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History of Changes for Study: NCT00807352
The Canadian Triage and Acuity Scale for Children; A Prospective Multi-Center Evaluation. (PERC CTAS)
Latest version (submitted August 4, 2011) on ClinicalTrials.gov
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Study Record Versions
Version A B Submitted Date Changes
1 December 10, 2008 None (earliest Version on record)
2 September 19, 2009 Recruitment Status, Study Status and Contacts/Locations
3 August 10, 2010 Study Status
4 August 4, 2011 Recruitment Status, Study Status, Contacts/Locations and Study Design
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Study NCT00807352
Submitted Date:  December 10, 2008 (v1)

Open or close this module Study Identification
Unique Protocol ID: PERC CTAS
Brief Title: The Canadian Triage and Acuity Scale for Children; A Prospective Multi-Center Evaluation. (PERC CTAS)
Official Title: The Canadian Triage and Acuity Scale for Children; A Prospective Multi-Center Evaluation.
Secondary IDs: Grant No. XG09-049R
Open or close this module Study Status
Record Verification: December 2008
Overall Status: Not yet recruiting
Study Start: March 2009
Primary Completion:
Study Completion:
First Submitted: December 10, 2008
First Submitted that
Met QC Criteria:
December 10, 2008
First Posted: December 11, 2008 [Estimate]
Last Update Submitted that
Met QC Criteria:
December 10, 2008
Last Update Posted: December 11, 2008 [Estimate]
Open or close this module Sponsor/Collaborators
Sponsor: St. Justine's Hospital
Responsible Party:
Collaborators: SickKids Foundation
Canadian Institutes of Health Research (CIHR)
Open or close this module Oversight
U.S. FDA-regulated Drug:
U.S. FDA-regulated Device:
Data Monitoring: No
Open or close this module Study Description
Brief Summary: The aim of this study is to evaluate the validity and the reproducibility of the canadian triage and acuity scale when applied by regular nurses for the triage of children in the Emergency Department.
Detailed Description: The role of triage in the Emergency Department (ED) is to assign high priority to patients who need urgent care while identifying patients that may be able to wait safely. The Canadian Triage and Acuity Scale (CTAS) is a triage tool constructed from a consensus of experts that is universally used in Canada. Until now, there has been no evaluation of the validity of the tool for children in a clinical context. Also, its inter-rater reproducibility has not been evaluated. The expected implementation of a revised version of the Canadian triage tool in 2008 would be an ideal moment to evaluate its validity and reproducibility. Specific objective: 1. To evaluate the validity of the CTAS for children visiting a pediatric ED and 2. To measure the inter-rater agreement for nurses using the CTAS in these settings.
Open or close this module Conditions
Conditions: Triage
Pediatrics
Keywords: Triage
Pediatrics
Emergency Department
Open or close this module Study Design
Study Type: Observational
Observational Study Model: Cohort
Time Perspective: Prospective
Biospecimen Retention:
Biospecimen Description:
Enrollment: 1500 [Anticipated]
Number of Groups/Cohorts 4
Open or close this module Groups and Interventions
Groups/Cohorts Interventions
level 2
Patients triaged level 2
level 3
patients triaged level 3
level 4
patients triaged level 4
level 5
patients triaged level 5
Open or close this module Outcome Measures
Primary Outcome Measures:
1. The inter-rater agreement between the two nurses measured by the weighted Kappa score
[ Time Frame: 15 minutes ]

2. The correlation between triage level and the hospitalisation rate
[ Time Frame: 1 day ]

Secondary Outcome Measures:
1. The correlation between triage level and admission to the intensive care unit
[ Time Frame: 1 day ]

2. The correlation between triage level and length of stay in the ED after being seen by a physician
[ Time Frame: 1 day ]

3. The correlation between triage level and resources use
[ Time Frame: 1 day ]

Open or close this module Eligibility
Study Population: All children presenting to a pediatric emergency department
Sampling Method: Non-Probability Sample
Minimum Age:
Maximum Age: 18 Years
Sex: All
Gender Based:
Accepts Healthy Volunteers: Yes
Criteria:

Inclusion Criteria:

  • Every patient younger than 18 years old that presents to the ED will be eligible except for those that need to go directly to the resuscitation room (triage level 1)

Exclusion Criteria:

  • For ethical reasons, patients that need an immediate treatment will not be recruited in the study.
  • Patients for whom an informed consent could not be obtained (example: insurmountable language barriers) will not be included.
Open or close this module Contacts/Locations
Central Contact Person: Jocelyn Gravel, MD
Telephone: 514-345-4919
Email: graveljocelyn@hotmail.com
Central Contact Backup: Serge Gouin, MD
Telephone: 514-345-4931
Email: sergegouin@aol.com
Study Officials: Jocelyn Gravel, MD
Principal Investigator
St. Justine's Hospital
Locations: Canada
Centre hospitalier de l'Université Laval
Quebec, Canada, G1V 4G2
Contact:Contact: Chantal Guimont, MD chantal.guimont@crchul.ulaval.ca
Canada, Alberta
Alberta Children's Hospital
Calgary, Alberta, Canada, T3B 6A8
Contact:Contact: Kelly Millar, MD kelly.millar@capitalhealth.ca
Stollery Children's Hospital
Edmonton, Alberta, Canada, T6G 2C8
Contact:Contact: Sarah Curtis, MD scurtis@ualberta.ca
Canada, British Columbia
BC Children's and Women's Hospital
Vancouver, British Columbia, Canada, V6H 3V4
Contact:Contact: Ran Goldman, MD rgoldman@cw.bc.ca
Contact:Principal Investigator: Ran Goldman, MD
Canada, Nova Scotia
IWK Heath Centre
Halifax, Nova Scotia, Canada, B3K 6R8
Contact:Contact: eleanor Fitzpatrick eleanor.fitzpatrick@iwk.nshealth.ca
Canada, Ontario
Children's Hospital of Western Ontario
London, Ontario, Canada, N6A 4G5
Contact:Contact: Gary Joubert, MD gary.joubert@lhsc.on.ca
Children's Hospital of Eastern Ontario
Ottawa, Ontario, Canada, K1H 8L1
Contact:Contact: Martin Osmond, MD osmond@cheo.on.ca
Contact:Principal Investigator: Martin Osmond, MD
The Hospital for Sick Children
Toronto, Ontario, Canada, M5G 1X8
Contact:Contact: Kathy Boutis, MD kboutis@mycybernet.net
Contact:Principal Investigator: Kathy Boutis, MD
Canada, Quebec
Montreal Children's Hospital
Montreal, Quebec, Canada, H3H 1P3
Contact:Contact: Maala Bhatt, MD maala.bhatt@muhc.mcgill.ca
CHU Sainte-Justine
Montreal, Quebec, Canada, H3T 1C5
Contact:Contact: Jocelyn Gravel, MD graveljocelyn@homail.com
Contact:Sub-Investigator: Serge Gouin, MD
Contact:Principal Investigator: Jocelyn Gravel, MD
Contact:Sub-Investigator: Devendra Amre, MD
Open or close this module IPDSharing
Plan to Share IPD:
Open or close this module References
Citations: Gravel J, Gouin S, Manzano S, Arsenault M, Amre D. Interrater agreement between nurses for the Pediatric Canadian Triage and Acuity Scale in a tertiary care center. Acad Emerg Med. 2008 Dec;15(12):1262-7. doi: 10.1111/j.1553-2712.2008.00268.x. Epub 2008 Oct 17. PubMed 18945238
Links:
Available IPD/Information:

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