NDLI: The predictive validity of RETTS-HEV as an acuity triage tool in the emergency department of a Danish Regional Hospital.

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The predictive validity of RETTS-HEV as an acuity triage tool in the emergency department of a Danish Regional Hospital.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Pérez, Noel Nissen, Louise Nielsen, Rasmus F. Petersen, Poul Biering, Karin
Spatial Coverage	Denmark
Description	Country affiliation: Denmark Author Affiliation: Pérez N ( Departments of aEmergency bOccupational Medicine, Regional Hospital of Herning, Herning, Denmark.)
Abstract	INTRODUCTION: The Rapid Emergency Triage and Treatment System - Hospital Unit West (RETTS-HEV) is a triage system used in the emergency department (ED) in Herning, Denmark, since 2010. It categorizes patients according to priority and defines a time limit on how long patients can wait before being seen by a doctor depending on the severity of their condition. The purpose of this study was to determine the predictive validity of RETTS-HEV by measuring the association between triage scores and outcomes such as the admission rate, the length of stay (LOS), and mortality. MATERIALS AND METHODS: We performed an observational cohort study by examining the medical records of all patients who attended the ED from 1 September 2012 to 30 November 2012, at the Regional Hospital West Jutland in Herning, Denmark (N=4680). We defined the following outcomes to make associations with the patients' triage category: in-hospital mortality, and 30, 60, and 90-day mortalities, the hospital LOS and the admission rate, on the basis of complete information from the Danish National Patient Registry. RESULTS: The distribution of age, comorbidity, admission, LOS, and mortality over triage categories differed as expected. After making adjustments for these differences, we found a consistent association between triage categories and in-hospital mortality, and 30, 60, and 90-day mortalities, the hospital LOS, and the admission rate. CONCLUSION: RETTS-HEV was found to be closely related to all examined outcomes, and therefore useful in the risk stratification of ED patients.
File Format	HTM / HTML
ISSN	09699546
Issue Number	1
Volume Number	23
e-ISSN	14735695
Journal	European Journal of Emergency Medicine
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2016-02-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Emergency Medicine Emergency Service, Hospital Statistics & Numerical Data Hospital Mortality Trends Patient Admission Triage Standards Adult Aged Cohort Studies Denmark Emergency Nursing Organization & Administration Female Hospitals, General Humans Length Of Stay Male Middle Aged Nursing Diagnosis Predictive Value Of Tests Time Factors Journal Article Observational Study Research Support, Non-u.s. Gov't Validation Studies
Content Type	Text
Resource Type	Article
Subject	Emergency Medicine

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