Correlation between classification in risk categories and clinical aspects and outcomes

Abstract

Objective:to correlate classification in risk categories with the clinical profiles, outcomes and origins of patients. Method:analytical cross-sectional study conducted with 697 medical forms of adult patients. The variables included: age, sex, origin, signs and symptoms, exams, personal antecedents, classification in risk categories, medical specialties, and outcome. The Chi-square and likelihood ratio tests were used to associate classifications in risk categories with origin, signs and symptoms, exams, personal antecedents, medical specialty, and outcome. Results:most patients were women with an average age of 44.5 years. Pain and dyspnea were the symptoms most frequently reported while hypertension and diabetes mellitus were the most common comorbidities. Classifications in the green and yellow categories were the most frequent and hospital discharge the most common outcome. Patients classified in the red category presented the highest percentage of ambulance origin due to surgical reasons. Those classified in the orange and red categories also presented the highest percentage of hospitalization and death. Conclusion:correlation between clinical aspects and outcomes indicate there is a relationship between the complexity of components in the categories with greater severity, evidenced by the highest percentage of hospitalization and death.

Emergency department visits for ambulatory care sensitive conditions

“…When analyzing the Manchester Triage System performed at the UPA, most visits were classified as standard. This trend has already been demonstrated in other national studies (25)(26) , which shows a greater demand for urgency services for low complexity care.…”

Risk classification priorities in an emergency unit and outcomes of the service provided

“…Other emergency units showed a similar tendency in relation to the outcome of patients after care, including those of a Portuguese hospital 17 , in which more than 90.0% had received hospital discharge, and the emergency service in São Paulo, Brazil, where 94.5% of the patients had been discharged, 4.3% had been hospitalized and 1.2% had died. All identified deaths were classified as priority by the institutional risk classification protocol of the respective unit, evidencing the sensitivity of the instrument 16 .…”

“…These results are ​​similar to those shown in studies developed in units that use institutional protocols to classify patients according to five categories of priority: red, orange, yellow, green and blue 15 , such as the Federal School Hospital, in the city of São Paulo, Brazil, in which 73.7% of the patients had been classified as green or blue. Another study developed in the city of São Paulo found that 61.0% of the patients who seek the unit had received the green classification 16 .…”

Characterization of people with hemato-oncological diseases admitted to an emergency unit

“…This outcome may be related to the low complexity of the clinical conditions that these people present, which raises the question of whether these needs could have been fulfilled in the primary care network, also evidencing the predilection of these people for seeking emergency units. 22,23 Emergency care is designed to respond immediately to life-threatening conditions and clinical manifestations. These actions may be preventive, curative, rehabilitative or end-of-life care.…”