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Table 4 Appraisal of scientific evidence (according to GRADE) - Reliability of triage scales.

From: Emergency Department Triage Scales and Their Components: A Systematic Review of the Scientific Evidence

Effect measure (endpoint)

Triage scale

No. Patients/cases (no. Studies)

Agreement (Kappa/ percent)

Scientific evidence

Comments

Reliability

ATS

10 cases

(1 study) [26]

38.7%-79%

Insufficient

Reduction for study quality and imprecise data (-1)

 

CTAS

1372 patients/cases

(5 studies) [19, 2730]

0.20-0.84

(κ-value)

Insufficient

Reduction for study quality and heterogeneity of results (-1)

 

MTS

50 cases

(1 study) [31]

0.48 (κ-value)

Insufficient

Reduction for study quality and imprecise data (-1)

 

SRTS

423 patients

(1 study) [6]

0.87 (κ-value)

Insufficient

Reduction for study quality and uncertainty of transferability (-1)

 

Rutschmann

22 cases

(1 study) [8]

0.28-0.40

(κ-value)

Insufficient

Reduction for study quality (-1)

 

Brillman

5123 patients

(1 study) [32]

0.45 (κ-value)

Limited

 
  1. All studies are observational.