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Triage Performance and Physiological Predictors of Serious Illness in Febrile Children in the Pediatric Emergency Department

Recruitingn/aAges 0 Years - 18 YearsAllTC Erciyes University
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In plain words

What the trial is, and whether it could suit you

This multicenter prospective observational cohort study evaluates how well the initial triage category assigned by the Turkish Ministry of Health three-level color-coded triage system (Red-Yellow-Green) predicts serious clinical outcomes in children aged 0-18 years who present with fever to pediatric emergency departments. The study additionally assesses whether physiological parameters recorded at triage (heart rate, respiratory rate, oxygen saturation, capillary refill time, AVPU level of consciousness, and general appearance) provide independent and incremental prognostic value beyond the assigned triage category. Ten centers across Turkey will enroll consecutive eligible febrile children over a 3-month period. Routine clinical care and triage decisions are not altered by the study. The primary outcome is a composite serious clinical outcome. The study is reported in accordance with t

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📋 Eligibility rules (as published)
Inclusion Criteria: * Age 0-18 years * Presentation to the pediatric emergency department * Fever \>=38.0 C at triage OR history of fever within the preceding 24 hours Exclusion Criteria: * Presentation due to trauma * Elective visits * Missing triage data * Re-attendance within 72 hours for the same episode (only the first visit is included)
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What it tests

  • Ministry of Health three-level color-coded triage
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Where

10 sites
Erciyes University Faculty of Medicine
Kayseri, Turkey (Türkiye)
Adana City Training and Research Hospital
Adana, Turkey (Türkiye)
Cukurova University Faculty of Medicine
Adana, Turkey (Türkiye)
Akdeniz University Faculty of Medicine
Antalya, Turkey (Türkiye)
Osmangazi University Faculty of Medicine
Eskişehir, Turkey (Türkiye)
Kartal Dr. Lutfi Kirdar City Hospital
Istanbul, Turkey (Türkiye)
Dokuz Eylul University Faculty of Medicine
Izmir, Turkey (Türkiye)
Kayseri City Hospital
Kayseri, Turkey (Türkiye)

…and 2 more on ClinicalTrials.gov.

🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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