Skip to main content

Table 5 Studies on how the assessment of the urgency of need to see a physician according to different triage systems could predict hospital mortality.

From: Emergency Department Triage Scales and Their Components: A Systematic Review of the Scientific Evidence

Author Year, reference Country

Triage system

Patient characteristics: Age Gender

Outcome

Results (Mortality frequency per triage level)

Remarks

Study quality and relevance

Dong SL et al

2007, [43]

Canada

ECTAS

29 346 patients

47 years

48% female

Mortality in ED

Triage level:

1: 22%

2: 0.22%

3: 0.031%

4: 0.018%

5: 0%

OR 664 (357-1233),

1 vs 2-5

- Low number of fatalities (70 cases)

Moderate

Dent A et al

1999, [35]

ATS

42 778 patients

Age & sex not given

In-hospital mortality

Triage level:

1: 16%

2: 5%

3: 2%

4: 1%

5: 0.1%

p < 0.0001

 

Moderate

Widgren BR et al

2008, [10]

Sweden

METTS

8 695 patients

65 years

45% female

In-hospital mortality

Triage level:

1: 14%

2: 6%

3: 3%

4: 3%

5: 0.5%

p < 0.001

- Only patients admitted to hospital evaluated

Moderate

Doherty SR et al

2003, [36]

ATS

84 802 patients

Age & sex not given

24 hours mortality

Triage level:

1: 12%

2: 2.1%

3: 1.0%

4. 0.3%

5: 0.03%

p < 0.001

- Consecutive patients

Moderate

  1. Mortality figures (%) are shown for each triage level for patients admitted to a hospital emergency department.
  2. CTAS = Canadian Emergency Department Triage and Acuity Scale; ATS = Australian Triage Scale; METTS = Medical Emergency Triage and Treatment System