Development of a severity of illness scoring system (inpatient triage, assessment and treatment) for resource‐constrained hospitals in developing countries

• DOI: 10.1111/tmi.12137
• Publication Date: 2013-06-13T04:51:50Z
• Authors: Dan Olson; Nicole L. Davis; Robert Milazi; Norman Lufesi; William C. Miller; Geoffrey A. Preidis; Mina C. Hosseinipour; Eric D. McCollum
• Keywords: Triage

Abstract Objective To develop a new paediatric illness severity score, called inpatient triage, assessment and treatment ( ITAT ), for resource‐limited settings to identify hospitalised patients at highest risk of death facilitate urgent clinical re‐evaluation. Methods We performed nested case–control study Malawian referral hospital. The score was derived from four equally weighted variables, yielding cumulative between 0 8. Variables included oxygen saturation, temperature, age‐adjusted heart respiratory rates. compared the cases (deaths) controls (discharges) in predicting within 2 days. Our analysis includes predictive statistics, bivariable multivariable logistic regression, calculation data‐driven scores. Results A total 54 161 were analysis. area under receiver operating characteristic curve 0.76. At an cut‐off 4, sensitivity, specificity likelihood ratio 0.44, 0.86 1.70, respectively. 4 or higher associated with increased odds OR 4.80; 95% CI 2.39–9.64). all individual vital signs statistically significant independent predictor death. Conclusions developed triage tool ) appropriate resource‐constrained hospitals that identifies high‐risk children after hospital admission. Further research is needed how best operationalise developing countries.