Manchester Triage System: main flowcharts, discriminators and outcomes of a pediatric emergency care

Abstract

Objetive: to characterize the care services performed through risk rating by the Manchester Triage System, identifying demographics (age, gender), main flowcharts, discriminators and outcomes in pediatric emergency Method: cross-sectional quantitative study. Data on risk classification were obtained through a search of computerized registration data from medical records of patients treated in the pediatric emergency within one year. Descriptive statistics with absolute and relative frequencies was used for the analysis. Results: 10,921 visits were conducted in the pediatric emergency, mostly male (54.4%), aged between 29 days and two years (44.5%). There was a prevalence of the urgent risk category (43.6%). The main flowchart used in the care was worried parents (22.4%) and the most prevalent discriminator was recent event (15.3%). The hospitalization outcome occurred in 10.4% of care performed in the pediatric emergency, however 61.8% of care needed to stay under observation and / or being under the health team care in the pediatric emergency. Conclusion: worried parents was the main flowchart used and recent events the most prevalent discriminator, comprising the hospitalization outcomes and permanency in observation in the pediatric emergency before discharge from the hospital.

Satisfação da qualidade de atendimento em um Pronto-Socorro Infantil

“…A study that used the Manchester screening system in an emergency service in southern Brazil found similar results to the present study, and 43.6% of pediatric patients were classified in the yellow category (urgent), followed by 34.0% of children classified as green (non-urgent). (16) Among the pathologies presented by children who attended the Pediatric Emergency Room, respiratory and digestive diseases were predominant, and these data are in line with findings of studies conducted in the Netherlands. (17) The main diseases affecting pediatric patients that led them to seek the emergency room were those of the respiratory system (56.2%), followed by gastrointestinal diseases (16.6%), and viruses (13.1%).…”

“…The majority of patients admitted to service were discharged after medical treatment, or after receiving treatment for their acute clinical condition in the pediatric emergency room, an thus, were released to go home. (16) This is a common situation in pediatric emergency services, and demonstrates the real importance of the risk classification triage by a highly trained and qualified professional in specific care to pediatric patients. (8,19) In the present study, the average time between opening the patient's record and child care in the screening room was 32.26 minutes.…”

Sistema Manchester: tempo empregado na classificação de risco e prioridade para atendimento em uma emergência

“…However, in the pediatrics and European context, the classification of patients in standard categories ranged from 34.6% (13) to 45.3% (14) to 52% (15) . In this scenario (15) , even adding patients from category white to those with lower priority, the proportion remained lower than that found in the present study.…”

Betegforgalmi trendek multidiszciplináris sürgősségi osztályon

“…Számos ötfokozatú triázsrendszer terjedt el a világon az ellátási szintekhez különböző időlimiteket használva [30]. Az osztályozás megkönnyítésére és gyorsabb elvégzése érdekében az elektronikusan támogatott válto-zatok is sorra jelentek meg [31,32]. Hazánkban is elengedhetetlen a medikai informatikai rendszerek ez irányú fejlesztése.…”