April 9, 2026 · Family practice · DOI: 10.1093/fampra/cmag015

Performance of the Dutch Triage standard in managing fever in children in out-of-hours primary care: a secondary analysis of the chili study

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This study investigates the effectiveness of the Dutch Triage Standard (NTS) in assessing urgency and guiding management decisions for febrile children in out-of-hours primary care. The authors analyze the agreement between pre-consultation urgency classifications and post-consultation outcomes, finding that higher urgency classifications correlate with increased referral rates, yet many consultations are classified as low urgency, indicating a potential inefficiency in triage practices. The results suggest a need for improved triage methods to better allocate resources and reduce unnecessary consultations.

Robin N Gottwald, Eefje G P M de Bont, Jochen W L Cals, Laure Wynants

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