2015
DOI: 10.5055/ajdm.2015.0184
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Comparison of START triage categories to emergency department triage levels to determine need for urgent care and to predict hospitalization

Abstract: ESI better identified patients with abnormal vital signs, those who needed emergent interventions, and those admitted than START.

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Cited by 11 publications
(4 citation statements)
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“…No matter what the chosen interval is, there is always gray areas (compare the casualty with RR = 29/min vs > 30/min). The interval chosen for the final system was just the interval that covered the whole spectrum of the four alternatives ( START/mSTART: no lower limit, just > 30/min, FDNY-START; 10–30/min, MPTT: 11–22/min, and TS: 9–30/min ) [ 13 , 45 , 46 , 64 ].…”
Section: Discussionmentioning
confidence: 99%
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“…No matter what the chosen interval is, there is always gray areas (compare the casualty with RR = 29/min vs > 30/min). The interval chosen for the final system was just the interval that covered the whole spectrum of the four alternatives ( START/mSTART: no lower limit, just > 30/min, FDNY-START; 10–30/min, MPTT: 11–22/min, and TS: 9–30/min ) [ 13 , 45 , 46 , 64 ].…”
Section: Discussionmentioning
confidence: 99%
“…Historically, a palpable radial pulse has been equated to a systolic blood pressure (SBP) of > 80–90 mmHg [ 1 , 13 , 18 , 45 ] and an SBP of < 90 mmHg is widely taught as a sign of shock [ 68 ] or the limit of clinical hypotension. The broad term of shock is applicable to the trauma casualty primarily as a function of hypovolemia due to major hemorrhage.…”
Section: Discussionmentioning
confidence: 99%
“…Regarding over-triage, all patients but 2 (4.2%) of triage levels I and II were admitted to the ICU. Previous studies showed that prehospital triage had a high over-triage rate [ 6 8 ]. Kahn et al conducted an outcome assessment after a true disaster to determine whether START triage levels match patients’ actual clinical status [ 6 ].…”
Section: Discussionmentioning
confidence: 99%
“…A responder first identifies walking wounded patients (green), followed by sorting patients into immediate (red) and delay (yellow) based on respiratory rate, perfusion, and mental status. A previous study, which evaluated the performance of START via a retrospective review, showed poor agreement between triage levels and outcomes [ 6 8 ]. There were concerns about the insufficiency of using START triage in mass burn casualty (MBC) incidents [ 2 ].…”
Section: Introductionmentioning
confidence: 99%