OBJECTIVES: To determine the validity of the @entity262 ( @entity262 ) in emergency care for the general population of @entity1 attending the emergency department, for @entity1 and elderly, and for commonly used @entity262 flowcharts and discriminators across three different emergency care settings. METHODS: This was a prospective observational study in three European emergency departments. All consecutive @entity1 attending the emergency department during a 1-year study period (2010-2012) were included. Validity of the @entity262 was assessed by comparing @entity262 urgency as determined by triage nurses with @entity1 urgency according to a predefined 3-category reference standard as proxy for true @entity1 urgency. RESULTS: 288,663 @entity1 were included in the analysis. Sensitivity of the @entity262 in the three hospitals ranged from 0.47 (95%CI 0.44-0.49) to 0.87 (95%CI 0.85-0.90), and specificity from 0.84 (95%CI 0.84-0.84) to 0.94 (95%CI 0.94-0.94) for the triage of adult @entity1 . In @entity1 , sensitivity ranged from 0.65 (95%CI 0.61-0.70) to 0.83 (95%CI 0.79-0.87), and specificity from 0.83 (95%CI 0.82-0.83) to 0.89 (95%CI 0.88-0.90). The diagnostic odds ratio ranged from 13.5 (95%CI 12.1-15.0) to 35.3 (95%CI 28.4-43.9) in adults and from 9.8 (95%CI 6.7-14.5) to 23.8 (95%CI 17.7-32.0) in @entity1 , and was lowest in the youngest @entity1 in 2 out of 3 settings and in the oldest @entity1 in all settings. Performance varied considerably between the different emergency departments. CONCLUSIONS: Validity of the @entity262 in emergency care is moderate to good, with lowest performance in the young and elderly @entity1 . Future studies on the validity of triage systems should be restricted to large, multicenter studies to define modifications and improve generalizability of the findings.

Validity of the XXXX in emergency care: A prospective observational study.

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'patient'] @entity262 :: ('MESH:D034721', 'Disease') :: ['MTS', 'Manchester Triage System']
@entity262 :: (MESH:D034721,Disease) :: ['Manchester Triage System']
