Effectiveness of a Four-level Chinese Emergency Triage Scale in Mainland China

The Reliability and Validity of a Four-level Chinese Emergency Triage Scale in Mainland China

Inter-rater reliability between experts and triage nurses was assessed in 484 emergency patients. The criterion-related validity was evaluated in other 30687 emergency patients, based on emergency department (ED) mortality, the length of stay in ED, the number of discharge, and hospitalization (intensive care/general ward).

Study Overview

• Status: Completed
• Conditions: Emergencies; Triage
• Intervention / Treatment: Other: Four-level Chinese Emergency triage scale

• Study Type: Observational
• Enrollment (Actual): 30687

Contacts and Locations

Study Locations

• China
  • Hangzhou, China, 310009
    • SAHZhejiangU

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 14 years and older (ADULT, OLDER_ADULT, CHILD)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

All eligibility emergency patients

Description

Inclusion Criteria:

• Patients, older than 14 years and admitted to the ED, were eligible for this study.

Exclusion Criteria:

• Gynecologic and obstetric emergencies
• Patients, who left against medical advice or hadn't been aided by a doctor

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort

Intervention / Treatment

emergency triage patients; triage Level I triage Level II triage Level III triage Level IV

Other: Four-level Chinese Emergency triage scale; a four-level category system, i.e. life-threatening (Level I), emergent (Level II), urgent (Level III) and semi-urgent (Level IV) . This system contains critical indicators (cardiac arrest, shock, and apnea), high risk indicators (ACS and DKA), single objective indicators (SBP, RR, HR, and SpO2) and MEWS (synthesis indicator). According to patients' health care problems, patients are rated by nurses into one of the four mentioned levels.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Inter-rater reliability	inter-rater reliability as the agreement between triage nurses and experts	2019-10-1
emergency department (ED) mortality		2019-12-31
the number of discharge		2019-12-31

Secondary Outcome Measures

Outcome Measure	Time Frame
the number of hospitalization	2019-12-31

Collaborators and Investigators

• Sponsor: Second Affiliated Hospital, School of Medicine, Zhejiang University
• Collaborators: First People's Hospital of Hangzhou; Tongji Hospital; Henan Provincial People's Hospital; Second People's Hospital of Hangzhou; Changxing People's Hospital; Affiliated Beijing Chaoyang Hospital of Capital Medical University; Second Affiliated Hospital of Chongqing Mecical University

Study record dates

Study Major Dates

• Study Start (ACTUAL): January 1, 2018
• Primary Completion (ACTUAL): December 31, 2019
• Study Completion (ACTUAL): December 30, 2020

Study Registration Dates

• First Submitted: April 22, 2019
• First Submitted That Met QC Criteria: April 22, 2019
• First Posted (ACTUAL): April 24, 2019

Study Record Updates

• Last Update Posted (ACTUAL): June 18, 2021
• Last Update Submitted That Met QC Criteria: June 14, 2021
• Last Verified: June 1, 2021

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Emergencies
• Other Study ID Numbers: 2018ZH012

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No