Table 4

Summary of literature pertaining to Emergency Severity Index (ESI) scores

Author	ESI studied	Data collection strategy	Sample size	Result	Agreement (Landis and Koch)21
Bespoke ESIs developed for assessment of paediatric patients in ED
Dallaire et al 12	Canadian Triage and Acuity Scale	Written scenarios	Five nurses each assessing 100 written scenarios	Kappa 0.44	Moderate agreement
Gravel et al 17	Canadian Triage and Acuity Scale	Patient triaged, immediate second triage by research nurse	1464 patients	Kappa 0.74	Good agreement
Jordi et al 10	ESI	Written scenarios	69 nurses each assessing 30 cases	Kappa 0.78	Good agreement
Travers et al 13	ESI	Part 1 Written scenarios Part 2 Simultaneous assessment by triage nurse and research nurse	170 nurses each assessing 40 scenarios 498 patients	Kappa 0.77 Kappa 0.57	Good agreement Moderate agreement
Durani et al 16	ESI V.4	Written scenarios	17 nurses 16 physicians each assessing 20 written scenarios	Kappa 0.67	Good agreement
Van Veen et al 15	Manchester Triage System for children	Part 1 Written scenarios Part 2 Simultaneous assessment by triage nurse and research nurse	43 nurses each assessing 20 written scenarios 198 patients each assessed by 1 out of 25 nurses plus 1 out of 2 research nurses	Kappa 0.83 Kappa 0.65	Almost perfect agreement Good agreement
Allen et al 11	Australasian triage scale	Written scenarios	167 nurses each assessing nine written scenarios	Kappa 0.27	Fair agreement
Ekins and Morphet14	Australasian triage scale	Written scenarios	46 nurses each assessing 27 scenarios	Kappa 0.4	Moderate agreement