A clinical prediction model to identify children at risk for revisits with serious illness to the emergency department: A prospective multicentre observational study.

Background: To develop a clinical prediction model to identify children at risk for revisits with serious illness to the emergency department.

Methods And Findings: A secondary analysis of a prospective multicentre observational study in five European EDs (the TRIAGE study), including consecutive children aged <16 years who were discharged following their initial ED visit ('index' visit), in 2012-2015. Standardised data on patient characteristics, Manchester Triage System urgency classification, vital signs, clinical interventions and procedures were collected.

Shortness of breath in children at the emergency department: Variability in management in Europe.

Objective: Our aim was to describe variability in resource use and hospitalization in children presenting with shortness of breath to different European Emergency Departments (EDs) and to explore possible explanations for variability.

Design: The TrIAGE project, a prospective observational study based on electronic health record data.

Patients And Setting: Consecutive paediatric emergency department visits for shortness of breath in five European hospitals in four countries (Austria, Netherlands, Portugal, United Kingdom) during a study period of 9-36 months (2012-2014).

Improving the prioritization of children at the emergency department: Updating the Manchester Triage System using vital signs.

Background: Vital signs are used in emergency care settings in the first assessment of children to identify those that need immediate attention. We aimed to develop and validate vital sign based Manchester Triage System (MTS) discriminators to improve triage of children at the emergency department.

Methods And Findings: The TrIAGE project is a prospective observational study based on electronic health record data from five European EDs (Netherlands (n = 2), United Kingdom, Austria, and Portugal).

Diagnosis and Treatment of Headache in a Pediatric Emergency Department.

Objectives: The aims of the study were (1) to analyze the etiology and clinical management of headaches in children in the emergency department and (2) to analyze the treatment used in children diagnosed with headaches and with migraines.

Methods: Retrospective study of all the patients who were admitted to the pediatric emergency department of Hospital Professor Doutor Fernando Fonseca, Lisbon, in 2014, with a chief complaint of headaches or the primary discharge diagnosis was headache/migraine.

Results: Headache related cases represented 3.

Management of children visiting the emergency department during out-of-office hours: an observational study.

Background: The aim was to study the characteristics and management of children visiting the emergency department (ED) during out-of-office hours.

Methods: We analysed electronic health record data from 119 204 children visiting one of five EDs in four European countries. Patient characteristics and management (diagnostic tests, treatment, hospital admission and paediatric intensive care unit admission) were compared between children visiting during office hours and evening shifts, night shifts and weekend day shifts.

Sex-specific differences in children attending the emergency department: prospective observational study.

Objective: To assess the role of sex in the presentation and management of children attending the emergency department (ED).

Design: The TrIAGE project (TRiage Improvements Across General Emergency departments), a prospective observational study based on curated electronic health record data.

Setting: Five diverse European hospitals in four countries (Austria, The Netherlands, Portugal, UK).

Development and validation of a Paediatric Early Warning Score for use in the emergency department: a multicentre study.

Background: Paediatric Early Warning Scores (PEWSs) are being used increasingly in hospital wards to identify children at risk of clinical deterioration, but few scores exist that were designed for use in emergency care settings. To improve the prioritisation of children in the emergency department (ED), we developed and validated an ED-PEWS.

Methods: The TrIAGE project is a prospective European observational study based on electronic health record data collected between Jan 1, 2012, and Nov 1, 2015, from five diverse EDs in four European countries (Netherlands, the UK, Austria, and Portugal).

Validity of the Manchester Triage System in emergency care: A prospective observational study.

Objectives: To determine the validity of the Manchester Triage System (MTS) in emergency care for the general population of patients attending the emergency department, for children and elderly, and for commonly used MTS flowcharts and discriminators across three different emergency care settings.

Methods: This was a prospective observational study in three European emergency departments. All consecutive patients attending the emergency department during a 1-year study period (2010-2012) were included.

Improving the Manchester Triage System for pediatric emergency care: an international multicenter study.

Objectives: This multicenter study examines the performance of the Manchester Triage System (MTS) after changing discriminators, and with the addition use of abnormal vital sign in patients presenting to pediatric emergency departments (EDs).

Design: International multicenter study.

Settings: EDs of two hospitals in The Netherlands (2006-2009), one in Portugal (November-December 2010), and one in UK (June-November 2010).