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The Canadian Triage and Acuity Scale for Children; A Prospective Multi-Center Evaluation. (PERC CTAS)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT00807352
Recruitment Status : Completed
First Posted : December 11, 2008
Last Update Posted : August 5, 2011
Sponsor:
Collaborators:
SickKids Foundation
Canadian Institutes of Health Research (CIHR)
Information provided by:
St. Justine's Hospital

Tracking Information
First Submitted Date December 10, 2008
First Posted Date December 11, 2008
Last Update Posted Date August 5, 2011
Study Start Date April 2009
Actual Primary Completion Date March 2011   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: December 10, 2008)
  • 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 ]
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures
 (submitted: December 10, 2008)
  • 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 ]
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title The Canadian Triage and Acuity Scale for Children; A Prospective Multi-Center Evaluation.
Official Title The Canadian Triage and Acuity Scale for Children; A Prospective Multi-Center Evaluation.
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.
Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population All children presenting to a pediatric emergency department
Condition
  • Triage
  • Pediatrics
Intervention Not Provided
Study 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
Publications *

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Completed
Actual Enrollment
 (submitted: August 4, 2011)
1464
Original Estimated Enrollment
 (submitted: December 10, 2008)
1500
Actual Study Completion Date March 2011
Actual Primary Completion Date March 2011   (Final data collection date for primary outcome measure)
Eligibility 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.
Sex/Gender
Sexes Eligible for Study: All
Ages up to 18 Years   (Child, Adult)
Accepts Healthy Volunteers Yes
Contacts Contact information is only displayed when the study is recruiting subjects
Listed Location Countries Canada
Removed Location Countries  
 
Administrative Information
NCT Number NCT00807352
Other Study ID Numbers PERC CTAS
Grant No. XG09-049R
Has Data Monitoring Committee No
U.S. FDA-regulated Product Not Provided
IPD Sharing Statement Not Provided
Current Responsible Party Jocelyn Gravel, MD, MSC, CHU Sainte-Justine
Original Responsible Party Same as current
Current Study Sponsor St. Justine's Hospital
Original Study Sponsor Same as current
Collaborators
  • SickKids Foundation
  • Canadian Institutes of Health Research (CIHR)
Investigators
Principal Investigator: Jocelyn Gravel, MD St. Justine's Hospital
PRS Account St. Justine's Hospital
Verification Date July 2011