Table 4

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

AuthorESI studiedData collection strategySample sizeResultAgreement
(Landis and Koch)21
Bespoke ESIs developed for assessment of paediatric patients in ED
 Dallaire et al 12 Canadian Triage and Acuity ScaleWritten scenariosFive nurses each assessing 100 written scenariosKappa 0.44Moderate agreement
 Gravel et al 17 Canadian Triage and Acuity ScalePatient triaged, immediate second triage by research nurse1464 patientsKappa 0.74Good agreement
 Jordi et al 10 ESIWritten scenarios69 nurses each assessing 30 casesKappa 0.78Good agreement
 Travers et al 13 ESIPart 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.4Written scenarios17 nurses
16 physicians each assessing 20 written scenarios
Kappa 0.67Good agreement
 Van Veen et al 15 Manchester Triage System for childrenPart 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 scaleWritten scenarios167 nurses each assessing nine written scenariosKappa 0.27Fair agreement
 Ekins and Morphet14 Australasian triage scaleWritten scenarios46 nurses each assessing 27 scenariosKappa 0.4Moderate agreement