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JumpSTART Triage Protocol in Disaster Pediatric Patients: A Systematic Literature Review

Published online by Cambridge University Press:  03 February 2022

Giovanna M. Stéfani ,
Murilo E. de Melo ,
Heloísa N. Zardeto ,
Victor S. L. P. Costa ,
Fabiana S. Lima  and
Maíra Cola Open the ORCID record for Maíra Cola [Opens in a new window]
Giovanna M. Stéfani
Affiliation:
Federal University of Santa Catarina (UFSC), Department of Health Sciences, Campus Araranguá, Araranguá, Brazil
Murilo E. de Melo
Affiliation:
Federal University of Santa Catarina (UFSC), Department of Health Sciences, Campus Araranguá, Araranguá, Brazil
Heloísa N. Zardeto
Affiliation:
Federal University of Santa Catarina (UFSC), Department of Health Sciences, Campus Araranguá, Araranguá, Brazil
Victor S. L. P. Costa
Affiliation:
Federal University of Santa Catarina (UFSC), Department of Health Sciences, Campus Araranguá, Araranguá, Brazil
Fabiana S. Lima
Affiliation:
Federal University of Santa Catarina (UFSC), Postgraduate Program in Information and Communication Technologies, Campus Araranguá, Araranguá, Brazil
Maíra Cola*
Affiliation:
Federal University of Santa Catarina (UFSC), Department of Health Sciences, Campus Araranguá, Araranguá, Brazil
*
Correspondence: Maíra Cola, PhD Department of Health Sciences, Campus Araranguá Gov. Jorge Lacerda Rode, Km 35.4 Jardim das Avenidas Federal University of Santa Catarina (UFSC) 88905-355, Araranguá, SC, Brazil E-mail: maira.cola@ufsc.br
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Abstract

Introduction:

In a mass-casualty incident (MCI) involving children, there is a need to apply accurate triage tools in order to help those who require important care, and at the same time, to avoid unnecessary use of resources. Thus, it is discussed which would be the best triage device to use in these situations. One of the most used is a modification of Simple Triage and Rapid Treatment, JumpSTART, whose performative quality this review focuses on.

Study Objective:

This review sought to compare the performance parameters of JumpSTART with other triage algorithms used in pediatric disaster victims.

Methods:

This systematic review was performed according to the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and registered with the PROSPERO database of systematic reviews with the number CRD42021258415. The last update of the search in the databases was on August 12, 2021 and resulted in six documents to be analyzed. The inclusion criteria included the peer-reviewed academic papers in English, Portuguese, Spanish, and Italian languages, and the databases used were PubMed, Scopus, MEDLINE/Bireme (Virtual Library of Health), Web of Science, and CINAHL, which executes the query on the topic, keywords, or abstracts. Also to be included, documents that were available with full-text access through CAPES, Google, or Google Scholar. Books, non-academic research, and content in languages other than the presented ones were represented as exclusion criteria. The Joanna Briggs Institute (JBI) checklists were used to evaluate the methodological quality of the retrieved studies. The results were presented through narrative synthesis. This review was not funded.

Results:

Of the collected publications, five articles were used to carry out this review, with the addition of an extra article captured by citation tracking. The findings from the obtained results were that JumpSTART was the preferred tool and presented the fastest speed of use. Only one of the five studies that dealt with accuracy showed JumpSTART as the most accurate algorithm, while three of the other four showed its inferiority in most aspects. In one study, no significant difference was observed amongst the chosen protocols.

Conclusions:

There is insufficient evidence to validate JumpSTART as a universal triage tool, given the disparities in the results obtained from the comparisons. No tool performed satisfactorily well, therefore there is an urgent need to create a reliable algorithm.

Keywords

childdisasterEmergency MedicineJumpSTARTpediatric
Type
Systematic Review
Information
Prehospital and Disaster Medicine , Volume 37 , Issue 2 , April 2022 , pp. 240 - 246
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Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

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