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MeSH Review

Triage

 
 
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Disease relevance of Triage

 

Psychiatry related information on Triage

  • With staff and physician involvement and medical specialist approval, nine Advance Triage algorithms were developed-abdominal pain, eye trauma, chest pain, gynaecological symptoms, substance abuse, orthopaedic trauma, minor trauma, paediatric fever and paediatric emergent [6].
  • MEASURES: Usual level of alcohol consumption (Alcohol Use Disorders Identification Test), acute alcohol and illicit drug use (during 24 h prior to interview), symptoms of anxiety and depression (Hospital Anxiety and Depression Scale) and triage category (Australasian Triage Scale) [7].
 

High impact information on Triage

  • Disruption of Hsp90 heterocomplexes by the Hsp90 inhibitor geldanamycin leads to substrate degradation through the ubiquitin-proteasome pathway, implicating this system in protein triage decisions [8].
  • By remodelling Hsp90 heterocomplexes to favour substrate degradation, CHIP modulates protein triage decisions that regulate the balance between protein folding and degradation for chaperone substrates [8].
  • This may be a form of regulation by which cells restrict access to Cdc37 until it has passed through a triage involving other chaperones such as Hsp70 and Hsp90 [9].
  • The 70-kDa heat shock cognate (Hsc70) chaperone plays a crucial role in protein (re-)folding and triage in the mammalian cytosol [10].
  • Four of the applications received three noncompetitive triage votes each and were either rated as not recommended for further consideration (NRF, n = 2)) or received priority scores > or = 250 (n = 2) (The smaller the priority score the better the technical merit) [11].
 

Chemical compound and disease context of Triage

 

Biological context of Triage

 

Anatomical context of Triage

  • In this study of 70 women enrolled in the ASCUS-LSIL Triage Study (ALTS), a clinical trial for management of low-grade cytologic abnormalities of the cervix, we collected paired plasma and cervical secretions to investigate the relationship between cervical concentrations of interleukin-10 (IL-10) and interleukin-12 (IL-12) and plasma levels [20].
 

Associations of Triage with chemical compounds

  • Eligible patients (n=201) with <24 h of symptoms were randomized to early triage angiography and subsequent therapies based on the angiogram versus conventional medical therapy consisting of aspirin, intravenous heparin, nitroglycerin, beta-blockers, and analgesics [21].
  • A primary difference between the test kits was the ability of DPC RIA and Triage to detect lorazepam when other assays did not [22].
  • Studies included precision, analytical correlation (against the Shionogi ShionoRIA and Biosite Triage BNP assays), BNP results for blood collected in plastic tubes containing EDTA vs other collection tubes, high-dose hook effect, detection limits, and interferences [23].
  • An inactin-anesthetized rat cardiovascular (CV) assay was employed in a screening mode to triage multiple classes of melanin-concentrating hormone receptor 1 (MCHr1) antagonists [24].
  • The objectives of our study were to (1) assess the outcomes resulting from the use of sonography in patients referred to our institution's ultrasound laboratory for an elevated serum creatinine level and (2) determine relevant clinical parameters in these patients to better triage them for sonography [25].
 

Gene context of Triage

  • Immunofluorescence studies revealed that ATX2 and PABP co-localize in mammalian cells, remarkably, even under conditions in which PABP accumulates in distinct cytoplasmic foci representing sites of mRNA triage [26].
  • CONCLUSIONS: Neither detection of telomerase or its components, nor detection of high risk HPV seem suitable for the triage of women with borderline, mild, and moderate cytological dyskaryosis [27].
  • The initial GR interaction with hsp70 appears to be critical for the triage between hsp90 heterocomplex assembly and preservation of receptor function vs CHIP-dependent ubiquitylation and proteasomal degradation [28].
  • The Triage device detects toxin A (TA) and glutamate dehydrogenase (GDH) simultaneously [29].
  • Its measure of LCCRP formation shows superior prediction over CRP alone and it warrants further assessment as a tool to triage and target prompt, appropriate treatment in the ITU [30].
 

Analytical, diagnostic and therapeutic context of Triage

  • DIFF CHEK-60 (TL-GDH), in combination with the C. difficile Tox A/B II enzyme immunoassay (Tox-A/B) with (i) the Triage C. difficile test, which detects both GDH (TR-GDH) and toxin A (TR-Tox-A); (ii) an in-house cytotoxin assay (C-Tox); and (iii) stool cultures for C. difficile [31].
  • The use of one dose of subcutaneous terbutaline resulted in the shortest length of triage stay but did not affect pregnancy outcome [32].
  • Compared with current protocol, triage by HPV and p16 testing combined reduced the number of colposcopies by 73.1%, but reduced > CIN2 detection rate by 21.5%, and was associated with a cost of euro 54.73 per woman assessed and of euro 704.09 per > CIN2 detected [33].
  • All patients 18 years or older presenting to the emergency department with acute asthma attacks were begun by the triage nurse on the protocol of three continuous albuterol (2.5 mg) nebulizer treatments [34].
  • We conclude that the Triage method represents a superior method for benzodiazepine screening when compared with other immunoassay methods [35].

References

  1. Emergency department triage strategies for acute chest pain using creatine kinase-MB and troponin I assays: a cost-effectiveness analysis. Polanczyk, C.A., Kuntz, K.M., Sacks, D.B., Johnson, P.A., Lee, T.H. Ann. Intern. Med. (1999) [Pubmed]
  2. Simultaneous rapid measurement of whole blood myoglobin, creatine kinase MB, and cardiac troponin I by the triage cardiac panel for detection of myocardial infarction. Apple, F.S., Christenson, R.H., Valdes, R., Andriak, A.J., Berg, A., Duh, S.H., Feng, Y.J., Jortani, S.A., Johnson, N.A., Koplen, B., Mascotti, K., Wu, A.H. Clin. Chem. (1999) [Pubmed]
  3. Demonstration of the feasibility of emergency department immunization against influenza and pneumococcus. Slobodkin, D., Zielske, P.G., Kitlas, J.L., McDermott, M.F., Miller, S., Rydman, R. Annals of emergency medicine. (1998) [Pubmed]
  4. Parathormone response to thyroid surgery. Cahill, R.A., Harty, R., Cotter, S., Watson, R.G. Am. J. Surg. (2006) [Pubmed]
  5. The effect of thermocycling on a colored glass ionomer intracoronal barrier. Maloney, S.M., McClanahan, S.B., Goodell, G.G. Journal of endodontics. (2005) [Pubmed]
  6. An advance triage system. Cheung, W.W., Heeney, L., Pound, J.L. Accident and emergency nursing. (2002) [Pubmed]
  7. Substance misuse, anxiety and depression and urgency of presentation to a public emergency department in Australia. Kinner, S.A., Alati, R., Watt, K., Najman, J.M., Fowler, G., Green, D. Emergency medicine Australasia : EMA. (2005) [Pubmed]
  8. The co-chaperone CHIP regulates protein triage decisions mediated by heat-shock proteins. Connell, P., Ballinger, C.A., Jiang, J., Wu, Y., Thompson, L.J., Höhfeld, J., Patterson, C. Nat. Cell Biol. (2001) [Pubmed]
  9. The Cdc37 protein kinase-binding domain is sufficient for protein kinase activity and cell viability. Lee, P., Rao, J., Fliss, A., Yang, E., Garrett, S., Caplan, A.J. J. Cell Biol. (2002) [Pubmed]
  10. The 70-kDa heat shock protein chaperone nucleotide-binding domain in solution unveiled as a molecular machine that can reorient its functional subdomains. Zhang, Y., Zuiderweg, E.R. Proc. Natl. Acad. Sci. U.S.A. (2004) [Pubmed]
  11. A statistical model validating triage for the peer review process: keeping the competitive applications in the review pipeline. Vener, K.J., Feuer, E.J., Gorelic, L. FASEB J. (1993) [Pubmed]
  12. Subcortical hemorrhage caused by methamphetamine abuse: efficacy of the triage system in the differential diagnosis--case report. Inamasu, J., Nakamura, Y., Saito, R., Kuroshima, Y., Mayanagi, K., Ohba, S., Ichikizaki, K. Neurol. Med. Chir. (Tokyo) (2003) [Pubmed]
  13. The effect of standard care, ibuprofen, and music on pain relief and patient satisfaction in adults with musculoskeletal trauma. Tanabe, P., Thomas, R., Paice, J., Spiller, M., Marcantonio, R. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. (2001) [Pubmed]
  14. The Bali burn disaster: implications and lessons learned. Kennedy, P.J., Haertsch, P.A., Maitz, P.K. The Journal of burn care & rehabilitation. (2005) [Pubmed]
  15. Anion and osmolal gaps in the diagnosis of methanol poisoning: clinical study in 28 patients. Hovda, K.E., Hunderi, O.H., Rudberg, N., Froyshov, S., Jacobsen, D. Intensive care medicine. (2004) [Pubmed]
  16. The trauma triage rule: a new, resource-based approach to the prehospital identification of major trauma victims. Baxt, W.G., Jones, G., Fortlage, D. Annals of emergency medicine. (1990) [Pubmed]
  17. Visibly stressed: the role of eIF2, TIA-1, and stress granules in protein translation. Anderson, P., Kedersha, N. Cell Stress Chaperones (2002) [Pubmed]
  18. NHS Direct versus general practice based triage for same day appointments in primary care: cluster randomised controlled trial. Richards, D.A., Godfrey, L., Tawfik, J., Ryan, M., Meakins, J., Dutton, E., Miles, J. BMJ (2004) [Pubmed]
  19. Radiation accidents. Part II. Triage. Lushbaugh, C.C. The Alabama journal of medical sciences. (1988) [Pubmed]
  20. Cervical concentrations of interleukin-10 and interleukin-12 do not correlate with plasma levels. Castle, P.E., Hildesheim, A., Bowman, F.P., Strickler, H.D., Walker, J.L., Pustilnik, T., Edwards, R.P., Crowley-Nowick, P.A. J. Clin. Immunol. (2002) [Pubmed]
  21. A prospective randomized trial of triage angiography in acute coronary syndromes ineligible for thrombolytic therapy. Results of the medicine versus angiography in thrombolytic exclusion (MATE) trial. McCullough, P.A., O'Neill, W.W., Graham, M., Stomel, R.J., Rogers, F., David, S., Farhat, A., Kazlauskaite, R., Al-Zagoum, M., Grines, C.L. J. Am. Coll. Cardiol. (1998) [Pubmed]
  22. Detecting benzodiazepines: immunoassays compared with negative chemical ionization gas chromatography/mass spectrometry. Fitzgerald, R.L., Rexin, D.A., Herold, D.A. Clin. Chem. (1994) [Pubmed]
  23. Analytical and clinical evaluation of the Bayer ADVIA Centaur automated B-type natriuretic peptide assay in patients with heart failure: a multisite study. Wu, A.H., Packer, M., Smith, A., Bijou, R., Fink, D., Mair, J., Wallentin, L., Johnston, N., Feldcamp, C.S., Haverstick, D.M., Ahnadi, C.E., Grant, A., Despres, N., Bluestein, B., Ghani, F. Clin. Chem. (2004) [Pubmed]
  24. Screening for cardiovascular safety: a structure-activity approach for guiding lead selection of melanin concentrating hormone receptor 1 antagonists. Kym, P.R., Souers, A.J., Campbell, T.J., Lynch, J.K., Judd, A.S., Iyengar, R., Vasudevan, A., Gao, J., Freeman, J.C., Wodka, D., Mulhern, M., Zhao, G., Wagaw, S.H., Napier, J.J., Brodjian, S., Dayton, B.D., Reilly, R.M., Segreti, J.A., Fryer, R.M., Preusser, L.C., Reinhart, G.A., Hernandez, L., Marsh, K.C., Sham, H.L., Collins, C.A., Polakowski, J.S. J. Med. Chem. (2006) [Pubmed]
  25. Renal sonography: can it be used more selectively in the setting of an elevated serum creatinine level? Gottlieb, R.H., Weinberg, E.P., Rubens, D.J., Monk, R.D., Grossman, E.B. Am. J. Kidney Dis. (1997) [Pubmed]
  26. An integrative approach to gain insights into the cellular function of human ataxin-2. Ralser, M., Albrecht, M., Nonhoff, U., Lengauer, T., Lehrach, H., Krobitsch, S. J. Mol. Biol. (2005) [Pubmed]
  27. Detection of telomerase, its components, and human papillomavirus in cervical scrapings as a tool for triage in women with cervical dysplasia. Reesink-Peters, N., Helder, M.N., Wisman, G.B., Knol, A.J., Koopmans, S., Boezen, H.M., Schuuring, E., Hollema, H., de Vries, E.G., de Jong, S., van der Zee, A.G. J. Clin. Pathol. (2003) [Pubmed]
  28. Chaperoning of glucocorticoid receptors. Pratt, W.B., Morishima, Y., Murphy, M., Harrell, M. Handbook of experimental pharmacology. (2006) [Pubmed]
  29. Clinical usefulness of components of the Triage immunoassay, enzyme immunoassay for toxins A and B, and cytotoxin B tissue culture assay for the diagnosis of Clostridium difficile diarrhea. Massey, V., Gregson, D.B., Chagla, A.H., Storey, M., John, M.A., Hussain, Z. Am. J. Clin. Pathol. (2003) [Pubmed]
  30. Early identification of sepsis and mortality risks through simple, rapid clot-waveform analysis. Implications of lipoprotein-complexed C reactive protein formation. Toh, C.H., Ticknor, L.O., Downey, C., Giles, A.R., Paton, R.C., Wenstone, R. Intensive care medicine. (2003) [Pubmed]
  31. Performance of the TechLab C. DIFF CHEK-60 enzyme immunoassay (EIA) in combination with the C. difficile Tox A/B II EIA kit, the Triage C. difficile panel immunoassay, and a cytotoxin assay for diagnosis of Clostridium difficile-associated diarrhea. Snell, H., Ramos, M., Longo, S., John, M., Hussain, Z. J. Clin. Microbiol. (2004) [Pubmed]
  32. Management options in women with preterm uterine contractions: a randomized clinical trial. Guinn, D.A., Goepfert, A.R., Owen, J., Brumfield, C., Hauth, J.C. Am. J. Obstet. Gynecol. (1997) [Pubmed]
  33. Role of P16((INK4a)) expression in identifying CIN2 or more severe lesions among HPV-positive patients referred for colposcopy after abnormal cytology. Carozzi, F., Cecchini, S., Confortini, M., Becattini, V., Cariaggi, M.P., Pontenani, G., Sani, C., Ciatto, S. Cancer (2006) [Pubmed]
  34. The efficacy and safety of a continuous albuterol protocol for the treatment of acute adult asthma attacks. Olshaker, J., Jerrard, D., Barish, R.A., Brandt, G., Hooper, F. The American journal of emergency medicine. (1993) [Pubmed]
  35. Improved screening for benzodiazepine metabolites in urine using the Triage Panel for Drugs of Abuse. Koch, T.R., Raglin, R.L., Kirk, S., Bruni, J.F. Journal of analytical toxicology. (1994) [Pubmed]
 
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