Sinicization of the Triage Risk Screening Tool and test of its reliability andvalidity in elderly patients of emergency department
10.3760/cma.j.cn211501-20240902-02396
- VernacularTitle:分诊风险筛查工具的汉化及在急诊科老年患者中的信效度检验
- Author:
Zhenlong YAN
1
;
Ping HUANG
1
;
Junjie TAO
1
;
Min ZHANG
1
;
Meng CHEN
1
;
Yuchuan WANG
1
Author Information
1. 南京大学医学院附属鼓楼医院急诊医学科，南京 210008
- Publication Type:Journal Article
- Keywords:
Emergency service, hospital;
Risk screening;
Aged;
Reliability;
Validity
- From:
Chinese Journal of Practical Nursing
2025;41(17):1281-1289
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To translate the Triage Risk Screening Tool (TRST) into Chinese and to test its reliability and validity among older patients in the emergency department.Methods:The Brislin translation model was used to translate and back-translate the English version of the TRST. After cultural adaptation and pre-testing, and subsequently, the final Chinese version of the TRST (TRST-C) was formed. Using the convenience sampling method, a questionnaire survey was conducted on 174 elderly patients who visited the emergency department of Nanjing Drum Tower Hospital Affiliated to Medical School of Nanjing University to verify the reliability and validity of the scale.Results:The item-level content validity index and the scale-level average content validity index were 0.89-1.00 and 0.978, respectively. Exploratory factor analysis extracted 2 common factors, and the cumulative variance explanation rate was 63.095%. Using 2 points as the threshold for high risk of adverse outcomes. The sensitivity of TRST-C for 30-day death, emergency department readmission, rehospitalization and composite adverse outcomes were 94.4%, 81.8%, 84.6% and 84.9% respectively, and the negative predictive values were 98.3%, 86.4%, 86.4% and 76.3%, respectively. The Cronbach α coefficient and the Guttman split-half reliability of the TRST-C were 0.639 and 0.669, respectively. The Kappa coefficient was 0.911. Conclusions:The TRST-C has good reliability and validity, which can screen elderly patients of emergency department at risk of adverse outcomes.
