Table 6.
Subanalyses of agreement of explicit criteria
| Total cases n (%) | Disagree (n) | Agree (n) | Kappa | 95% CI | ||
|---|---|---|---|---|---|---|
| Physicians (Urgent) - Nurses (Nonurgent) | Nurses (Urgent) - Physicians (Nonurgent) | |||||
| Age | ||||||
| < 75 years | 1,350 (85.7) | 102 | 232 | 1,016 | 0.44 | 0.39-0.49 |
| ≥ 75 years | 225 (14.3) | 22 | 22 | 181 | 0.29 | 0.13-0.45 |
| Non-traumatic complaints | 814 (51.6) | 66 | 130 | 618 | 0.46 | 0.40-0.52 |
| Cardiovascular | 157 (9.9) | 9 | 23 | 125 | 0.25 | 0.06-0.43 |
| Gastrointestinal | 131 (8.3) | 14 | 22 | 95 | 0.35 | 0.18-0.52 |
| Rheumatology | 114 (7.2) | 12 | 23 | 79 | 0.36 | 0.19-0.53 |
| ENT | 59 (3.7) | 2 | 12 | 45 | 0.52 | 0.32-0.73 |
| Urinary nephrology | 55 (3.5) | 7 | 6 | 42 | 0.09 | -0.20-0.39 |
| Neurology | 39 (2.5) | 3 | 7 | 29 | 0.34 | 0.02-0.66 |
| Respiratory | 41 (2.6) | 5 | 2 | 34 | 0.48 | 0.16-0.81 |
| Ophthalmology | 43 (2.7) | 5 | 6 | 32 | 0.26 | -0.07-0.59 |
| Infectious | 32 (2.0) | 1 | 4 | 27 | 0.60 | 0.30-0.90 |
| Endocrine | 31 (2.0) | 4 | 7 | 20 | 0.22 | -0.13-0.56 |
| Psychiatric | 25 (1.6) | - | 6 | 19 | 0.53 | 0.24-0.82 |
| Toxicology | 19 (1.2) | - | - | 19 | 1.00 | - |
| Dermatology/Allergy | 24 (1.5) | 2 | 6 | 16 | 0.33 | -0.02-0.69 |
| Gynecological | 20 (1.3) | 1 | 2 | 17 | 0.66 | 0.31-1.00 |
| Others (transfer, medical prescription renewal, technical problem probe) | 24 (1.5) | 1 | 4 | 19 | 0.58 | 0.27-0.89 |
| Traumatic complaints | 763 (48.4) | 57 | 125 | 581 | 0.40 | 0.33-0.47 |
| Limb/Pelvis injury | 407 (25.8) | 32 | 72 | 303 | 0.39 | 0.29-0.48 |
| Wound | 148 (9.4) | 12 | 20 | 116 | 0.26 | 0.07-0.45 |
| Facial/Neck/Thorax/Abdomen/Spinal Injury | 80 (5.1) | 7 | 12 | 61 | 0.49 | 0.29-0.69 |
| Aggression | 34 (2.2) | 2 | 9 | 23 | 0.35 | 0.06-0.64 |
| Cranial injury | 21 (1.3) | 1 | 1 | 19 | 0.61 | 0.12-1.10 |
| Others (burn, subcutaneous foreign body) | 73 (4.6) | 3 | 11 | 63 | 0.47 | 0.24-0.70 |
| Suffering from chronic disease | ||||||
| Yes | 577 (36.7) | 34 | 81 | 462 | 0.47 | 0.38-0.54 |
| No | 995 (63.3) | 90 | 173 | 732 | 0.41 | 0.35-0.47 |
| Duration of the presenting complaint | ||||||
| ≤ 24 hours | 1,223 (77.7) | 88 | 198 | 937 | 0.39 | 0.33-0.45 |
| > 24 hours | 350 (22.3) | 36 | 56 | 258 | 0.47 | 0.38-0.56 |
| Mode of arrival | ||||||
| Own transport | 1,013 (64.4) | 87 | 178 | 748 | 0.45 | 0.40-0.50 |
| Ambulance transport | 559 (35.6) | 37 | 77 | 445 | 0.23 | 0.13-0.33 |
| Referral to the ED | ||||||
| Self-referral | 996 (63.4) | 83 | 170 | 743 | 0.46 | 0.41-0.51 |
| Health care professional | 270 (17.2) | 21 | 35 | 214 | 0.26 | 0.11-0.40 |
| Other | 305 (19.4) | 18 | 49 | 238 | 0.30 | 0.18-0.43 |
| Outcome of the visit to the ED | ||||||
| Hospitalization | 352 (22.7) | 30 | 11 | 311 | 0.20 | 0.04-0.35 |
| Home | 1,201 (77.3) | 93 | 239 | 869 | 0.42 | 0.37-0.47 |