Journal Article > CommentaryFull Text
Emerg Med J. 21 August 2024; Volume 41 (Issue 9); 560.; DOI:10.1136/emermed-2024-214173
Potet J
Emerg Med J. 21 August 2024; Volume 41 (Issue 9); 560.; DOI:10.1136/emermed-2024-214173
Journal Article > ResearchFull Text
Emerg Med J. 16 March 2018; Volume 35 (Issue 6); DOI:10.1136/emermed-2017-207062
Dalwai MK, Tayler-Smith K, Twomey M, Nasim M, Popal AQ, et al.
Emerg Med J. 16 March 2018; Volume 35 (Issue 6); DOI:10.1136/emermed-2017-207062
The South African Triage Scale (SATS) has demonstrated good validity in the EDs of Médecins Sans Frontières (MSF)-supported sites in Afghanistan and Haiti; however, corresponding reliability in these settings has not yet been reported on. This study set out to assess the inter-rater and intrarater reliability of the SATS in four MSF-supported EDs in Afghanistan and Haiti (two trauma-only EDs and two mixed (including both medical and trauma cases) EDs).
Journal Article > CommentaryAbstract
Emerg Med J. 27 May 2016; Volume 33 (Issue 12); DOI:10.1136/emermed-2016-205917
Malinverni S
Emerg Med J. 27 May 2016; Volume 33 (Issue 12); DOI:10.1136/emermed-2016-205917
Journal Article > ResearchFull Text
Emerg Med J. 10 November 2021; Volume 39 (Issue 8); 628-633.; DOI:10.1136/emermed-2020-209470
Daebes HL, Tounsi LL, Nerlander M, Gerdin M, Jaweed M, et al.
Emerg Med J. 10 November 2021; Volume 39 (Issue 8); 628-633.; DOI:10.1136/emermed-2020-209470
BACKGROUND
Five million people die annually due to injuries; an increasing part is due to armed conflict in low-income and middle-income countries, demanding resolute emergency trauma care. In Afghanistan, a low-income country that has experienced conflict for over 35 years, conflict related trauma is a significant public health problem. To address this, the non-governmental organisation Médecins Sans Frontières (MSF) set up a trauma centre in Kunduz (Kunduz Trauma Centre (KTC)). MSF's standardised emergency operating procedures include the South African Triage Scale (SATS). To date, there are few studies that assess how triage levels correspond with outcome in low-resource conflict settings.
AIM
This study aims to assess to what extent SATS triage levels correlated to outcomes in terms of hospital admission, intensive care unit (ICU) admission and mortality for patients treated at KTC.
METHOD AND MATERIALS
This retrospective study used routinely collected data from KTC registries. A total of 17 970 patients were included. The outcomes were hospital admission, ICU admission and mortality. The explanatory variable was triage level. Covariates including age, gender and delay to arrival were used. Logistic regression was used to study the correlation between triage level and outcomes.
RESULTS
Out of all patients seeking care, 28.7% were triaged as red or orange. The overall mortality was 0.6%. In total, 90% of those that died and 79% of ICU-admitted patients were triaged as red.
CONCLUSION
The risk of positive and negative outcomes correlated with triage level. None of the patients triaged as green died or were admitted to the ICU whereas 90% of patients who died were triaged as red.
Five million people die annually due to injuries; an increasing part is due to armed conflict in low-income and middle-income countries, demanding resolute emergency trauma care. In Afghanistan, a low-income country that has experienced conflict for over 35 years, conflict related trauma is a significant public health problem. To address this, the non-governmental organisation Médecins Sans Frontières (MSF) set up a trauma centre in Kunduz (Kunduz Trauma Centre (KTC)). MSF's standardised emergency operating procedures include the South African Triage Scale (SATS). To date, there are few studies that assess how triage levels correspond with outcome in low-resource conflict settings.
AIM
This study aims to assess to what extent SATS triage levels correlated to outcomes in terms of hospital admission, intensive care unit (ICU) admission and mortality for patients treated at KTC.
METHOD AND MATERIALS
This retrospective study used routinely collected data from KTC registries. A total of 17 970 patients were included. The outcomes were hospital admission, ICU admission and mortality. The explanatory variable was triage level. Covariates including age, gender and delay to arrival were used. Logistic regression was used to study the correlation between triage level and outcomes.
RESULTS
Out of all patients seeking care, 28.7% were triaged as red or orange. The overall mortality was 0.6%. In total, 90% of those that died and 79% of ICU-admitted patients were triaged as red.
CONCLUSION
The risk of positive and negative outcomes correlated with triage level. None of the patients triaged as green died or were admitted to the ICU whereas 90% of patients who died were triaged as red.