MANCHESTER TRIAGE AND ITS OUTCOME IN A PEDIATRIC COHORT: WHAT RELATIONSHIP?

Autor: Costa, Inês Silva, Marques, João Sousa, Rodrigues Matos, Ana Rita, Oliveira, Gisela, Oliveira, Sandra, Pinto Ferreira, Paula, Ferreira, Lígia M., Baptista, Cristina
Předmět:
Zdroj: Pediatric Oncall Journal; Apr-Jun2024, Vol. 21 Issue 2, p56-59, 4p
Abstrakt: Background and Aim: The Manchester Triage System (MTS) is a clinical risk management tool used to attribute priority in emergency departments. In pediatric acute care, triage systems are associated with more subjective evaluations as they often depend on caregivers' perceptions. This study aims to study the relationship between MTS and clinical outcomes. Methods: We analyzed every visit to the Pediatric Emergency Department (PED) between august 2018 and February 2021. The exposure group was defined as a red or orange priority and a compound outcome of hospitalization, transfer to tertiary care hospital or death was assessed. Results: We obtained 63.897 admissions, of which 52,5% corresponded to male patients and 80,6% were admitted by the parents' initiative. Green priority (49,9%) was the most frequent, followed by yellow (42,0%), orange (7,6%), blue (0,4%) and red (0,1%). The incidence rate of the studied outcome was 17,8% in the exposure group and 3,1% in the other patients, with an attributable risk of 14,7%. 7 patients must be triaged with red or orange priority so that one additional case of the outcome is verified. The main used flowchart was "Child that doesn't feel well" (20,3%). Conclusion: The priority attributed by the MTS has some association with the patient's outcome. The low number needed to harm can be due to a useful application of the system and may reflect the deleterious effect that a bad clinical first impression may pose in the prognosis. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje