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The Canadian Triage and Acuity Scale for Children; A Prospective Multi-Center Evaluation. (PERC CTAS)
This study has been completed.
Sponsor:
St. Justine's Hospital
Collaborators:
SickKids Foundation
Canadian Institutes of Health Research (CIHR)
Information provided by:
St. Justine's Hospital
ClinicalTrials.gov Identifier:
NCT00807352
First received: December 10, 2008
Last updated: August 4, 2011
Last verified: July 2011
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Purpose
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.
| Condition |
|---|
| Triage Pediatrics |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | The Canadian Triage and Acuity Scale for Children; A Prospective Multi-Center Evaluation. |
Further study details as provided by St. Justine's Hospital:
Primary Outcome Measures:
- The inter-rater agreement between the two nurses measured by the weighted Kappa score [ Time Frame: 15 minutes ]
- The correlation between triage level and the hospitalisation rate [ Time Frame: 1 day ]
Secondary Outcome Measures:
- The correlation between triage level and admission to the intensive care unit [ Time Frame: 1 day ]
- The correlation between triage level and length of stay in the ED after being seen by a physician [ Time Frame: 1 day ]
- The correlation between triage level and resources use [ Time Frame: 1 day ]
| Enrollment: | 1464 |
| Study Start Date: | April 2009 |
| Study Completion Date: | March 2011 |
| Primary Completion Date: | March 2011 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
level 2
Patients triaged level 2
|
|
level 3
patients triaged level 3
|
|
level 4
patients triaged level 4
|
|
level 5
patients triaged level 5
|
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.
Eligibility| Ages Eligible for Study: | up to 18 Years (Child, Adult) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
Study Population
All children presenting to a pediatric emergency department
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.
Contacts and Locations
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Please refer to this study by its ClinicalTrials.gov identifier: NCT00807352
Please refer to this study by its ClinicalTrials.gov identifier: NCT00807352
Locations
| Canada, Alberta | |
| Alberta Children's Hospital | |
| Calgary, Alberta, Canada, T3B 6A8 | |
| Stollery Children's Hospital | |
| Edmonton, Alberta, Canada, T6G 2C8 | |
| Canada, British Columbia | |
| BC Children's and Women's Hospital | |
| Vancouver, British Columbia, Canada, V6H 3V4 | |
| Canada, Nova Scotia | |
| IWK Heath Centre | |
| Halifax, Nova Scotia, Canada, B3K 6R8 | |
| Canada, Ontario | |
| Children's Hospital of Western Ontario | |
| London, Ontario, Canada, N6A 4G5 | |
| Children's Hospital of Eastern Ontario | |
| Ottawa, Ontario, Canada, K1H 8L1 | |
| The Hospital for Sick Children | |
| Toronto, Ontario, Canada, M5G 1X8 | |
| Canada, Quebec | |
| CHU Sainte-Justine | |
| Montreal, Quebec, Canada, H3T 1C5 | |
| Canada | |
| Centre hospitalier de l'Université Laval | |
| Quebec, Canada, G1V 4G2 | |
Sponsors and Collaborators
St. Justine's Hospital
SickKids Foundation
Canadian Institutes of Health Research (CIHR)
Investigators
| Principal Investigator: | Jocelyn Gravel, MD | St. Justine's Hospital |
More Information
Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Jocelyn Gravel, MD, MSC, CHU Sainte-Justine |
| ClinicalTrials.gov Identifier: | NCT00807352 History of Changes |
| Other Study ID Numbers: |
PERC CTAS Grant No. XG09-049R |
| Study First Received: | December 10, 2008 |
| Last Updated: | August 4, 2011 |
Keywords provided by St. Justine's Hospital:
|
Triage Pediatrics Emergency Department |
ClinicalTrials.gov processed this record on August 18, 2017