malaria Mortality Orthopedics Patients Pediatrics Population Trauma Validity Vector-borne diseases |
| title | Is the South African Triage Scale valid for use in Afghanistan, Haiti and Sierra Leone? |
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