TriagePERC CTASNCT00807352
The Canadian Triage and Acuity Scale for Children; A Prospective Multi-Center Evaluation.
An observational study of Triage and Pediatrics, run by St. Justine's Hospital at 9 sites in Canada.
Trial summary
The aim of this study is to evaluate the validity and the reproducibility of the canadian triage and acuity scale when applied by regular nurses for the triage of children in the Emergency Department. Read more about this study
- Who is it for?
- Ages Up to 18 yearsHealthy volunteers can take part
- Conditions the study is for
- Triage, Pediatrics
- How many people
- 1,464 participants
- Where
- 9 sitesCanada
- Study dates
- Apr 2009to Mar 2011
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Up to 18 years
- All sexes
- Healthy volunteers accepted
- Child, Adult
Study population: All children presenting to a pediatric emergency department
Who may be able to join
- Every patient younger than 18 years old that presents to the ED will be eligible except for those that need to go directly to the resuscitation room (triage level 1)
Who cannot join
- For ethical reasons, patients that need an immediate treatment will not be recruited in the study.
- Patients for whom an informed consent could not be obtained (example: insurmountable language barriers) will not be included.
Trial locations and contacts
9 sites in 1 country.
9 sites in 1 country
Canada9 sites
Alberta Children's Hospital
Calgary, Alberta, T3B 6A8
Stollery Children's Hospital
Edmonton, Alberta, T6G 2C8
IWK Heath Centre
Halifax, Nova Scotia, B3K 6R8
Children's Hospital of Western Ontario
London, Ontario, N6A 4G5
CHU Sainte-Justine
Montreal, Quebec, H3T 1C5
Children's Hospital of Eastern Ontario
Ottawa, Ontario, K1H 8L1
Centre hospitalier de l'Université Laval
Québec, Quebec, G1V 4G2
The Hospital for Sick Children
Toronto, Ontario, M5G 1X8
BC Children's and Women's Hospital
Vancouver, British Columbia, V6H 3V4
About this study
The aim of this study is to evaluate the validity and the reproducibility of the canadian triage and acuity scale when applied by regular nurses for the triage of children in the Emergency Department.
Read the detailed description
The role of triage in the Emergency Department (ED) is to assign high priority to patients who need urgent care while identifying patients that may be able to wait safely. The Canadian Triage and Acuity Scale (CTAS) is a triage tool constructed from a consensus of experts that is universally used in Canada. Until now, there has been no evaluation of the validity of the tool for children in a clinical context. Also, its inter-rater reproducibility has not been evaluated. The expected implementation of a revised version of the Canadian triage tool in 2008 would be an ideal moment to evaluate its validity and reproducibility. Specific objective: 1. To evaluate the validity of the CTAS for children visiting a pediatric ED and 2. To measure the inter-rater agreement for nurses using the CTAS in these settings.
- Conditions
- Triage, Pediatrics
- Keywords
- Triage, Pediatrics, Emergency Department
- Medical subject headings
- Emergencies
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| level 2 | Patients triaged level 2 | |
| level 3 | patients triaged level 3 | |
| level 4 | patients triaged level 4 | |
| level 5 | patients triaged level 5 |
What is being measured
The primary outcome is the main question the study is designed to answer.
The inter-rater agreement between the two nurses measured by the weighted Kappa score
Measured: 15 minutes
The correlation between triage level and the hospitalisation rate
Measured: 1 day
Secondary outcomes (3)
The correlation between triage level and admission to the intensive care unit
Measured: 1 day
The correlation between triage level and length of stay in the ED after being seen by a physician
Measured: 1 day
The correlation between triage level and resources use
Measured: 1 day
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Dec 2008 (estimated)
- Study startApr 2009
- Primary completionMar 2011
- Study completionMar 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for TriageStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 1,464 participants (actual)
Sponsor and investigators
- Lead sponsor
- St. Justine's Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- SickKids Foundation, Canadian Institutes of Health Research (CIHR)
- Investigators
- Jocelyn Gravel, MD, Principal investigator, St. Justine's Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00807352
- Sponsor's protocol ID
- PERC CTAS
- Other IDs
- Grant No. XG09-049R
- Acronym
- PERC CTAS
- Status last verified
- Jul 2011
- First submitted
- 10 Dec 2008
- Last updated
- 5 Aug 2011
- Results posted
- No
- Data monitoring committee
- No
Publications
Gravel J, Gouin S, Manzano S, Arsenault M, Amre D. Interrater agreement between nurses for the Pediatric Canadian Triage and Acuity Scale in a tertiary care center. Acad Emerg Med. 2008 Dec;15(12):1262-7. doi: 10.1111/j.1553-2712.2008.00268.x. Epub 2008 Oct 17.
PubMed 18945238Gravel J, Gouin S, Goldman RD, Osmond MH, Fitzpatrick E, Boutis K, Guimont C, Joubert G, Millar K, Curtis S, Sinclair D, Amre D. The Canadian Triage and Acuity Scale for children: a prospective multicenter evaluation. Ann Emerg Med. 2012 Jul;60(1):71-7.e3. doi: 10.1016/j.annemergmed.2011.12.004. Epub 2012 Feb 2.
PubMed 22305329
Study at a glance
From the registry record, last updated by the sponsor on 5 Aug 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Canadian Triage and Acuity Scale for Children; A Prospective Multi-Center Evaluation.
- ClinicalTrials.gov ID
- NCT00807352
- Acronym / sponsor ID
- PERC CTAS / PERC CTAS
- Conditions
- Triage, Pediatrics
- Keywords
- Triage, Pediatrics, Emergency Department
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 1,464 participants (actual)
- Lead sponsor
- St. Justine's HospitalUniversity, hospital or other
- Collaborators
- SickKids Foundation, Canadian Institutes of Health Research (CIHR)
- Study start
- Apr 2009
- Primary completion
- Mar 2011 (actual)
- Study completion
- Mar 2011 (actual)
- First posted
- 11 Dec 2008 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of this study is to evaluate the validity and the reproducibility of the canadian triage and acuity scale when applied by regular nurses for the triage of children in the Emergency Department.
Detailed description
The role of triage in the Emergency Department (ED) is to assign high priority to patients who need urgent care while identifying patients that may be able to wait safely. The Canadian Triage and Acuity Scale (CTAS) is a triage tool constructed from a consensus of experts that is universally used in Canada. Until now, there has been no evaluation of the validity of the tool for children in a clinical context. Also, its inter-rater reproducibility has not been evaluated. The expected implementation of a revised version of the Canadian triage tool in 2008 would be an ideal moment to evaluate its validity and reproducibility. Specific objective: 1. To evaluate the validity of the CTAS for children visiting a pediatric ED and 2. To measure the inter-rater agreement for nurses using the CTAS in these settings.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| level 2 | – | –Patients triaged level 2 |
| level 3 | – | –patients triaged level 3 |
| level 4 | – | –patients triaged level 4 |
| level 5 | – | –patients triaged level 5 |
Who may qualify
- Ages
- Up to 18 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult
- Study population
- All children presenting to a pediatric emergency department
Key inclusion criteria (1 listed)
- Every patient younger than 18 years old that presents to the ED will be eligible except for those that need to go directly to the resuscitation room (triage level 1)
Key exclusion criteria (2 listed)
- For ethical reasons, patients that need an immediate treatment will not be recruited in the study.
- Patients for whom an informed consent could not be obtained (example: insurmountable language barriers) will not be included.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
The inter-rater agreement between the two nurses measured by the weighted Kappa score
Time frame: 15 minutes
The correlation between triage level and the hospitalisation rate
Time frame: 1 day
3 secondary outcomes
The correlation between triage level and admission to the intensive care unit
Time frame: 1 day
The correlation between triage level and length of stay in the ED after being seen by a physician
Time frame: 1 day
The correlation between triage level and resources use
Time frame: 1 day
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Aug 2011.
- Background: PubMed 18945238Gravel J, Gouin S, Manzano S, Arsenault M, Amre D. Interrater agreement between nurses for the Pediatric Canadian Triage and Acuity Scale in a tertiary care center. Acad Emerg Med. 2008 Dec;15(12):1262-7. doi: 10.1111/j.1553-2712.2008.00268.x. Epub 2008 Oct 17.
- Derived from this study: PubMed 22305329Gravel J, Gouin S, Goldman RD, Osmond MH, Fitzpatrick E, Boutis K, Guimont C, Joubert G, Millar K, Curtis S, Sinclair D, Amre D. The Canadian Triage and Acuity Scale for children: a prospective multicenter evaluation. Ann Emerg Med. 2012 Jul;60(1):71-7.e3. doi: 10.1016/j.annemergmed.2011.12.004. Epub 2012 Feb 2.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jocelyn Gravel, MD principal investigator
St. Justine's Hospital
9 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Triage and Pediatrics, run by St. Justine's Hospital at 9 sites in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 5 Aug 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 9 sites in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The inter-rater agreement between the two nurses measured by the weighted Kappa score (time frame: 15 minutes). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00807352, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Aug 2011.