Department of Paediatrics, Erasmus MC-Sophia Children's Hospital, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Scand J Trauma Resusc Emerg Med. 2009 Aug 27;17:38. doi: 10.1186/1757-7241-17-38.
Triage in paediatric emergency care is an important tool to prioritize seriously ill children. Triage can also be used to identify patients who do not need urgent care and who can safely wait. The aim of this review was to provide an overview of the literature on reliability and validity of current triage systems in paediatric emergency care
We performed a search in Pubmed and Cochrane on studies on reliability and validity of triage systems in children
The Manchester Triage System (MTS), the Emergency Severity Index (ESI), the Paediatric Canadian Triage and Acuity Score (paedCTAS) and the Australasian Triage Scale (ATS) are common used triage systems and contain specific parts for children. The reliability of the MTS is good and reliability of the ESI is moderate to good. Reliability of the paedCTAS is moderate and is poor to moderate for the ATS.The internal validity is moderate for the MTS and confirmed for the CTAS, but not studied for the most recent version of the ESI, which contains specific fever criteria for children.
The MTS and paedCTAS both seem valid to triage children in paediatric emergency care. Reliability of the MTS is good, moderate to good for the ESI and moderate for the paedCTAS. More studies are necessary to evaluate if one triage system is superior over other systems when applied in emergency care.
儿科急救中的分诊是优先处理重病儿童的重要工具。分诊还可用于识别不需要紧急护理且可以安全等待的患者。本综述的目的是提供儿科急救中当前分诊系统的可靠性和有效性的文献综述。
我们在 Pubmed 和 Cochrane 上搜索了关于儿童分诊系统可靠性和有效性的研究。
曼彻斯特分诊系统（MTS）、紧急严重程度指数（ESI）、加拿大儿科分诊和急症评分（paedCTAS）和澳大利亚分诊量表（ATS）是常用的分诊系统，包含针对儿童的特定部分。MTS 的可靠性良好，ESI 的可靠性为中等至良好。paedCTAS 的可靠性为中等，ATS 的可靠性为差至中等。MTS 的内部有效性为中等，CTAS 得到了证实，但最新版本的 ESI 未进行研究，该版本包含儿童特定的发热标准。
MTS 和 paedCTAS 似乎都可用于儿科急救中的儿童分诊。MTS 的可靠性良好，ESI 的可靠性为中等至良好，paedCTAS 的可靠性为中等。需要更多的研究来评估在急诊护理中应用时，一种分诊系统是否优于其他系统。
