Triage at the Emergency Department: association between triage levels and patient outcome

Becker, Juliana Barros; Lopes, Maria Carolina Barbosa Teixeira; Pinto, Meiry Fernanda; Campanharo, Cássia Regina Vancini; Barbosa, Dulce Aparecida; Batista, Ruth Ester Assayag

doi:10.1590/s0080-623420150000500011

Cited by 23 publications

(25 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There was no statistically significant difference between the groups for the outcomes studied (discharge, death and hospital transfer). Most of the patients were observed to have been discharged, and among the patients that died, 64.7% had been assigned high priority of care, which may be associated with a more severe condition for patients assigned this level of priority (Becker et al., ). In other studies conducted with MI patients, low priority was associated with increased mortality and longer hospital admission (Atzema et al., ; Providência et al., ).…”

Section: Discussionmentioning

confidence: 99%

Factors that influence care priority for chest pain patients using the manchester triage system

Nonnenmacher

Pires

Moraes

et al. 2018

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Factors that influence care priority for chest pain patients using the manchester triage system

Nonnenmacher

Pires

Moraes

et al. 2018

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…In this study, the results showed that triage level as defined in the triage system is closely related to clinical outcomes, such as in-hospital mortality and admission to the ICU. Similarly, other studies also show that the urgency categories are related to patient outcomes [8,[17][18][19][20][21].…”

Section: Discussionmentioning

confidence: 76%

“…The proportion of in-hospital mortality, ICU admission and general ward admission in patients triaged to level 1 was 98.6%, 76.8% and 50.7%,respectively. When patients were triaged to level 2 and level 3, the proportion of in-hospital mortality, ICU admission and general ward admission was as follows (86.5% vs 43.4%, 18.7% vs 0.9%, 18.1% vs 0.0%).…”

Section: Szts Predictive Abilitymentioning

confidence: 99%

Prognostic value of a four-level Chinese emergency triage for an Emergency Department: A prospective cohort study

Huang¹,

Xie

Xiong³

et al. 2019

Preprint

View full text Add to dashboard Cite

Background In order to assign treatment priorities of patients who presenting to emergency departments (ED), various triage scales have been developed around the world. In china, four-tier triage scale was recommended by a national triage guideline that published by the central Chinese government. After that a four-tier triage system, used only in tertiary hospitals in Shenzhen, was published by the Public Hospital Administration of Shenzhen Municipalitfy in August, 2013 (Shenzhen Triage System, SZTS). But the ability in predicting admission and in-hospital mortality with the four-level triage scale for patients presented in emergency department was unclear. This research aimed to assess the prognostic value of the SZTS by examining the association between triage levels and clinical outcomes in adult patients.Methods Patients 18 years of age or older, who were triaged category 1, 2 or 3 in the emergency department (ED) from May 17, 2017 until September 27, 2017, were enrolled. This study evaluated an association between triage level and in-hospital mortality, ICU admission and general ward admission by using multivariable logistic regression analysis. Receiver operating characteristic curves were used to assess the predictive ability of SZTS in determining in-hospital mortality, ICU admission and general ward admission.Results There were 383 patients enrolled in the study. More urgent triage level were significantly related to a higher proportion of in-hospital mortality, ICU admission and general ward admission. The OR for in-hospital mortality (OR 11.6, 95% CI 5.8-22.9, p<0.001), ICU admission (OR 14.4, 95% CI 7.4-27.7, p<0.001) and general ward admission (OR 10.6, 95% CI 1.4-79.2, p=0.022) were greater at triage level 1 compared to triage level 2 and level 3. The AUC for in-hospital mortality, ICU admission and general ward admission prediction of SZTS was 0.838, 0.830 and 0.792, respectively.Conclusions This study suggests that triage levels were associated with general ward admission, ICU admission and in-hospital mortality, and SZTS showed good performance for clinical outcomes prediction.

show abstract

“…Identificou-se que pacientes classificados com alta prioridade evoluíram em maior proporção para óbitos e internação (12)(13) . Esse achado pode inferir em uma adequada classificação de risco por parte dos enfermeiros.…”

unclassified

Risk classification at urgency and emergency services: integrative literature review / Classificação de risco no serviço de urgência e emergência: revisão integrativa da literatura / Clasificación de riesgo en el servicio de urgencia y emergencia..

2018

View full text Add to dashboard Cite

Objective: To review the literature related to the classification of risk at urgency and emergency services. Methodology: this is an integrative literature review carried out using the databases indexed to the Virtual Health Library, including search of originals in Portuguese published from 2010 to September 2016. Results: the selection of articles resulted in nine publications for review. Publications were found in journals classified as A and B within the ranking system, mainly from the years of 2013, 2014 and 2015. The different themes showed a great attention to trauma, concern for the protocols adequacy to meet the demands of the institution, as well as the classification among health professionals. Positive results were also found, associating the classification of the patient clinical outcome and the importance of nurse. Conclusion: therefore, it is understood that the topic is current and that it requires the attention of health professionals, as well as the need for training to apply the classification of risk at the services. Descriptors: Screening; nursing; emergency medical services. RESUMO Objetivo: revisar na literatura aspectos relacionados a classificação de risco no serviço de urgência e emergência. Metodologia: trata-se de uma revisão integrativa da literatura realizada nas bases de dados indexadas à Biblioteca Virtual em Saúde, incluindo pesquisar originais em português publicadas no período de 2010 a setembro de 2016. Resultados: a seleção dos artigos resultou em nove publicação para a revisão. Foram encontradas publicações em revistas de classificação A e B, principalmente dos anos de 2013, 2014 e 2015. Os temas diversos evidenciaram grande atenção ao trauma, preocupação de adequação de protocolos à demanda da instituição, bem como, de classificação entre profissionais de saúde. Encontraram-se ainda resultados positivos associando adequada classificação ao desfecho clínico do paciente e sobre a importância do enfermeiro. Conclusão: portanto, entende-se que o tema é atual e que requer atenção dos profissionais de saúde, bem como há necessidade de capacitações para aplicação da classificação de risco nos serviços. Descritores: Triagem. Enfermagem. Serviços Médicos de Emergência. RESUMÉN Objetivo: revisar en la literatura aspectos relacionados con la clasificación de riesgo en el servicio de urgencia y emergencia. Metodología: se trata de una revisión integrativa de la literatura realizada en las bases de datos indexadas a la Biblioteca Virtual en Salud, incluyendo la búsqueda de originales en portugués publicados en el período de 2010 a septiembre de 2016. Resultados: la selección de los artículos resultó en nueve publicación para la revisión. Se encontraron publicaciones en revistas de clasificación A y B, principalmente de los años 2013, 2014 y 2015. Los temas diversos evidenciaron gran atención al trauma, preocupación de adecuación de protocolos a la demanda de la institución, así como de clasificación entre profesionales de salud. Se encontraron aún resultados positivos asociando ...

show abstract

Triage at the Emergency Department: association between triage levels and patient outcome

Cited by 23 publications

References 24 publications

Factors that influence care priority for chest pain patients using the manchester triage system

Factors that influence care priority for chest pain patients using the manchester triage system

Prognostic value of a four-level Chinese emergency triage for an Emergency Department: A prospective cohort study

Risk classification at urgency and emergency services: integrative literature review / Classificação de risco no serviço de urgência e emergência: revisão integrativa da literatura / Clasificación de riesgo en el servicio de urgencia y emergencia..

Contact Info

Product

Resources

About