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dc.creatorRathi N.K. 
dc.creatorHaque S.A. 
dc.creatorMorales F. 
dc.creatorKaul B. 
dc.creatorRamirez R. 
dc.creatorOvu S. 
dc.creatorFeng L. 
dc.creatorDong W. 
dc.creatorPrice K.J. 
dc.creatorUgarte S. 
dc.creatorRaimondi N. 
dc.creatorQuintero A. 
dc.creatorCardenas Y.R. 
dc.creatorNates J.L. 
dc.creatoron behalf of the LACCTIN and ONCCC-R-NET groups 
dc.date.accessioned2020-05-25T23:56:05Z
dc.date.available2020-05-25T23:56:05Z
dc.date.created2019
dc.identifier.issn8839441
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22319
dc.description.abstract"Purpose: Intensive care triage practices and end-user interpretation of triage guidelines have rarely been assessed. We evaluated agreement between providers on the prioritization of patients for ICU admission using different triage guidelines. Materials and methods: A multi-centered randomized study on providers from 18 different countries was conducted using clinical vignettes of oncological patients. The level of agreement between providers was measured using two different guidelines, with one being cancer specific. Results: Amongst 257 providers, 52.5% randomly received the Society of Critical Care Prioritization Model, and 47.5% received a cancer specific flowchart as a guide. In the Prioritization Model arm the average entropy was 1.193, versus 1.153 in the flowchart arm (P = .095) indicating similarly poor agreement. The Fleiss' kappa coefficients were estimated to be 0.2136 for the SCCMPM arm and 0.2457 for the flowchart arm, also similarly implying poor agreement. Conclusions: The low agreement amongst practitioners on the prioritization of cancer patient cases for ICU admission existed using both general triage guidelines and guidelines tailored only to cancer patients. The lack of consensus on intensive care unit triage practices in the oncological population exposes a potential barrier to appropriate resource allocation that needs to be addressed. © 2019 Elsevier Inc."
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.relation.ispartofJournal of Critical Care, ISSN:8839441, Vol.53,(2019); pp. 18-24
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85066465897&doi=10.1016%2fj.jcrc.2019.05.012&partnerID=40&md5=bd714e1ed6e9ec9a91168c613ba75b3c
dc.sourceinstname:Universidad del Rosario
dc.sourcereponame:Repositorio Institucional EdocUR
dc.titleVariability in triage practices for critically ill cancer patients: A randomized controlled trial
dc.typearticle
dc.publisherW.B. Saunders
dc.subject.keywordAdult
dc.subject.keywordArticle
dc.subject.keywordCancer model
dc.subject.keywordCancer patient
dc.subject.keywordConsensus
dc.subject.keywordControlled study
dc.subject.keywordCritically ill patient
dc.subject.keywordEmergency health service
dc.subject.keywordEntropy
dc.subject.keywordFemale
dc.subject.keywordHuman
dc.subject.keywordIntensive care unit
dc.subject.keywordKappa statistics
dc.subject.keywordMale
dc.subject.keywordMulticenter study
dc.subject.keywordOncology
dc.subject.keywordPhysician
dc.subject.keywordPractice guideline
dc.subject.keywordRandomized controlled trial
dc.subject.keywordResource allocation
dc.subject.keywordVignette
dc.subject.keywordGuidelines
dc.subject.keywordIntensive care unit triage
dc.subject.keywordOncology
dc.subject.keywordVariability
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.type.spaArtículo
dc.rights.accesoAbierto (Texto Completo)
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.identifier.doihttps://doi.org/10.1016/j.jcrc.2019.05.012
dc.relation.citationEndPage24
dc.relation.citationStartPage18
dc.relation.citationTitleJournal of Critical Care
dc.relation.citationVolumeVol. 53


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