At risk of undertriage? Testing the performance and accuracy of the emergency severity index in older emergency department patients

Annals of Emergency Medicine

Volumn 60, Issue 3, 2012, Pages 317-325

  Grossmann, Florian F ^a   Zumbrunn, Thomas ^a   Frauchiger, Anna ^a   Delport, Karen ^a   Bingisser, Roland ^a   Nickel, Christian H ^a  

^a UNIVERSITY HOSPITAL BASEL   (Switzerland)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTICLE; COHORT ANALYSIS; DIAGNOSTIC ACCURACY; DISEASE SEVERITY; EMERGENCY HEALTH SERVICE; EMERGENCY SEVERITY INDEX; EMERGENCY WARD; FEMALE; GERIATRIC PATIENT; HEALTH CARE UTILIZATION; HIGH RISK PATIENT; HUMAN; INTERRATER RELIABILITY; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICAL PRACTICE; MORTALITY; PHYSICAL EXAMINATION; PREDICTIVE VALIDITY; PRIORITY JOURNAL; SCREENING TEST; SENSITIVITY AND SPECIFICITY;

AGE FACTORS; AGED; AGED, 80 AND OVER; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOSPITAL MORTALITY; HUMANS; MALE; OBSERVER VARIATION; PROSPECTIVE STUDIES; REPRODUCIBILITY OF RESULTS; SENSITIVITY AND SPECIFICITY; SEVERITY OF ILLNESS INDEX; TRIAGE;

EID: 84865113605     PISSN: 01960644     EISSN: 10976760     Source Type: Journal    
DOI: 10.1016/j.annemergmed.2011.12.013     Document Type: Article

References (43)

1. F. Aminzadeh, W.B. Dalziel Older adults in the emergency department: a systematic review of patterns of use, adverse outcomes, and effectiveness of interventions Ann Emerg Med 39 2002 238 247 (Pubitemid 34219636)
2. J. McCusker, S. Cardin, F. Bellavance Return to the emergency department among elders: patterns and predictors Acad Emerg Med 7 2000 249 259 (Pubitemid 30133938)
3. D.P. Sklar, C.S. Crandall, E. Loeliger Unanticipated death after discharge home from the emergency department Ann Emerg Med 49 2007 735 745 (Pubitemid 46778876)
4. M.H. Chin, L. Jin, T.G. Karrison Older patients' health-related quality of life around an episode of emergency illness Ann Emerg Med 34 1999 595 603 (Pubitemid 29510911)
5. S.J. Denman, W.H. Ettinger, B.A. Zarkin Short-term outcomes of elderly patients discharged from an emergency department J Am Geriatr Soc 37 1989 937 943 (Pubitemid 19253213)
6. T.M. Hogan, E.D. Losman, C.R. Carpenter Development of geriatric competencies for emergency medicine residents using an expert consensus process Acad Emerg Med 17 2010 316 324
7. A.B. Sanders The training of emergency medical technicians in geriatric emergency medicine J Emerg Med 14 1996 499 500
8. J.S. Jones, E.W. Rousseau, M.A. Schropp Geriatric training in emergency medicine residency programs Ann Emerg Med 21 1992 825 829
9. R.M. McNamara, E. Rousseau, A.B. Sanders Geriatric emergency medicine: a survey of practicing emergency physicians Ann Emerg Med 21 1992 796 801
10. M.H. Ma, E.J. MacKenzie, R. Alcorta Compliance with prehospital triage protocols for major trauma patients J Trauma 46 1999 168 175 (Pubitemid 29052994)
11. S. Phillips, P.C. Rond 3rd, S.M. Kelly The failure of triage criteria to identify geriatric patients with trauma: results from the Florida Trauma Triage Study J Trauma 40 1996 278 283 (Pubitemid 26064426)
12. R. Lehmann, A. Beekley, L. Casey The impact of advanced age on trauma triage decisions and outcomes: a statewide analysis Am J Surg 197 2009 571 574 discussion 4-5
13. O.T. Rutschmann, T. Chevalley, C. Zumwald Pitfalls in the emergency department triage of frail elderly patients without specific complaints Swiss Med Wkly 135 2005 145 150 (Pubitemid 40461245)
14. C.R. Carpenter, L.W. Gerson Geriatric emergency medicine J. LoCicero, R.A. Rosenthal, M.R. Katlic, A Supplement to New Frontiers in Geriatric Research: An Agenda for Surgical and Related Medical Specialities 2007 American Geriatric Society New York, NY 45 71
15. D.R. Eitel, D.A. Travers, A.M. Rosenau The Emergency Severity Index triage algorithm version 2 is reliable and valid Acad Emerg Med 10 2003 1070 1080 (Pubitemid 37209958)
16. R.C. Wuerz, L.W. Milne, D.R. Eitel Reliability and validity of a new five-level triage instrument Acad Emerg Med 7 2000 236 242 (Pubitemid 30133936)
17. P. Tanabe, R. Gimbel, P.R. Yarnold Reliability and validity of scores on the Emergency Severity Index version 3 Acad Emerg Med 11 2004 59 65 (Pubitemid 38055787)
18. C.M. Fernandes, P. Tanabe, N. Gilboy Five-level triage: a report from the ACEP/ENA Five-level Triage Task Force J Emerg Nurs 31 2005 39 50 (Pubitemid 40186235)
19. F.F. Grossmann, C.H. Nickel, M. Christ Transporting clinical tools to new settings: cultural adaptation and validation of the Emergency Severity Index in German Ann Emerg Med 57 2011 257 264
20. T.F. Platts-Mills, D. Travers, K. Biese Accuracy of the Emergency Severity Index triage instrument for identifying elder emergency department patients receiving an immediate life-saving intervention Acad Emerg Med 17 2010 238 243
21. M.R. Baumann, T.D. Strout Triage of geriatric patients in the emergency department: validity and survival with the Emergency Severity Index Ann Emerg Med 49 2007 234 240 (Pubitemid 46108132)
22. N. Gilboy, P. Tanabe, D.A. Travers Emergency Severity Index, Version 4: Implementation Handbook 2005 Agency for Healthcare Research and Quality Rockville, MD
23. M. Nemec, M.T. Koller, C.H. Nickel Patients presenting to the emergency department with non-specific complaints: the Basel Non-specific Complaints (BANC) study Acad Emerg Med 17 2010 284 292
24. U. Safwenberg, A. Terent, L. Lind The emergency department presenting complaint as predictor of in-hospital fatality Eur J Emerg Med 14 2007 324 331 (Pubitemid 350035770)
25. E.H. Gilbert, S.R. Lowenstein, J. Koziol-McLain Chart reviews in emergency medicine research: where are the methods? Ann Emerg Med 27 1996 305 308 (Pubitemid 26085005)
26. R Development Core Team R: A Language and Environment for Statistical Computing 2011 R Foundation for Statistical Computing Vienna, Austria
27. A.K. Andersson, M. Omberg, M. Svedlund Triage in the emergency departmenta qualitative study of the factors which nurses consider when making decisions Nurs Crit Care 11 2006 136 145
28. M.R. Baumann, T.D. Strout Evaluation of the Emergency Severity Index (version 3) triage algorithm in pediatric patients Acad Emerg Med 12 2005 219 224 (Pubitemid 40248881)
29. J.G. Adair The Hawthorne effect: a reconsideration of the methodological artifact J Appl Psychol 69 1984 334 345
30. D.C. Chang, R.R. Bass, E.E. Cornwell Undertriage of elderly trauma patients to state-designated trauma centers Arch Surg 143 2008 776 781 discussion 782
31. S.W. Meldon, C.L. Emerman, D.S. Schubert Depression in geriatric ED patients: prevalence and recognition Ann Emerg Med 30 1997 141 145 (Pubitemid 27334895)
32. F. Salvi, V. Morichi, A. Grilli The elderly in the emergency department: a critical review of problems and solutions Intern Emerg Med 2 2007 292 301
33. J. McCusker, R. Ionescu-Ittu, A. Ciampi Hospital characteristics and emergency department care of older patients are associated with return visits Acad Emerg Med 14 2007 426 433 (Pubitemid 46584815)
34. S. Elmstahl, C. Wahlfrid Increased medical attention needed for frail elderly initially admitted to the emergency department for lack of community support Aging (Milano) 11 1999 56 60 (Pubitemid 29174103)
35. K.P. Alexander, L.K. Newby, C.P. Cannon Acute coronary care in the elderly, part I: non-ST-segment-elevation acute coronary syndromes: a scientific statement for healthcare professionals from the American Heart Association Council on Clinical Cardiology: in collaboration with the Society of Geriatric Cardiology Circulation 115 2007 2549 2569 (Pubitemid 46766536)
36. J.P. Metlay, R. Schulz, Y.H. Li Influence of age on symptoms at presentation in patients with community-acquired pneumonia Arch Intern Med 157 1997 1453 1459 (Pubitemid 27300393)
37. T. Olsson, A. Terent, L. Lind Charlson Comorbidity Index can add prognostic information to Rapid Emergency Medicine Score as a predictor of long-term mortality Eur J Emerg Med 12 2005 220 224
38. C.H. Nickel, M. Nemec, R. Bingisser Weakness as presenting symptom in the emergency department Swiss Med Wkly 139 2009 271 272
39. W.M. Chew, D.M. Birnbaumer Evaluation of the elderly patient with weakness: an evidence based approach Emerg Med Clin North Am 17 1999 265 278 x (Pubitemid 29147016)
40. J.M. Pines, J.M. Prosser, W.W. Everett Predictive values of triage temperature and pulse for antibiotic administration and hospital admission in elderly patients with potential infection Am J Emerg Med 24 2006 679 683 (Pubitemid 44374883)
41. W.S. Lim, J.T. Macfarlane Defining prognostic factors in the elderly with community acquired pneumonia: a case controlled study of patients aged > or=75 yrs Eur Respir J 17 2001 200 205
42. C.A. Marco, C.N. Schoenfeld, K.N. Hansen Fever in geriatric emergency patients: clinical features associated with serious illness Ann Emerg Med 26 1995 18 24
43. M. Twomey, L.A. Wallis, J.E. Myers Limitations in validating emergency department triage scales Emerg Med J 24 2007 477 479 (Pubitemid 47034090)