<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0186-2391</journal-id>
<journal-title><![CDATA[Acta pediátrica de México]]></journal-title>
<abbrev-journal-title><![CDATA[Acta pediatr. Méx]]></abbrev-journal-title>
<issn>0186-2391</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0186-23912016000100004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Triaje: instrumentos de priorización de las urgencias pediátricas]]></article-title>
<article-title xml:lang="en"><![CDATA[Triage, priorization tools of pediatric emergency room]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Avilés-Martínez]]></surname>
<given-names><![CDATA[Karla Isis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Enríquez]]></surname>
<given-names><![CDATA[Adriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luévanos-Velázquez]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez-Pérez]]></surname>
<given-names><![CDATA[Blanca Araceli]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Armenta]]></surname>
<given-names><![CDATA[Ma. Bertha]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ceja-Moreno]]></surname>
<given-names><![CDATA[Hugo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos-Hernández]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montaño-Dorado]]></surname>
<given-names><![CDATA[Claudia Josefina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Altamirano]]></surname>
<given-names><![CDATA[Dánae]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez-Venegas]]></surname>
<given-names><![CDATA[Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Civil Fray Antonio Alcalde Urgencias en Pediatría ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Civil Fray Antonio Alcalde Urgencias en Pediatría ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Secretaría de Salud Jalisco Infectología Pediátrica ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Civil Fray Antonio Alcalde Neurología Pediátrica ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Civil Fray Antonio Alcalde Cardiología Pediátrica ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Hospital Civil Fray Antonio Alcalde  ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2016</year>
</pub-date>
<volume>37</volume>
<numero>1</numero>
<fpage>4</fpage>
<lpage>16</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0186-23912016000100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0186-23912016000100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0186-23912016000100004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN: El triaje pediátrico estructurado es un proceso de evaluación clínica preliminar para priorizar la atención por grado de urgencia, identificar riesgo vital, asegurar la reevaluación de los pacientes que deben esperar, decidir el área más apropiada para atenderlos y optimizar la calidad de la atención.  Objetivo:  determinar la utilidad de los métodos de triaje, Triángulo de Evaluación Pediátrica, Sistema de Alerta Temprana y SAVE A CHILD para la correcta identificación y jerarquización inicial de la gravedad de la enfermedad en niños.  Material y métodos:  estudio transversal de prueba diagnóstica realizado en el Servicio de Urgencias en Pediatría. Criterios de inclusión: ingreso por triaje. Criterios de exclusión: niños ya hospitalizados, ingreso por causa administrativa. Muestreo aleatorio simple. Se inició con la clasificación por un médico pediatra en triaje y asignación de nivel de gravedad (I-V) según The Canadian Paediatric E.D. Triage and Acuity Scale como estándar de referencia. Simultáneamente se recolectaron datos mediante los métodos Triángulo de Evaluación Pediátrica, Sistema de Alerta Temprana y SAVE A CHILD. Los datos obtenidos se corroboraron por un segundo pediatra al brindar la atención definitiva.  Resultados:  se evaluaron 1,120 niños; 560 ingresaron directamente del triaje a una cama de urgencias pediátricas (84.6% clasificados como nivel I, II o III) y 560 fueron revisados inicialmente en el consultorio después del triaje (20.2% nivel II o III). La sensibilidad para The Canadian Paediatric E.D. Triage Acuity Scale fue de 82%, obtuvimos especificidad de 80% y cociente de verosimilitudes positivo 4.16 (OR = 4.99; p &lt; 0.001); para el Triángulo de Evaluación Pediátrica la sensibilidad fue de 81%, especificidad de 87% y cociente de verosimilitudes positivo 6.25 (OR 111; p &lt; 0.001); para el Sistema de Alerta Temprana sensibilidad de 80%, especificidad de 85% y cociente de verosimilitudes positivo 5.2 (OR 92.3; p &lt; 0.001); para SAVE A CHILD sensibilidad de 90%, especificidad de 23% y cociente de verosimilitudes positivo 1.2 (OR 15.2; p &lt; 0.001).  Conclusiones:  el estudio demostró que el Triángulo de Evaluación Pediátrica, el Sistema de Alerta Temprana y SAVE A CHILD fueron instrumentos útiles para identificar y clasificar la gravedad de una emergencia pediátrica; el mejor resultado se obtuvo cuando se emplearon en conjunto.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT: The Pediatric Triage is a preliminary structured clinical assessment process to prioritize care degree of emergency, identify vital risk, ensure the reassessment for patients that should wait for attention, decide the most appropriate area to care for them and optimize the quality of care.  Objective:  Determine the usefulness of the Pediatric-Assessment-Triangle (PET), Pediatric-Early-Warning-System (PEWS) and SAVE A CHILD for the proper identification and initial rating of the severity of illness of children in Triage.  Material and methods:  Diagnostic test transversal study conducted in the Emergency Pediatric Room (EPR). Inclusion criteria: income from triage. Exclusion criteria: children already hospitalized, income from administrative case. Simple random sampling. It began with the classification by a Pediatrician in triage and allocation of severity (I-VI) by The Canadian Paediatric Scale (PaedCTAS) as a reference standard. Parallel data collection for PET, SAT and SAVE A CHILD. The data obtained were corroborated for a second pediatrician to provide definitive care.  Results:  1120 children were assessed; 560 were admitted directly from triage to bed EPR (84.6% classified as level I, II or III) and 560 initially reviewed in office triage (20.2% level II or III). We obtained as a diagnostic test for PaedCTAS, sensibity = 82%, specificity = 80%, LR+ = 4.16 (OR 4.99; p &lt; 0.001); PET sensibity = 81%, specificity = 87%, LR+ = 5.2 (OR 92.3; p &lt; 0.001 ); SAVE A CHILD sensibity = 90%, specificity = 85%, LR+ = 1.2 (OR 15.2; p &lt; 0.001).  Conclusions:  The study showed that PET, PEWS and SAVE A CHILD were useful tools to identify and classify the severity initial of disease in triage. The best result was obtained when employed they were used together.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[emergencias]]></kwd>
<kwd lng="es"><![CDATA[sala de urgencias]]></kwd>
<kwd lng="es"><![CDATA[evaluación]]></kwd>
<kwd lng="es"><![CDATA[triaje]]></kwd>
<kwd lng="en"><![CDATA[Emergency]]></kwd>
<kwd lng="en"><![CDATA[Emergency Pediatric Room]]></kwd>
<kwd lng="en"><![CDATA[assessment]]></kwd>
<kwd lng="en"><![CDATA[triage]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Pediatric Early Warning Score at Time of Emergency Department Disposition In Associated With Level of Care]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Breslin]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Marx]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Hoffman]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[McBeth]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Pavuluri]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[Pediatr Emerg Care]]></source>
<year>2014</year>
<volume>30</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>97-103</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[A Method for Assessing Emergency Department Performance Using Patient Outcomes]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chamberlain]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Pollack]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
</person-group>
<source><![CDATA[Acad Emerg Med]]></source>
<year>1998</year>
<volume>5</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>986-91</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="book">
<collab>Gobierno Federal de los Estados Unidos Mexicanos, Secreteria de Salud, SEDENA, SEMAR, IMSS, ISSSTE</collab>
<source><![CDATA[Triage hospitalario de primer contacto en los servicios de ugencias adutos para el segundo y tercer nivel de atención. Guía de Práctica Clínica México]]></source>
<year>2008</year>
<publisher-name><![CDATA[Secretaria de Salud]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Revisions to the Canadian Triage and Acuity Scale Paediatric Guideliness (PaedCTAS)]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Warren]]></surname>
<given-names><![CDATA[DW]]></given-names>
</name>
<name>
<surname><![CDATA[Jarvis]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Louise LeBlanc]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Gravel]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[CJEM*JCMU]]></source>
<year>2008</year>
<volume>10</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>224-32</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Validation of pediatric early warning score in pediatric emergency department]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chaiyakulsil]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Pandee]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
</person-group>
<source><![CDATA[Pediatr Int]]></source>
<year>2015</year>
<volume>57</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>694-8</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tucker]]></surname>
<given-names><![CDATA[KM]]></given-names>
</name>
<name>
<surname><![CDATA[Brewer]]></surname>
<given-names><![CDATA[TL]]></given-names>
</name>
<name>
<surname><![CDATA[Baker]]></surname>
<given-names><![CDATA[RB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prospective Evaluation Of A Pediatric Inpatient Early Warning Scoring System]]></article-title>
<collab>Demeriti: B.Vossmeyer MT</collab>
<source><![CDATA[JSPN]]></source>
<year>2008</year>
<volume>14</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>79-85</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Use of a Modified Pediatric Early Score in a Department of Pediatric and Adolescent Medicine]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Solevag]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
<name>
<surname><![CDATA[Eggen]]></surname>
<given-names><![CDATA[EH]]></given-names>
</name>
<name>
<surname><![CDATA[Schröder]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Nakstad]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<source><![CDATA[PLOS ONE]]></source>
<year>2013</year>
<volume>8</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>e72534</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Development and initial validation of the bedside Paediatric Early Warning System Score]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Parshuram]]></surname>
<given-names><![CDATA[CS]]></given-names>
</name>
<name>
<surname><![CDATA[Hutchison]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Middaugh]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<source><![CDATA[Crit Care]]></source>
<year>2009</year>
<volume>13</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>1-10</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bernardo]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Bove]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Pediatric Emergency Nursing Procedures]]></source>
<year>1993</year>
<edition>1</edition>
<publisher-loc><![CDATA[MA ]]></publisher-loc>
<publisher-name><![CDATA[Jones and Bartlett Publishers International]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Characteristics and Outcomes of Pediatric Rapid Reponse Teams before and after mandatory triggering by an Elevated Pediatric Early Warning System (PEWS) Score]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Panesar]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Polikoff]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Harris]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Mills]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Messina]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Parker]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
</person-group>
<source><![CDATA[HOSPITAL Pediatrics]]></source>
<year>2014</year>
<volume>4</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>135-40</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The Pe-diatric Assessment Triangle A novel approach for the rapid evaluation of children]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dieckmann]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Brownstein]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Gausche-Hill]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Pediatric Emergency Care]]></source>
<year>2010</year>
<volume>26</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>312-5</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The Canadian Triage and Acuity Scale A Canadian perspective on emergency department triage]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Murray]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<source><![CDATA[Emerg Med]]></source>
<year>2003</year>
<volume>15</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>6-10</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The Pediatric Assessment Triangle accuracy of its application by nurses in the triage children]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Horeczko]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Enriquez]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[McGrath]]></surname>
<given-names><![CDATA[NE]]></given-names>
</name>
<name>
<surname><![CDATA[Gausche-Hil]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Lewis]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
</person-group>
<source><![CDATA[J Emerg Nurs]]></source>
<year>2013</year>
<volume>39</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>182-9</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Multicente validation of the bedside paediatric early warning system score: a severity of illness score to detect evolving critical illness in hospitalised children]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Parshuram]]></surname>
<given-names><![CDATA[CS]]></given-names>
</name>
<name>
<surname><![CDATA[Duncan]]></surname>
<given-names><![CDATA[HP]]></given-names>
</name>
<name>
<surname><![CDATA[Joffe]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
<name>
<surname><![CDATA[Farrel]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Lacroix]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Middaugh]]></surname>
<given-names><![CDATA[KL]]></given-names>
</name>
</person-group>
<source><![CDATA[Critical Care]]></source>
<year>2011</year>
<volume>15</volume>
<page-range>1-10</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Improving the Manchester Triage System for Pediatric Emergency Care: An Interantional Multicenter Study]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Seiger]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[van Veen]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Steyerberg]]></surname>
<given-names><![CDATA[EW]]></given-names>
</name>
<name>
<surname><![CDATA[van Meurs]]></surname>
<given-names><![CDATA[AH]]></given-names>
</name>
<name>
<surname><![CDATA[Cameiro]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Alves]]></surname>
<given-names><![CDATA[CF]]></given-names>
</name>
<name>
<surname><![CDATA[Maconochie]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<source><![CDATA[PLOS | ONE]]></source>
<year>2014</year>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
