Safety of the Manchester Triage System to identify less urgent patients in paediatric emergence care: a prospective observational study

Autor: Madelon Ruige, Johan van der Lei, Henriëtte A. Moll, Lizanne Lettinga, Mirjam van Veen, Alfred H J van Meurs, Ewout W. Steyerberg
Přispěvatelé: Pediatrics, Public Health, Medical Informatics
Rok vydání: 2011
Předmět:
Zdroj: Archives of Disease in Childhood, 96(6), 513-518. BMJ Publishing Group
ISSN: 0003-9888
Popis: Objective To assess hospitalisation rate as a proxy for the ability of the Manchester Triage System (MTS) to identify less urgent paediatric patients. We also evaluated general practitioner (GP) services to determine if they met patients' needs compared to emergency department care. Methods Self-referred children triaged as less urgent by the MTS in two emergency departments in the Netherlands were included in a prospective observational study. Therapeutic interventions during emergency department consultation, hospitalisation after consultation and determinants for hospitalisation were assessed using logistic regression analysis. Results During emergency department consultation, extensive therapeutic interventions were performed more often in patients with extremity problems (n=175, 19%) and dyspnoea (n=30, 15%). 191 (3.5%) of 5425 patients were hospitalised. Age and presenting problem remained statistically significant in multivariable logistic analysis, predicting hospitalisation with ORs of 3.0 (95% CI 2.2 to 4.1) for age
Databáze: OpenAIRE
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