Évaluation de l’application d’un triage par la Classification Infirmière des Malades aux Urgences par des infirmiers organisateurs de l’accueil en comparaison avec un triage réalisé par un médecin

Aims: With the increasing attendance emergency department, patients’ triage has become essential, making the role of triage nurse (TN) crucial. Their function is defined by a published guideline of the French Society of Emergency Medicine. The aim of our study was to analyze the consistency of triage by TN with the one proposed by the classification (Classification Infirmière des Malades aux Urgences [CIMU]) they are supposed to achieve. Procedure: We conducted a seven days retrospective observational study. All patient coming to the emergency departments of Lariboisière hospital during this period were included in the study. The study investigator, based on information gathered in the records, performed a triage following exactly the CIMU. This triage was compared to the one by the TN with a Pearson correlation test, a Cohen Kappa concordance test. Results: Comparison of the triage found a match in 1,113 of 1,463 cases; with a kappa concordance of 0.639 and an IC 95% (0.60568; 0.67232; p<0.0001). Conclusion: The result of this study corresponds to a substantial concordance. Sorting with CIMU appears easily applicable and reproducible.