High Risk Criteria in Level 2 May Provide a Source of Disagreement in Emergency Severity Index

نویسندگان

1 (Associate Professor of Emergency Medicine), Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran. Address: Department of Emergency Medicine, Imam Reza Hospital, Imam Reza Circle, Mashhad, Razavi Khorasan, Iran. Postcode: 9137913316 Tel: +98 51 38543031 Fax: +98 51 38591057

2 Evidence-Based Caring Research Center, Department of Medical-Surgical Nursing, School of Nursing & Midwifery, Mashhad University of Medical Sciences, Chahrrahe-Doktorha, 9137913199, Mashhad, Khorasan Razavi, Iran.

doi
10.29252/beat-0701016
چکیده

Dear Editor, With great interest we have read the outstanding publication in the recent Bulletin of Emergency and Trauma issue by Ghafarypour-Jahrom et al. entitled "Validity and Reliability of the Emergency Severity Index and Australasian Triage System in Pediatric Emergency Care of Mofid Children's Hospital in Iran" [1]. We bring your attention to the results concerning the reliability of Emergency Severity Index (ESI) in the mentioned study that may provide a new understanding to lead clinical practice in emergency department (ED). The study used Cohen kappa values to report inter-rater reliability of Level 1 to 5 are 0.833, 0.777, 0.520, 0.850 and 0.883. The reliability coefficient for level 4, 5 and 1 is almost perfect (> 0.80) which is reported in other literature too [2]. 

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