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BACKGROUND : The Paediatric Canadian Triage and Acuity Scale

III. V. I. II. IV. V. I. II. III. IV. EVALUATION OF THE PAEDIATRIC CANADIAN TRIAGE AND ACUITY SCALE IN A PEDIATRIC EMERGENCY DEPARTMENT IN BASQUE COUNTRY (SPAIN). EMERGENCY DEPARTMENT.

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BACKGROUND : The Paediatric Canadian Triage and Acuity Scale

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  1. III V I II IV V I II III IV EVALUATION OF THE PAEDIATRIC CANADIAN TRIAGE AND ACUITY SCALE IN A PEDIATRIC EMERGENCY DEPARTMENT IN BASQUE COUNTRY (SPAIN). EMERGENCY DEPARTMENT. Benito-Fernández, Javier; Galárraga-Martín, Begoña; Ares-Ares, Maribel; Sánchez-Echaniz , Jesús; Mintegi-Raso, Santiago; Fernández Landaluce, Ana. Pediatric Emergency Department, Hospital de Cruces. Basque Country (Spain) BACKGROUND: The Paediatric Canadian Triage and Acuity Scale (PaedCTAS) has been implemented in Canadian emergency departments in the last 5 years. To maximize resources use, a new computerized triage system based on PaedCTAS was implemented in our ED on January 2007 Nombre y 2 apellidos Objective: To assess the performance of the newly implemented PaedCTAS triage system in an European pediatric emergency department (PED). Design and Methods: A retrospective study evaluating all patients triaged in an urban tertiary hospital during a 4 months period was performed. Data were obtained from our PED computerized system. Triage duration; waiting time to nurse and physician; fractile response rates; laboratory and radiologic diagnostic interventions; lenght of stay and hospitalization rate were stratified by triage level. Digital print 95% triage process <5 min 99% classified in <10min after arrival Laboratory/Rx interventions Waiting times to physician Jan.– April 2007 17.646 visits p < 0,001 Hospitalization p < 0,001 CONCLUSIONS: The CTAS is adaptable to countries beyond Canada and its operating objectives are achievable. Time to triage and fractile response rates can be considered indicators of triage quality and PED performance. PaedCTAS is a valid instrument for predicting length of stay and hospitalization rates however their standards values should be revised towards a low range when is implemented in a PED.

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