Key result
Heart Failure Triage Scale cuts mistriage by ~95% versus the Emergency Severity Index.
Why the study?
It is unclear whether the Emergency Severity Index is valid for triaging heart failure patients and if a customized triage scale improves triage accuracy.
Does the Heart Failure Triage Scale (HFTS) reduce mistriage and time to ECG compared to the Emergency Severity Index (ESI) in heart failure patients presenting to the emergency department?
Comparison
Heart Failure Triage Scale vs Emergency Severity Index
Design
Randomized clinical trial
Authors
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Supports adoption of the Heart Failure Triage Scale for ED heart failure triage; extends evidence for disease-specific scales over general indices.
RCT (n=147)
Single-blind (triage nurses unaware of each other's decisions)
Pre-prepared randomized cards
No
Does the Heart Failure Triage Scale (HFTS) reduce mistriage and time to ECG compared to the Emergency Severity Index (ESI) in heart failure patients presenting to the emergency department?
Absolute Event Rate: 1.4% vs 26%
p-value: p=0.001
The Heart Failure Triage Scale (HFTS) reduces time to ECG and is associated with less mistriage compared to the Emergency Severity Index (ESI) in ED patients with heart failure.
Pouyamehr et al. (2019) conducted an RCT in Heart failure with dyspnea (n=147). Heart Failure Triage Scale (HFTS) vs. Emergency Severity Index (ESI) was evaluated on Mistriage rate (undertriage and overtriage) (p=0.001). The Heart Failure Triage Scale significantly reduced mistriage compared to the Emergency Severity Index, achieving a 98.6% correct triage rate versus 74% (P=0.001).
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