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. 2019 May 28;9(5):e026471. doi: 10.1136/bmjopen-2018-026471

Table 1.

Evidence summary of the most commonly used triage systems

Canadian Triage And Acuity Scale Emergency Severity Index Manchester Triage System
Triage system characteristics
Description List, based on presenting signs and symptoms Flowchart, based on physical signs and expected resource use Multiple flowcharts, based on presentational signs and symptoms
No of levels 5 5 5
Classification and waiting time Level I, Immediate
Level II, 15 min
Level III, 30 min
Level IV, 60 min
Level V, 2 hours
Immediate
Emergent, 14 min
Urgent, 60 min
Semiurgent, 2 hours
Non-urgent, 24 hours
Immediate
Very urgent, 10 min
Urgent, 60 min
Standard, 2 hours
Non-urgent, 4 hours
Quantity of evidence
Total no of evaluations 13 21 15
Evaluations in children 9 4 7
Evaluations in elderly 1 2 0
Diversity of evidence (range)
No of hospitals per study 1–12 1–7 1–4
Inclusions per study 481–550 940 180–37 974 872–31 622
Hospital census 10 000–75 000 10 000–90 000 7000–190 000
Hospitalisation rate 8%–47% 10%–62% 5%–33%
Risk of bias
High risk of bias in at least one domain 54% 81% 67%
High risk of bias in >1 domain 15% 23% 13%