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Smart triage: triage and management of sepsis in children using the point-of-care Pediatric Rapid Sepsis Trigger (PRST) tool
- Source :
- BMC Health Services Research, BMC Health Services Research, Vol 20, Iss 1, Pp 1-13 (2020)
- Publication Year :
- 2020
- Publisher :
- BioMed Central, 2020.
-
Abstract
- Background Sepsis is the leading cause of death and disability in children. Every hour of delay in treatment is associated with an escalating risk of morbidity and mortality. The burden of sepsis is greatest in low- and middle-income countries where timely treatment may not occur due to delays in diagnosis and prioritization of critically ill children. To circumvent these challenges, we propose the development and clinical evaluation of a digital triage tool that will identify high risk children and reduce time to treatment. We will also implement and clinically validate a Radio-Frequency Identification system to automate tracking of patients. The mobile platform (mobile device and dashboard) and automated patient tracking system will create a low cost, highly scalable solution for critically ill children, including those with sepsis. Methods This is pre-post intervention study consisting of three phases. Phase I will be a baseline period where data is collected on key predictors and outcomes before implementation of the digital triage tool. In Phase I, there will be no changes to healthcare delivery processes in place at the study hospitals. Phase II will involve model derivation, technology development, and usability testing. Phase III will be the intervention period where data is collected on key predictors and outcomes after implementation of the digital triage tool. The primary outcome, time to treatment initiation, will be compared to assess effectiveness of the digital health intervention. Discussion Smart technology has the potential to overcome the barrier of limited clinical expertise in the identification of the child at risk. This mobile health platform, with sensors and data-driven applications, will provide real-time individualized risk prediction to rapidly triage patients and facilitate timely access to life-saving treatments for children in low- and middle-income countries, where specialists are not regularly available and deaths from sepsis are common. Trial registration Clinical Trials.gov Identifier: NCT04304235, Registered 11 March 2020.
- Subjects :
- Resource limited settings
Patient Tracking
Point-of-Care Systems
01 natural sciences
Health informatics
Health administration
010104 statistics & probability
03 medical and health sciences
Study Protocol
0302 clinical medicine
Sepsis
Medicine
Humans
Uganda
030212 general & internal medicine
0101 mathematics
Child
Developing Countries
Point of care
Digital Technology
business.industry
lcsh:Public aspects of medicine
Health Policy
Nursing research
lcsh:RA1-1270
Usability
medicine.disease
Digital health
Triage
Kenya
Hospitals
Telemedicine
3. Good health
Digital triage tool
Medical emergency
business
Delivery of Health Care
Subjects
Details
- Language :
- English
- ISSN :
- 14726963
- Volume :
- 20
- Database :
- OpenAIRE
- Journal :
- BMC Health Services Research
- Accession number :
- edsair.doi.dedup.....ea3cc91ccec776510dc86328886fc1cd