Predictive Validity of the Triage Risk Screening Tool for Elderly Patients in a Canadian Emergency Department

Overview

Journal Am J Emerg Med

Specialty Emergency Medicine

Date 2006 Aug 30

PMID 16938591

Citations 16

Authors

Jerome Fan

Andrew Worster

Christopher M B Fernandes

Affiliations

Soon will be listed here.

Abstract

Purpose: We sought to externally evaluate the predictive validity of the Triage Risk Screening Tool (TRST) for elderly patients in a Canadian setting.

Methods: A prospective, observational cohort study of a convenience sample of patients more than 64 years old was assessed using the TRST before discharge. The composite outcome of any emergency department (ED) revisit, hospital admission, or long-term care placement at 30 and 120 days was measured. Likelihood ratios (LRs) and 95% confidence intervals (CIs) were calculated.

Main Findings: Of 218 patients screened, 120 patients were enrolled. At 30 and 120 days, the positive LRs were 1.4 (95% CI, 0.9-2.0) and 1.4 (95% CI, 1.0-1.9), respectively. The negative LRs were 0.7 (95% CI, 0.4-1.3) and 0.7 (95% CI, 0.4-1.0), respectively.

Conclusion: The TRST cannot be used as a single diagnostic test to predict whether Canadian ED elders will have an ED revisit, hospital admission, or long-term care placement at 30 or 120 days.

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Cahir C, Curran C, Walsh C, Hickey A, Brannigan R, Kirke C Front Pharmacol. 2023; 13:1029067.

PMID: 36712658 PMC: 9880441. DOI: 10.3389/fphar.2022.1029067.