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Desempeño del triage en un servicio de urgencias pediátricas de un hospital regional en México.

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Title: Desempeño del triage en un servicio de urgencias pediátricas de un hospital regional en México.
Alternate Title: Triage performance in the pediatric emergency services of a regional high-specialty hospital.
Authors: Medina-Jasso, Dulce Magdalena1, Montante-Rodríguez, Rosa del Carmen2, Fonseca-Leal, Ma del Pilar2 fonleal@yahoo.com
Source: Revista Mexicana de Pediatria. jul/ago2025, Vol. 92 Issue 4, p139-144. 6p.
Subjects: PEDIATRIC emergency services, MEDICAL triage, CLASSIFICATION, EMERGENCY medical services, RESPIRATORY diseases, ABDOMINAL diseases, HOSPITALS
Abstract (English): Introduction: in emergency departments, it is essential to identify the most critically ill patients so they can receive immediate care. The Pediatric Assessment Triangle (PAT) is a validated tool that allows for rapid triage based on specific criteria. Objective: to evaluate the performance of triage using the PAT classification in a pediatric emergency department. Material and methods: between August 2024 and January 2025, a prospective, cross-sectional study was conducted in the emergency department of the Hospital Regional de Alta Especialidad "Dr. Ignacio Morones Prieto". Sixty pediatric patients with gastrointestinal and respiratory conditions were included. Initially, patients were classified as having actual or perceived emergencies by a general practitioner using the PAT instrument, and this classification was subsequently compared with that of a pediatrician. Results: there were 30 patients with a actual emergency and 30 with a perceived emergency, ranging in age from newborns to 14 years. The reasons for consultation were respiratory distress (32%), abdominal pain (17%), and fever (15%). There were no differences in sociodemographic variables between the two groups. The pediatrician identified more cases of actual emergencies (52% versus 33%). The general practitioner’s performance in identifying true emergencies had a sensitivity of 74% (95% CI 58–86%), a specificity of 63% (95% CI 51–73%), and a diagnostic accuracy of 66% (95% CI 57–75%). Conclusions: the PAT tool allows the identification of patients who require immediate attention in pediatric emergency services; however, medical personnel in triage require training for its optimal application. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: en los servicios de urgencias, se requiere de la identificación de los pacientes más graves para que sean atendidos de manera inmediata. El triángulo de evaluación pediátrica (TEP) es una herramienta validada para clasificar rápidamente la gravedad del paciente. Objetivo: evaluar el desempeño del triage utilizando la clasificación del TEP en un servicio de urgencias pediátricas. Material y métodos: entre agosto de 2024 y enero de 2025 se realizó un estudio observacional, transversal y prospectivo en el servicio de urgencias del Hospital Regional de Alta Especialidad "Dr. Ignacio Morones Prieto". Se incluyeron 60 pacientes pediátricos con afecciones gastrointestinales y respiratorias. Inicialmente, los pacientes fueron clasificados en urgencias reales o sentidas por un médico general, y posteriormente se comparó con la clasificación de un médico pediatra; ambos utilizaron el TEP. Resultados: fueron 30 pacientes con urgencia real y 30 con urgencia sentida, cuya edad varió desde recién nacidos hasta 14 años. Los motivos de consulta fueron dificultad respiratoria (32%), dolor abdominal (17%) y fiebre (15%). No hubo diferencias de las variables sociodemográficas entre los dos grupos. El médico pediatra identificó más casos de urgencias reales (52% versus 33%). El desempeño del médico general para identificar urgencias reales tuvo una sensibilidad de 74% (IC95% 58-86%), especificidad de 63% (IC95% 51-73%) y precisión diagnóstica de 66% (IC95% 57-75%). Conclusiones: la herramienta TEP permite identificar los pacientes que requieren atención inmediata en servicios de urgencias pediátricas; sin embargo, el personal médico que se encuentra en el triage requiere capacitación para que su aplicación sea óptima. [ABSTRACT FROM AUTHOR]
Copyright of Revista Mexicana de Pediatria is the property of Sociedad Mexicana de Pediatria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Desempeño del triage en un servicio de urgencias pediátricas de un hospital regional en México.
– Name: TitleAlt
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  Data: Triage performance in the pediatric emergency services of a regional high-specialty hospital.
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  Data: <searchLink fieldCode="AR" term="%22Medina-Jasso%2C+Dulce+Magdalena%22">Medina-Jasso, Dulce Magdalena</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Montante-Rodríguez%2C+Rosa+del+Carmen%22">Montante-Rodríguez, Rosa del Carmen</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Fonseca-Leal%2C+Ma+del+Pilar%22">Fonseca-Leal, Ma del Pilar</searchLink><relatesTo>2</relatesTo><i> fonleal@yahoo.com</i>
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  Data: <searchLink fieldCode="JN" term="%22Revista+Mexicana+de+Pediatria%22">Revista Mexicana de Pediatria</searchLink>. jul/ago2025, Vol. 92 Issue 4, p139-144. 6p.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22PEDIATRIC+emergency+services%22">PEDIATRIC emergency services</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+triage%22">MEDICAL triage</searchLink><br /><searchLink fieldCode="DE" term="%22CLASSIFICATION%22">CLASSIFICATION</searchLink><br /><searchLink fieldCode="DE" term="%22EMERGENCY+medical+services%22">EMERGENCY medical services</searchLink><br /><searchLink fieldCode="DE" term="%22RESPIRATORY+diseases%22">RESPIRATORY diseases</searchLink><br /><searchLink fieldCode="DE" term="%22ABDOMINAL+diseases%22">ABDOMINAL diseases</searchLink><br /><searchLink fieldCode="DE" term="%22HOSPITALS%22">HOSPITALS</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Introduction: in emergency departments, it is essential to identify the most critically ill patients so they can receive immediate care. The Pediatric Assessment Triangle (PAT) is a validated tool that allows for rapid triage based on specific criteria. Objective: to evaluate the performance of triage using the PAT classification in a pediatric emergency department. Material and methods: between August 2024 and January 2025, a prospective, cross-sectional study was conducted in the emergency department of the Hospital Regional de Alta Especialidad "Dr. Ignacio Morones Prieto". Sixty pediatric patients with gastrointestinal and respiratory conditions were included. Initially, patients were classified as having actual or perceived emergencies by a general practitioner using the PAT instrument, and this classification was subsequently compared with that of a pediatrician. Results: there were 30 patients with a actual emergency and 30 with a perceived emergency, ranging in age from newborns to 14 years. The reasons for consultation were respiratory distress (32%), abdominal pain (17%), and fever (15%). There were no differences in sociodemographic variables between the two groups. The pediatrician identified more cases of actual emergencies (52% versus 33%). The general practitioner’s performance in identifying true emergencies had a sensitivity of 74% (95% CI 58–86%), a specificity of 63% (95% CI 51–73%), and a diagnostic accuracy of 66% (95% CI 57–75%). Conclusions: the PAT tool allows the identification of patients who require immediate attention in pediatric emergency services; however, medical personnel in triage require training for its optimal application. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducción: en los servicios de urgencias, se requiere de la identificación de los pacientes más graves para que sean atendidos de manera inmediata. El triángulo de evaluación pediátrica (TEP) es una herramienta validada para clasificar rápidamente la gravedad del paciente. Objetivo: evaluar el desempeño del triage utilizando la clasificación del TEP en un servicio de urgencias pediátricas. Material y métodos: entre agosto de 2024 y enero de 2025 se realizó un estudio observacional, transversal y prospectivo en el servicio de urgencias del Hospital Regional de Alta Especialidad "Dr. Ignacio Morones Prieto". Se incluyeron 60 pacientes pediátricos con afecciones gastrointestinales y respiratorias. Inicialmente, los pacientes fueron clasificados en urgencias reales o sentidas por un médico general, y posteriormente se comparó con la clasificación de un médico pediatra; ambos utilizaron el TEP. Resultados: fueron 30 pacientes con urgencia real y 30 con urgencia sentida, cuya edad varió desde recién nacidos hasta 14 años. Los motivos de consulta fueron dificultad respiratoria (32%), dolor abdominal (17%) y fiebre (15%). No hubo diferencias de las variables sociodemográficas entre los dos grupos. El médico pediatra identificó más casos de urgencias reales (52% versus 33%). El desempeño del médico general para identificar urgencias reales tuvo una sensibilidad de 74% (IC95% 58-86%), especificidad de 63% (IC95% 51-73%) y precisión diagnóstica de 66% (IC95% 57-75%). Conclusiones: la herramienta TEP permite identificar los pacientes que requieren atención inmediata en servicios de urgencias pediátricas; sin embargo, el personal médico que se encuentra en el triage requiere capacitación para que su aplicación sea óptima. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Revista Mexicana de Pediatria is the property of Sociedad Mexicana de Pediatria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.35366/121824
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        Text: Spanish
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      – SubjectFull: PEDIATRIC emergency services
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      – SubjectFull: MEDICAL triage
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      – SubjectFull: CLASSIFICATION
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      – SubjectFull: EMERGENCY medical services
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