Revision for the Rapid Emergency Triage and Treatment System Adult (RETTS-A) needed?
The study highlights the prognostic role of patient's vital signs at presentation to the emergency department (ED): The predictive role of vital signs in ED triage has been controversially discussed probably due to a paucity of data on the value of vital signs in ED at presentation. However, the authors did not find a suitable way to adjust for the inherent influence of triage decision and medical treatment on mortality. We have discussed that ambiguity concerning the assessment of vital signs criteria in RETTS-A Red priority may threaten any association between patient acuity and fatal outcome.
Evidence-Based Caring Research Center, Department of Medical-Surgical Nursing, School of Nursing & Midwifery, Mashhad University of Medical Sciences, Chahrrahe-Doktorha, 9137913199, Mashhad, Khorasan Razavi, Iran. MirhaghiA@mums.ac.ir.
Amir
A
Mirhaghi
Universitätsklinik für Notfall- und Internistische Intensivmedizin, Paracelsus Medizinische Privatuniversität, Nürnberg, Klinikum Nürnberg, Germany.
Michael
M
Christ
D000328:Adult; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D004638:Emergency Treatment / Q000295:instrumentation*; D006801:Humans; D017063:Outcome Assessment, Health Care / Q000379:methods*; D014218:Triage / Q000458:organization & administration*