Assessing the validity of the Triage Risk Screening Tool in a third world setting

Lalla, Ravi; Sammy, Ian; Paul, Joanne; Nunes, Paula; Maharaj, Vidya Ramcharitar; Robertson, Paul L.

doi:10.1177/0300060517714935

Cited by 3 publications

(2 citation statements)

References 11 publications

(25 reference statements)

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“…Study authors were contacted regarding administration time if clarification was needed from the research article. Some of the instruments were ultra-short to administer (<2 min), such as the Bergman Paris Question (BPQ) [ 35 ] and Variable Indicator of Risk Placement (VIP) [ 10 , 37 , 38 ], while others were performed in more than one stage, such as the Triage Risk Screening Tool (TRST) [ 36 ], with its initial screen, the Emergency-TRST (E-TRST), usually taking less than 2 min [ 39 ]. From previous studies in ED, usual administration times for the ISAR vary from 2 to 5 min [ 40 ], while the FRESH instrument is recorded as taking ≤5 min [ 34 ].…”

Section: Resultsmentioning

confidence: 99%

Diagnostic Accuracy of Frailty Screening Instruments Validated for Use among Older Adults Attending Emergency Departments: A Systematic Review and Meta-Analysis

Moloney

O’Donovan

Sezgin

et al. 2023

IJERPH

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Early identification of frailty can prevent functional decline. Although multiple frailty screens exist for use in Emergency Departments (EDs), few are validated against diagnostic standards such as comprehensive geriatric assessment. To examine the diagnostic accuracy of ED screens for frailty, scientific databases were searched for prospective diagnostic accuracy test studies from January 2000 to September 2022. Studies were assessed for risk of bias using QUADAS-C. Psychometric properties were extracted and analysed using R. Six studies involving 1,663 participants describing seven frailty screening instruments (PRISMA-7, CFS, VIP, FRESH, BPQ, TRST, and ISAR), representing 13 unique data points, were included. The mean age of participants ranged from 76 to 86 years. The proportion that was female ranged from 45 to 60%. The pooled prevalence rate of frailty was high at 59%. The pooled estimate for sensitivity was 0.85 (95% CI: 0.76–0.91) versus 0.77 (95% CI: 0.62–0.88) for specificity. Pooled accuracy based on area under the ROC curve was 0.89 (95% CI: 0.86–0.90). Although few studies were found, limiting the ability to conduct a meta-analysis of individual instruments, available frailty screens can accurately diagnose frailty in older adults attending the ED. As specificity was comparatively low, additional assessment may be required to identify those requiring inpatient management or onward community referral. Further study is therefore required.

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Section: Resultsmentioning

confidence: 99%

Diagnostic Accuracy of Frailty Screening Instruments Validated for Use among Older Adults Attending Emergency Departments: A Systematic Review and Meta-Analysis

Moloney

O’Donovan

Sezgin

et al. 2023

IJERPH

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“…Lalla et al 22 reported on the use of another triage tool, but this time in geriatric patients, an increasingly important patient cohort in low-and middle-income countries. They found that the Triage Risk Screening Tool was more accurate in detecting elderly patients in need of a social services intervention at the time of discharge from the ED when compared to routine assessment.…”

Section: Discussionmentioning

confidence: 99%

Global Emergency Medicine: A Review of the Literature From 2017

Becker

Trehan²,

Hayward

et al. 2018

Academic Emergency Medicine

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Objectives: The Global Emergency Medicine Literature Review (GEMLR) conducts an annual search of peerreviewed and gray literature relevant to global emergency medicine (EM) to identify, review, and disseminate the most important new research in this field to a global audience of academics and clinical practitioners.Methods: This year, 17,722 articles written in three languages were identified by our electronic search. These articles were distributed among 20 reviewers for initial screening based on their relevance to the field of global EM. Another two reviewers searched the gray literature, yielding an additional 11 articles. All articles that were deemed appropriate by at least one reviewer and approved by their editor underwent formal scoring of overall quality and importance. Two independent reviewers scored all articles.Results: A total of 848 articles met our inclusion criteria and underwent full review. Sixty-three percent were categorized as emergency care in resource-limited settings, 23% as disaster and humanitarian response, and 14% as EM development. Twenty-one articles received scores of 18.5 or higher out of a maximum score 20 and were selected for formal summary and critique. Inter-rater reliability testing between reviewers revealed a Cohen's kappa of 0.344. Conclusions:In 2017, the total number of articles identified by our search continued to increase. Studies and reviews with a focus on infectious diseases, pediatrics, and trauma represented the majority of top-scoring articles.T he Global Emergency Medicine Literature Review (GEMLR) strives to improve the global practice of emergency medicine (EM) by facilitating emergency care practitioners' identification of the most current and important research conducted on relevant topics around the world. Our review began in 2005 in an attempt to identify and consolidate the relevant global EM literature into a format that is readily available to academics and clinicians. [1][2][3][4][5][6][7][8][9][10][11][12] This year, our panel of reviewers and editors included physicians from Australia, Canada, Ethiopia, Ghana, Laos, Rwanda, and the United States.Our group strives to identify the most relevant practice-changing articles, by scouring both the peerreviewed and the gray literature via a comprehensive search strategy. Gray literature has been defined as any material produced by an organization whose primary function is not peer-reviewed academic publication. 13Our goal in performing a gray literature search is to identify new global EM research conducted by government agencies, local or international nongovernmental organizations, or other entities that may not have been published in peer-reviewed journals.The primary goals of the review are to illustrate best practices, stimulate research, and promote further professionalization in the field of global EM through the identification of important new publications that focus on emergency care in the global context, especially emergency care provision in limited-resource settings, disaster and hum...

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Lung Cancer: New Directions in Senior Patients Assessment

Pîslaru,

Albișteanu,

Ilie

et al. 2024

Geriatrics

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Age is but one significant prognostic factor in lung cancer, influencing survival, treatment response, and outcomes. This narrative review synthesizes findings from searches of 11 leading databases of research studies, systematic reviews, book chapters, and clinical trial reports on lung cancer in senior patients, with a focus on geriatric assessment as well as biomarkers. Key prognostic factors for lung cancer in seniors include biological age, functional capability, physical and psychological comorbidities, frailty, nutrition, status, and biomarkers like DNA methylation age. We identified the most valuable assessments that balance efficacy with quality of life. Optimizing care and improving outcomes with senior lung cancer patients benefits from a tailored therapeutic approach incorporating a complex geriatric assessment. A multidisciplinary collaboration between geriatricians, oncologists, and pulmonologists is crucial.

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Assessing the validity of the Triage Risk Screening Tool in a third world setting

Cited by 3 publications

References 11 publications

Diagnostic Accuracy of Frailty Screening Instruments Validated for Use among Older Adults Attending Emergency Departments: A Systematic Review and Meta-Analysis

Diagnostic Accuracy of Frailty Screening Instruments Validated for Use among Older Adults Attending Emergency Departments: A Systematic Review and Meta-Analysis

Global Emergency Medicine: A Review of the Literature From 2017

Lung Cancer: New Directions in Senior Patients Assessment

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