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Daily triage reports were presented to the triage officers with the sequential organ failure assessment (SOFA) score component data and a calculated SOFA score, one day at a time, for each of the first five ICU days.
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The initial triage report stated that there was no "significant" visual loss, left periorbital edema, and no other injuries.
The triage officers were instructed to make and record their determination of the patient's treatment priority before advancing to the next day's triage report, although they were allowed to move back in the PDF to review the patient profile and prior day's SOFA scores.
Although we only used data from one GP out-of-hours service, we think that our findings can be generalised to other out-of-hours services in the Netherlands, since all GP out-of-hours services in the Netherlands are organised in the same way and do work with the same Dutch guidelines and triage reporting system.
You do not need to be an expert coder to get involved in open-source projects – non-programming roles are incredibly useful, for example: testing, triaging bug reports, or writing technical documentation.
The Calgary Spine Severity Score (CSSS) is a published triage score reported in the Spine Journal in 2010.
Patients in both triage groups reporting high distress, anxiety and depression at 3 months were more likely to access services between the 3 and 6 month follow-up compared with those reporting lower distress, anxiety and depression (Table 3).
Patients in the nurse triage arm reported increased difficulty in obtaining medical help/advice compared with usual care (mean difference 4.81, 95% CI 2.49 to 7.12; table 3, Model C).
The clinical information provided about patients was much less then intensivists would typically receive in clinical practice, and triage officers reported that the data were insufficient to establish a clear clinical picture in 20.5% of cases (data not shown).
One study 22 supports the view that D/SD is beneficial for triage; another study 31 reports the excellent experience of using D/SD for grouping of patients for additional management.
Most modern triage systems are reported to be valid; however, there are wide variations in their reliability (k = 0.25 to 0.91) [4].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com