Reliability and validity of the Manchester Triage System in a general emergency department patient population in the Netherlands: results of a simulation study

Wulp, Ineke van der; Baar, Margriet E. van; Schrijvers, A. J. P.

doi:10.1136/emj.2007.055228

Cited by 130 publications

(104 citation statements)

References 16 publications

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“…Finally, care must be taken when interpreting the MTS stratified results, as this system might not be entirely reliable in the assessment of patients' clinical severity. 15 This study focuses on one aspect featured in Miró's works, [6][7] whereby the severity of patients' presenting conditions was taken into account, albeit in a retrospective appreciation of clinical records. In our study, we used MTS levels as an objective stratification score of presenting patients' severity previous to their medical assessment.…”

Section: Discussionmentioning

confidence: 99%

The Impact of the Lisbon Football Derby on the Profile of Emergency Department Admissions

et al. 2014

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Data regarding 24-hour periods starting 45 minutes before kick-off was collected, along with data from similar periods on the corresponding weekdays in the previous years, to be used as controls. Data samples were organized according to time frame (during and after the match), urgency level, and paired accordingly.Results: A total of 14 relevant periods (7 match and 7 non-match) were analyzed, corresponding to a total of 5861 admissions. During the match time frame, a 20.6% reduction (p = 0.06) in the total number of attendances was found when compared to non-match days. MTS urgency level sub-analysis only showed a statistically significant reduction (26.5%; p = 0.05) in less urgent admissions (triage levels green-blue). Compared to controls, post-match time frames showed a global increase in admissions (5.6%; p = 0.45), significant only when considering less urgent ones (18.9%; p = 0.05). Discussion: A decrease in the total number of emergency department attendances occurred during the matches, followed by a subsequent increase in the following hours. These variations only reached significance among visits triaged green-blue. Conclusion: During major sports events an overall decrease in emergency department admissions seems to take place, especially due to a drop in visits associated with less severe conditions.

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Section: Discussionmentioning

confidence: 99%

The Impact of the Lisbon Football Derby on the Profile of Emergency Department Admissions

et al. 2014

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“…This raised a concern of the need for a system that prioritizes patients in the order of urgency [8,9,10]. Many hospitals in low-income countries lack a formal triage system [11] in their EDs.…”

Section: Introductionmentioning

confidence: 99%

Perceptions and Knowledge on Triage of Nurses Workingin Emergency Departments of Hospitals in the Tamale Metropolis, Ghana.

Afaya¹,

Azongo²,

Yakong³

2017

IOSR JNHS

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“…Os sistemas de triagem de doentes admitidos no SU representam um elo essencial na estratégia de minimizar o tempo entre o início dos sintomas e o tratamento das vítimas de AVC. O Sistema de Triagem de Manchester (STM) é aplicado em serviços de urgência de vários paí-ses, incluindo Portugal, mas o seu desempenho é naturalmente dependente do contexto em que é aplicado, nomeadamente das caracterís-ticas dos doentes, do treino dos profissionais envolvidos em todo o processo e da relação entre a afluência aos SU e a respetiva capacidade de resposta resposta ( Van der Wulp, Van Baar, & Schrijvers, 2008). Estudos realizados com o STM mostram que o sistema é mais inclusivo (Souza, Toledo, Tadeu, & Chianca, 2011), permitem relacionar queixas apresentadas na classificação de risco e o desfecho final (Guedes, Souza, Lima, Martins, & Chianca, 2015), além de predizer o tempo de permanência hospitalar de indivíduos classificados como alta prioridade de atendimento .…”

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Association between the Manchester Triage System and the final outcome in stroke patients

et al. 2017

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ResumoEnquadramento: O acidente vascular cerebral (AVC) é uma das principais causas de morte em Portugal, e a principal causa de incapacidade nos idosos. Torna-se necessário definir estratégias para amenizar os danos. Objetivos: Relacionar a prioridade definida pelo Sistema de Triagem de Manchester para doentes com AVC e o desfecho final (alta/óbito/internamento). Metodologia: Estudo observacional que analisou dados do software ALERT® em todos os doentes com AVC que entraram num serviço de urgência polivalente português entre 2010 e 2012, totalizando 864 casos. Resultados: A maioria dos doentes foi triada com elevada prioridade, sendo as idades diferentes entre homens e mulheres. Prioridades mais elevadas (cor vermelha e laranja) foram atribuídas aos mais idosos, aos que faleceram e aos que foram internados (p < 0,001). Houve reduzida ativação da Via Verde-AVC (14%). Conclusão: Doentes internados e os que faleceram foram triados com prioridades mais elevadas, existindo relação estatística significativa entre as prioridades mais altas (vermelha e laranja), a taxa de internamento e a mortalidade (p < 0,001).Palavras-chave: acidente vascular cerebral; enfermagem; serviços médicos de emergência; triagem; evolução clínica Abstract Background: Stroke is one of the leading causes of death in Portugal, and the leading cause of disability in older people. Strategies should be established to mitigate damages. Objectives: To establish an association between the priority defined by the Manchester Triage System for stroke patients and the final outcome (discharge/death/hospitalization). Methodolog y: An observational study was conducted to analyze data from the ALERT® software in all stroke patients who were admitted to a Portuguese multipurpose emergency department between 2010 and 2012, in a total of 864 cases. Results: Most patients were triaged with high priority, and the ages differed between men and women. Higher priorities (red and orange) were assigned to older persons and patients who eventually died or were hospitalized (p < 0.001). The Via Verde do AVC program was seldom activated (14%). Conclusion: Inpatients and those who eventually died were triaged with higher priorities. A statistically significant association was found between the highest priorities (red and orange), hospitalization rate, and mortality (p < 0.001).

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Reliability and validity of the Manchester Triage System in a general emergency department patient population in the Netherlands: results of a simulation study

Cited by 130 publications

References 16 publications

The Impact of the Lisbon Football Derby on the Profile of Emergency Department Admissions

The Impact of the Lisbon Football Derby on the Profile of Emergency Department Admissions

Perceptions and Knowledge on Triage of Nurses Workingin Emergency Departments of Hospitals in the Tamale Metropolis, Ghana.

Association between the Manchester Triage System and the final outcome in stroke patients

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