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 |
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Přispěvatelé: | Pediatrics, Public Health, Medical Informatics |
Rok vydání: | 2011 |
Předmět: |
Male
medicine.medical_specialty Pediatrics Adolescent Psychological intervention Logistic regression Presenting problem Age Distribution Epidemiology medicine Humans Child Referral and Consultation Netherlands business.industry Public health Age Factors Infant Newborn Infant Emergency department Hospitals Pediatric Triage Patient Discharge Hospitalization Child Preschool Pediatrics Perinatology and Child Health Emergency medicine Female Observational study Health Services Research Emergency Service Hospital Epidemiologic Methods business |
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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