Accuracy of Thai National Triage Guideline and Trauma and Injury Severity Score (TRISS) for predicting survival outcome in emergency department injured patients

Authors

  • Laosuksri W Emergency department, Sawanpracharak Hospital, Nakhonsawan
  • Chiwpreecha P School of Medicine, University of Phayao, Phayao
  • Samork N School of Medicine, University of Phayao, Phayao
  • Thaimit Y School of Medicine, University of Phayao, Phayao
  • Srisookkum T School of Public Health, University of Phayao, Phayao

Keywords:

triage, MOPH ED triage, TRISS, survival outcome, triage accuracy

Abstract

Objectives Thailand uses the Ministry of Public Health’s Emergency Department Triage (MOPH ED Triage) triage system to triage injured patients; however there is inadequate evidence on its accuracy. Concurrently, the Trauma Injury and Injury Severity Score (TRISS) is a widely accepted and evidence backed scale used to predict survival outcomes of injured patients. Our study aims to validate the accuracy of MOPH ED triage in predicting survival outcome and the accuracy of MOPH ED triage compared to TRISS.

Methods We conducted a retrospective cohort study collecting data on 7,966 injured patients presenting to Sawanpracharak Hospital between January 1, 2020 and December 31, 2020. The accuracy of MOPH ED triage and TRISS were assessed using areas under the curve (AUC) and accuracy analysis of diagnostic tests.

Results MOPH ED triage and TRISS were both accurate in predicting survival outcome of injured patients; the AUC of MOPH ED Triage was 0.822 95%CI [0.741-0.903] and AUC of TRISS was 0.908 95%CI [0.860-0.956], with TRISS having a statistically significantly higher accuracy compared to MOPH ED triage, p-value 0.001.

Conclusions Both Thai National Triage Guideline and TRISS can accurately predict survival outcomes in injured patients. Therefore, Survival outcomes and TRISS could be used as a tool to evaluate the accuracy of triage in injured patients.

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References

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Published

2021-10-01

How to Cite

1.
W L, P C, N S, Y T, T S. Accuracy of Thai National Triage Guideline and Trauma and Injury Severity Score (TRISS) for predicting survival outcome in emergency department injured patients. Chiang Mai Med J. [Internet]. 2021 Oct. 1 [cited 2022 May 25];60(4):563-73. Available from: https://he01.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/253938

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Original Article