Pediatric Canadian Triage and Acuity Scale (PaedsCTAS) as a Measure of Injury Severity

Morgan Thorn Yates, Takuro Ishikawa, Amy Schneeberg and Mariana Brussoni
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Morgan Thorn Yates: School of Population and Public Health, University of British Colombia, Vancouver, BC V6T 1Z4, Canada
Takuro Ishikawa: Department of Pediatrics, University of British Colombia, Vancouver, BC V6T 1Z4, Canada
Amy Schneeberg: School of Population and Public Health, University of British Colombia, Vancouver, BC V6T 1Z4, Canada
Mariana Brussoni: School of Population and Public Health, University of British Colombia, Vancouver, BC V6T 1Z4, Canada

IJERPH, 2016, vol. 13, issue 7, 1-11

Abstract: This research explored whether the pediatric version of the Canadian Triage Acuity Scale (PaedsCTAS) represented a valid alternative indicator for surveillance of injury severity. Every patient presenting in a Canadian emergency department is assigned a CTAS or PaedsCTAS score in order to prioritize access to care and to predict the nature and scope of care that is likely to be required. The five-level PaedsCTAS score ranges from I (resuscitation) to V (non-urgent). A total of 256 children, 0 to 17-years-old, who attended a pediatric hospital for an injury were followed longitudinally. Of these children, 32.4% ( n = 83) were hospitalized and 67.6% ( n = 173) were treated in the emergency department and released. They completed the PedsQL TM , a validated measure of health related quality of life, at baseline (pre-injury status), one-month, four- to six-months, and 12-months post-injury. In this secondary data analysis, PaedsCTAS was found to be significantly associated with hospitalization and length of stay, sensitive to the differences between PaedsCTAS II and III, and related to physical but not psychosocial HRQoL. The findings suggest that PaedsCTAS may be a useful proxy measure of injury severity to supplement or replace hospitalization status and/or length of stay, currently proxy measures.

Keywords: hospitalization; length of stay; accident; surveillance; Health Related Quality of Life (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2016
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