1. Triage at the Emergency Department: association between triage levels and patient outcome
- Author
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Maria Carolina Barbosa Teixeira Lopes, Meiry Fernanda Pinto, Cássia Regina Vancini Campanharo, Dulce Aparecida Barbosa, Ruth Ester Assayag Batista, and Juliana Barros Becker
- Subjects
Adult ,Male ,lcsh:RT1-120 ,Enfermería de Urgencia ,lcsh:Nursing ,Emergency Medical Service ,Enfermagem em Emergência ,Triagem ,Middle Aged ,Protocolos ,Emergency Nursing ,Serviços Médicos de Emergência ,Servicios Médicos de Urgencia ,Cohort Studies ,Patient Outcome Assessment ,Humans ,Female ,Triage ,Emergency Service, Hospital ,Triaje ,General Nursing ,Protocols ,Retrospective Studies - Abstract
OBJECTIVEIdentify association between sociodemographic, clinical and triage categories with protocol outcomes developed at Hospital São Paulo (HSP).METHODSRetrospective cohort study conducted with patients older than 18 years submitted to the triage protocol in August 2012. Logistic regression was used to associate the risk categories to outcomes (p-value ≤0,05).RESULTSMen with older age and those treated in clinical specialties had higher rates of hospitalization and death. Patients in the high-priority group had hospitalization and mortality rates five and 10.6 times, respectively (p < 0.0001).CONCLUSIONThe high-priority group experienced higher hospitalization and mortality rates. The protocol was able to detect patients with more urgent conditions and to identify risk factors for hospitalization and death. ResumenOBJETIVOIdentificar la asociación entre variables sociodemográficas, clínicas y categorías de cribado con resultados del protocolo desarrollado en el Hospital São Paulo (HSP). MÉTODOEstudio de cohorte retrospectivo llevado a cabo con pacientes mayores de 18 años sometidos al protocolo de cribado en agosto de 2012. Se utilizó la regresión logística para asociar las categorías de riesgo a los resultados (p-valor≤0,05).RESULTADOSHombres con edad más avanzada y atendidos por las especialidades clínicas presentaron mayores índices de estancia hospitalaria y defunción. Pacientes con alta prioridad presentaron índice de estancia hospitalaria y defunción cinco y 10,6 veces mayor, respectivamente (p
- Published
- 2015