Table 1.
Inclusion and exclusion criteria
Study population |
Patients of all age ages in the need for acute care (acutely ill or seriously injured somatic or psychiatric patients) |
Intervention |
Patient prioritizing by the use of a validated triage system in the pre-hospital setting; face-to-face or telephone triage-assessment |
Comparison |
Acutely ill or seriously injured patients who were assessed with a triage system different from that of the intervention, or who were not triaged at all in the same type of setting |
Outcomes |
Health outcomes (mortality, morbidity) |
Patient safety (for example undertriage) | |
Patient satisfaction | |
Job-satisfaction with the triage systems among health workers | |
Resources use (for example overtriage) | |
To what degree triage was completed (goal achievement) | |
The quality of the information exchange between the different settings of the EMS (for example the quality of documentation) | |
Study design |
Systematic review of high quality (see checklist, Additional file 2) |
Randomized controlled trial (RCT) | |
Non-randomized controlled study (non-RCT) | |
Controlled before-and-after study (CBA) | |
Interrupted time series analysis (ITS) | |
Exclusion | Studies were excluded if triage assessment was done in the hospital setting only without including triage assessment in any of the pre-hospital settings, if the patients were not acutely ill or seriously injured, or if there was no use of a comparison for the evaluation of the effects of a triage system or an ITS design |