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Over-triage occurs when considering the patient’s pain in Korean Triage and Acuity Scale (KTAS)

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dc.contributor.author김민정-
dc.contributor.author김지훈-
dc.contributor.author박유석-
dc.contributor.author박인철-
dc.contributor.author이지환-
dc.contributor.author정성필-
dc.date.accessioned2019-07-23T06:36:55Z-
dc.date.available2019-07-23T06:36:55Z-
dc.date.issued2019-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/170235-
dc.description.abstractBACKGROUND: The Korean Triage and Acuity Scale (KTAS) was developed based on the Canadian Emergency Department Triage and Acuity Scale. In patients with pain, to determine the KTAS level, the pain scale is considered; however, since the degree of pain is subjective, this may affect the accuracy of KTAS. The purpose of this study was to evaluate the accuracy of KTAS in predicting patient's severity with the degree of pain used as a modifier. METHOD: A retrospective observational cohort study was conducted in an urban tertiary hospital emergency department (ED). We investigated patients over 16 years old from January to June 2016. The patients were divided into the pain and non-pain groups according to whether the degree of pain was used as a modifier or not. We compared the predictive power of KTAS on the urgency of patients between the two groups. Acute area registration in the ED, emergency procedure, emergency operation, hospitalization, intensive care unit admission, and 7-day mortality were used as markers to determine urgent patients. RESULTS: Overall, 24,253 patients were included in the study, with 9,175 (37.8%) in the pain group. The proportions of patients with KTAS 1-3 were 61.4% in the pain and 75.6% in the non-pain groups. Among patients with KTAS 2-3, the proportion of urgent patients was higher in the non-pain group than the pain group (p<0.001). The odds ratios for urgent patients at each KTAS level revealed a more evident discriminatory power of KTAS for urgent patients in the non-pain group. The predictability of KTAS for urgent patients was higher in the non-pain group than the pain group (area under the curve; 0.736 vs. 0.765, p-value <0.001). CONCLUSIONS: Considering the degree of pain with KTAS led to overestimation of patient severity and had a negative impact on the predictability of KTAS for urgent patients.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherPublic Library of Science-
dc.relation.isPartOfPLOS ONE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleOver-triage occurs when considering the patient’s pain in Korean Triage and Acuity Scale (KTAS)-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Emergency Medicine (응급의학교실)-
dc.contributor.googleauthorJi Hwan Lee-
dc.contributor.googleauthorYoo Seok Park-
dc.contributor.googleauthorIn Cheol Park-
dc.contributor.googleauthorHak Soo Lee-
dc.contributor.googleauthorJi Hoon Kim-
dc.contributor.googleauthorJoon Min Park-
dc.contributor.googleauthorSung Phil Chung-
dc.contributor.googleauthorMin Joung Kim-
dc.identifier.doi10.1371/journal.pone.0216519-
dc.contributor.localIdA00470-
dc.contributor.localIdA05321-
dc.contributor.localIdA01592-
dc.contributor.localIdA01628-
dc.contributor.localIdA05746-
dc.contributor.localIdA03625-
dc.relation.journalcodeJ02540-
dc.identifier.eissn1932-6203-
dc.identifier.pmid31071132-
dc.contributor.alternativeNameKim, Min Joung-
dc.contributor.affiliatedAuthor김민정-
dc.contributor.affiliatedAuthor김지훈-
dc.contributor.affiliatedAuthor박유석-
dc.contributor.affiliatedAuthor박인철-
dc.contributor.affiliatedAuthor이지환-
dc.contributor.affiliatedAuthor정성필-
dc.citation.volume14-
dc.citation.number5-
dc.citation.startPagee0216519-
dc.identifier.bibliographicCitationPLOS ONE, Vol.14(5) : e0216519, 2019-
dc.identifier.rimsid61983-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers

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