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Risk classification priorities in an emergency unit and outcomes of the service provided
Rafael Silva Marconato1, Maria Ines Monteiro2
1Doctoral Student, Faculdade de Enfermagem, Universidade Estadual de Campinas, Campinas, SP, Brazil. RN, Hospital de Clínicas, Universidade Estadual de Campinas, Campinas, SP, Brazil.
Objective:
to check the association of the proposed priorities of the institutional protocol of risk classification with the outcomes and evaluate the profile of the care provided in an emergency unit.
Method:
observational epidemiological study based on data from the computerized files of a Reference Emergency Unit. Care provided to adults was evaluated regarding risk classification and outcomes (death, hospitalization and hospital discharge) based on the information recorded in the emergency bulletin.
Results:
the mean age of the 97,099 registered patients was 43.4 years; 81.5% cases were spontaneous demand; 41.2% had been classified as green, 15.3% yellow, 3.7% blue, 3% red and 36.and 9% had not received a classification; 90.2% of the patients had been discharged, 9.4% hospitalized and 0.4% had died. Among patients who were discharged, 14.7% had been classified as yellow or red, 13.6% green or blue, and 1.8% as blue or green.
Conclusion:
the protocol of risk classification showed good sensitivity to predict serious situations that can progress to death or hospitalization.
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