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出境医 / 临床实验 / Effectiveness of a Four-level Chinese Emergency Triage Scale in Mainland China

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

Study Description
Brief Summary:
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).

Condition or disease Intervention/treatment
Emergencies Triage Other: Four-level Chinese Emergency triage scale

Study Design
Layout table for study information
Study Type : Observational
Estimated Enrollment : 30687 participants
Observational Model: Cohort
Time Perspective: Retrospective
Official Title: The Reliability and Validity of a Four-level Chinese Emergency Triage Scale in Mainland China
Actual Study Start Date : January 1, 2018
Actual Primary Completion Date : December 31, 2019
Estimated Study Completion Date : June 30, 2020
Arms 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.
Outcome Measures
Primary Outcome Measures :
  1. Inter-rater reliability [ Time Frame: 2019-10-1 ]
    inter-rater reliability as the agreement between triage nurses and experts

  2. emergency department (ED) mortality [ Time Frame: 2019-12-31 ]
  3. the number of discharge [ Time Frame: 2019-12-31 ]

Secondary Outcome Measures :
  1. the number of hospitalization [ Time Frame: 2019-12-31 ]

Eligibility Criteria
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Ages Eligible for Study:   14 Years and older   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
All eligibility emergency patients
Criteria

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
Contacts and Locations

Locations
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China
SAHZhejiangU
Hangzhou, China, 310009
Sponsors and Collaborators
Second Affiliated Hospital, School of Medicine, Zhejiang University
Tracking Information
First Submitted Date April 22, 2019
First Posted Date April 24, 2019
Last Update Posted Date February 12, 2020
Actual Study Start Date January 1, 2018
Actual Primary Completion Date December 31, 2019   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: April 22, 2019)
  • Inter-rater reliability [ Time Frame: 2019-10-1 ]
    inter-rater reliability as the agreement between triage nurses and experts
  • emergency department (ED) mortality [ Time Frame: 2019-12-31 ]
  • the number of discharge [ Time Frame: 2019-12-31 ]
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures
 (submitted: April 22, 2019) 		the number of hospitalization [ Time Frame: 2019-12-31 ]
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Effectiveness of a Four-level Chinese Emergency Triage Scale in Mainland China
Official Title The Reliability and Validity of a Four-level Chinese Emergency Triage Scale in Mainland China
Brief Summary 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).
Detailed Description Not Provided
Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Retrospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Probability Sample
Study Population All eligibility emergency patients
Condition
  • Emergencies
  • Triage
Intervention 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.
Study Groups/Cohorts emergency triage patients
triage Level I triage Level II triage Level III triage Level IV
Intervention: Other: Four-level Chinese Emergency triage scale
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Active, not recruiting
Estimated Enrollment
 (submitted: April 22, 2019) 		30687
Original Estimated Enrollment Same as current
Estimated Study Completion Date June 30, 2020
Actual Primary Completion Date December 31, 2019   (Final data collection date for primary outcome measure)
Eligibility Criteria

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
Sex/Gender
Sexes Eligible for Study: All
Ages 14 Years and older   (Child, Adult, Older Adult)
Accepts Healthy Volunteers No
Contacts Contact information is only displayed when the study is recruiting subjects
Listed Location Countries China
Removed Location Countries  
 
Administrative Information
NCT Number NCT03926234
Other Study ID Numbers 2018ZH012
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: Undecided
Responsible Party Second Affiliated Hospital, School of Medicine, Zhejiang University
Study Sponsor Second Affiliated Hospital, School of Medicine, Zhejiang University
Collaborators Not Provided
Investigators Not Provided
PRS Account Second Affiliated Hospital, School of Medicine, Zhejiang University
Verification Date August 2019

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