Importance of Manchester Triage in acute myocardial infarction: impact on prognosis

Providência, Rui; Gomes, Pedro; Barra, Sérgio; Silva, Joana; Seca, Luís; Antunes, Alexandre; Pais, João Rosa; Mota, Paula; Leitão‐Marques, António

doi:10.1136/emj.2009.081497

Cited by 21 publications

(52 citation statements)

References 11 publications

(8 reference statements)

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“…Similarly, other studies (3,(11)(12)14,18,20) have already shown an association between priority attributed by the MTS and severity levels (18,20) , risk of remaining hospitalized (11)(12)18,20) , length of hospital stay (18) , and risk of death (11)(12)18,20) . One of these studies (18) proved that the mean of number of days of hospital stay decreased in the same order of complexity of patient status ( red, orange, yellow, and green).…”

Section: Discussionmentioning

confidence: 54%

“…The time for nurses to undertake RC is also recommended, and should not exceed three minutes (1)(2) . Some studies (3)(4)(5) have already assessed the time between risk classification and first medical care in specific situations such as myocardial infarction, as well as outcomes of patients studied. However, studies with a focus on the assessment of time between the arrival of patients at emergency medical services and their classification, as well as the time spent on RC, which is a stage undertaken by nurses, cannot be found in the literature.…”

Section: Introductionmentioning

confidence: 99%

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

Anziliero

Soler

Silva

et al. 2016

Rev. Gaúcha Enferm.

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RESUMO Objetivo Avaliar o tempo que antecede e o tempo empregado na classificação de risco, na prioridade para atendimento e no destino dos pacientes 24 horas após a admissão em uma Emergência. Métodos Coorte retrospectiva que incluiu adultos classificados pelo Sistema Manchester de Classificação de Risco na maior Emergência do sul do país em 2012. Os dados foram disponibilizados em forma de planilha eletrônica e analisados de acordo com suas características e distribuição. Resultados Dos 139.556 atendimentos, metade dos pacientes chegou à classificação no tempo preconizado (7; IQR: 2 – 20 minutos), sendo classificados em dois (IQR: 1 – 3) minutos. As classificações de menor prioridade e as altas hospitalares (88,4%) foram mais frequentes que hospitalizações (11,4%) e óbitos (0,2%). Conclusão O tempo envolvido em atividades que antecedem o primeiro atendimento médico permaneceu dentro do preconizado. A proporção de classificações de menor prioridade e as altas, 24 horas após a classificação, foram elevadas.

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Section: Discussionmentioning

confidence: 54%

Section: Introductionmentioning

confidence: 99%

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

Anziliero

Soler

Silva

et al. 2016

Rev. Gaúcha Enferm.

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“…Four (80%) studies were conducted with adults (12,(14)(15)(16) and one (20%) with a pediatric population (13) . Of the nine articles on validity of MTS, five (55.5%) were performed in the Netherlands (18)(19)22,(24)(25) , three (33.3%) in Portugal (20)(21)23) and one (11.2%) in Brazil (17) . Four (44.5%) studies were conducted with adult populations (17,(20)(21)23) , three (33.3%) in the pediatric population (19,(24)(25) and two (22.2%) with adult and pediatric populations (18,22) .…”

Section: Resultsmentioning

confidence: 99%

“…This was measured by reference to the following outcomes: evolution of condition/illness severity (17) ; sensitivity and specificity (18,21) ; percentage of overtriage and undertriage (15,18,(24)(25) ; necessity of hospitalization (19,(22)(23) and mortality rate (20,23) . A study (17) that correlated the classification of the patient obtained using the MTS with the same level of severity measured by the Therapeutic Intervention Scoring System (TISS -28) instrument.…”

Section: VImentioning

confidence: 99%

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Scientific Literature on the Reliability and Validity of the Manchester Triage System (MTS) Protocol: A Integrative Literature Review

Souza

Araújo

Chianca

2015

Rev. esc. enferm. USP

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Objective:To analyze the scientific production about the validity and reliability of the Manchester Triage System (MTS) protocol. Method: A descriptive study of an integrative literature review. Articles on the validity and reliability of the MTS developed with children and adults published between 1999 and 2013 were included. Results: 14 articles were selected from a total of 8438, nine of validity and five of reliability. The reliability of the MTS ranged from moderate to almost perfect, with higher intra-evaluation. Regarding validity, the results seem to point to equivalent and satisfactory sensibility and specificity levels of the MTS. The instrument proved to be a good predictor of the need for hospitalization and of hospital mortality. Conclusion: The reliability and validity of the MTS obtained in the studies is varied. It is recommended that new studies indicate necessary modifications to the MTS so that it is more safely used by nurses.

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Evaluation of the Manchester triage system for patients with acute coronary syndrome

Kiblboeck¹,

Steinrueck

Nitsche

et al. 2020

Wien Klin Wochenschr

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Background An early diagnosis of acute coronary syndrome (ACS) is crucial for treatment and prognosis. The aim of this study was to evaluate the Manchester triage system (MTS) for patients with ACS, e.g. ST-segment elevation myocardial infarction (STEMI), non-ST elevation myocardial infarction (N-STEMI) and unstable angina pectoris (UAP). Methods Retrospective analysis of patients diagnosed with ACS (STEMI, N-STEMI and UAP) who were triaged in the emergency department (ED) with the MTS. Results In this study 282 patients with ACS (STEMI: 34.0%, N-STEMI: 61.7%, UAP: 4.3%) were triaged as MTS level 1 (immediate assessment): 0.4%, MTS level 2 (very urgent): 51.4%, MTS level 3 (urgent): 41.5%, MTS level 4 (standard): 6.7%, MTS level 5 (non-urgent): 0%. We observed significantly lower mean MTS levels in males (male: 2.48 ± 0.59, female: 2.68 ± 0.68, p = 0.02) and in patients younger than 80 years (age <80 years: 2.50 ± 0.61, age ≥80 years: 2.70 ± 0.67, p = 0.03). We did not find a significant difference of mean MTS levels in different types of ACS (STEMI: 2.46 ± 0.6, N-STEMI: 2.59 ± 0.64, STEMI

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Importance of Manchester Triage in acute myocardial infarction: impact on prognosis

Abstract: MT proved to be an effective system. Patients with typical AMI presentation, ST elevation myocardial infarction and less than 70 years old are protected by MT, with lower ITTFO and better short-term survival.

Cited by 21 publications

References 11 publications

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

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

Scientific Literature on the Reliability and Validity of the Manchester Triage System (MTS) Protocol: A Integrative Literature Review

Evaluation of the Manchester triage system for patients with acute coronary syndrome

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