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Relationship between complaints presented by emergency patients and the final outcome
Helisamara Mota Guedes1, Kesia Meiriele Souza2, Patrícia de Oliveira Lima3
1Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, BR.
Revista Latino-Americana De Enfermagem
|October 8, 2015
Summary
The Manchester Triage System effectively predicts patient outcomes. Higher triage priority, indicated by severe colors, correlates with increased mortality rates in emergency room patients.
Area of Science:
- Emergency Medicine
- Clinical Triage
- Patient Outcomes
Background:
- Emergency departments manage diverse patient acuities.
- Effective triage systems are crucial for resource allocation and patient safety.
- The Manchester Triage System (MTS) is widely used for emergency patient classification.
Purpose of the Study:
- To correlate patient complaints, as classified by the MTS, with their final disposition (discharge, death, or transfer).
- To evaluate the predictive value of MTS color-coded categories for patient outcomes.
Main Methods:
- A prospective cohort study involving 509 emergency room patients admitted for over 24 hours.
- Systematic monitoring of patients to record final outcomes.
- Statistical analysis using descriptive and analytical methods.
Main Results:
- The primary complaints included unwell adult (22.5%), shortness of breath (14.0%), and abdominal pain (10.0%).
- 87% of patients were discharged.
- Mortality rates were significantly higher in patients assigned to more severe triage categories (red, orange, yellow) compared to green.
Conclusions:
- Patient complaints of unwell adult, shortness of breath, head injury, major trauma, diarrhea, and vomiting were associated with higher mortality.
- The MTS effectively stratifies risk, with higher clinical priority correlating with increased prevalence of death.
- The MTS is a valuable tool for predicting patient outcomes in the emergency setting.
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