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Variability in triage practices for critically ill cancer patients: A randomized controlled trial

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dc.creatorRathi N.K.spa
dc.creatorHaque S.A.spa
dc.creatorMorales F.spa
dc.creatorKaul B.spa
dc.creatorRamirez R.spa
dc.creatorOvu S.spa
dc.creatorFeng L.spa
dc.creatorDong W.spa
dc.creatorPrice K.J.spa
dc.creatorUgarte S.spa
dc.creatorRaimondi N.spa
dc.creatorQuintero A.spa
dc.creatorCardenas Y.R.spa
dc.creatorNates J.L.spa
dc.creatoron behalf of the LACCTIN and ONCCC-R-NET groupsspa
dc.date.accessioned2020-05-25T23:56:05Z
dc.date.available2020-05-25T23:56:05Z
dc.date.created2019spa
dc.description.abstractPurpose: 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.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.jcrc.2019.05.012
dc.identifier.issn8839441
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22319
dc.language.isoengspa
dc.publisherW.B. Saundersspa
dc.relation.citationEndPage24
dc.relation.citationStartPage18
dc.relation.citationTitleJournal of Critical Care
dc.relation.citationVolumeVol. 53
dc.relation.ispartofJournal of Critical Care, ISSN:8839441, Vol.53,(2019); pp. 18-24spa
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=bd714e1ed6e9ec9a91168c613ba75b3cspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAdultspa
dc.subject.keywordArticlespa
dc.subject.keywordCancer modelspa
dc.subject.keywordCancer patientspa
dc.subject.keywordConsensusspa
dc.subject.keywordControlled studyspa
dc.subject.keywordCritically ill patientspa
dc.subject.keywordEmergency health servicespa
dc.subject.keywordEntropyspa
dc.subject.keywordFemalespa
dc.subject.keywordHumanspa
dc.subject.keywordIntensive care unitspa
dc.subject.keywordKappa statisticsspa
dc.subject.keywordMalespa
dc.subject.keywordMulticenter studyspa
dc.subject.keywordOncologyspa
dc.subject.keywordPhysicianspa
dc.subject.keywordPractice guidelinespa
dc.subject.keywordRandomized controlled trialspa
dc.subject.keywordResource allocationspa
dc.subject.keywordVignettespa
dc.subject.keywordGuidelinesspa
dc.subject.keywordIntensive care unit triagespa
dc.subject.keywordOncologyspa
dc.subject.keywordVariabilityspa
dc.titleVariability in triage practices for critically ill cancer patients: A randomized controlled trialspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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