Evidence-based approach for selecting human resources in urgent transport.
Anales de pediatria · 2025-11-01 · Observational study
Abstract
INTRODUCTION: Interhospital transport is crucial for ensuring access to specialized care and poses a logistic and clinical challenge that impacts patient safety and resource management. Few tools are available to predict risks in pediatric transport (PT), so a triage scale could help optimize and standardize resources. OBJECTIVES: To analyze the diagnostic accuracy of urgent interhospital transport team selection by health care professionals compared to the use of SCOPETAS, the adapted version Pediatric Transport Triage Tool (PT3), and to assess the agreement between the choices of professionals and those proposed by the scale. METHOD: Observational cohort study to evaluate the accuracy of the SCOPETAS scale and the agreement between the actual transport team and the one recommended by the scale, considered the gold standard. We analyzed urgent PT cases (aged 1 month to 14 years) from four regional hospitals to the referral hospital over a one-year period. RESULTS: The study included a total of 150 PT cases. The weighted kappa for the agreement in team selection was 0.68 (P < .001), with greater discordance in the choice of emergency medical technician (EMT) + nursing teams. The weight of evidence (WoE) for selecting advanced and basic life support was 10.1 dB and 7.54 dB, respectively, compared to 3.93 dB and 3.11 dB for EMT and EMT + nursing teams, respectively. The application of SCOPETAS would have reduced costs and optimized staff availability. CONCLUSIONS: SCOPETAS is a useful and easy-to-apply tool that standardizes PT and optimizes resources. Future research should cover all pediatric age groups and other regions.