Review Article

Are Pediatric Triage Systems Reliable in the Emergency Department?

Table 2

Studies on the agreement of pediatric triage scales in hospital triage.

Study nameSample sizeRaters numberScenario/Patient numberCoefficientTriage scaleRatersPatientReliability methodStatisticsCOReliability properties

Allen et al. [3]150316790.25ATSNNScenarioINTERKwAustraliaNAAVV

Baumann et al. [15]2ESIINTERKwUSANAAVV
402200.84NNActual patients
402200.82NEActual patients
54422720.59NEScenario
54422720.42NPScenario
5442720.84PEScenario

Bergeron et al. [16]214539550.453CTASNNScenarioINTERKwAustraliaNAAVV
132024550.419PP

Considine et al. [17]113216170.40ATSNNScenarioINTERKuwAustraliaNAADV

Crellin Johnston [18]7369280.21ATSNNScenarioINTERKuwAustraliaNAADV

Durani et al. [19]34020170.93ESINNScenarioINTERKwUSANAAVV
66020330.92NP
32020160.93PP
34020170.67ESINNScenarioINTERKwUSANAADV
66020330.67NP
32020160.68PP

Gravel et al. [20]97218540.51CTASNNScenarioINTERKuwCanadaNAADV

Gravel et al. [21]99824990.61CTASNEActual patientsINTERKwCanadaAADV

Gravel et al. [22]2928214640.74CTASNEActual patientsINTERKwCanadaAAVV
2928214640.59CTASNEActual patientsINTERKuwCanadaAADV

Green et al. [23]20021000.92ESINNActual patientsINTERKuwUSAAADV
30031000.78NP

Jafar-Rouhi et al. [24]22081611040.82ESINPActual patientsINTERKuwIranAADV
24012200.84ESINNScenarioINTERKuwIranNAADV

Travers et al. [25]6200155400.77ESINNScenarioINTERKwUSANAAVV
99624980.57ESINEActual patientsINTERKwUSAAAVV

Van Veen et al. [26]86043200.83MTSNNScenarioINTERKwNetherlandsNAAVV
39621980.65MTSNEScenarioINTERKwNetherlandsNAAVV

NN = nurse-nurse; NP = nurse-physician; NE = nurse-expert; PP = physician-physician; PE = physician-expert; Kw = weighted kappa; Kuw = unweighted kappa; INTER = inter-rater reliability; CO = country of origin; VG = very good; A = adequate; D = doubtful; I = inadequate; NA = not applicable.