Development a Reverse Triage System Based on Modified Sequential Organ Failure Assessment for Increasing the Critical...

Area of Science:

• Critical care medicine
• Disaster management
• Health systems research

Background:

• Hospital bed management in critical care units faces significant challenges during crises and disasters.
• Reverse triage strategies are essential for enhancing hospital surge capacity in emergency situations.

Purpose of the Study:

• To develop a reverse triage system utilizing the Modified Sequential Organ Failure Assessment (MSOFA) score.
• The goal is to improve critical care surge capacity through optimized patient management.

Main Methods:

• Prospective study involving medical patients in a critical care unit.
• Modified Sequential Organ Failure Assessment (MSOFA) scores were calculated upon admission and tracked until discharge.
• Cox regression analysis was employed to determine relative risk values for patient outcomes.

Main Results:

• Four hundred and twenty patients were included in the study.
• The average MSOFA score on the first day of admission was 5.40 ± 3.8.
• Relative risks for discharge and mortality were established for three triage levels (green, red, black) based on MSOFA scores.

Conclusions:

• Modified Sequential Organ Failure Assessment (MSOFA) scores can inform the development of a patient discharge leveling system for critical care units.
• This MSOFA-based system assists healthcare teams in predicting patient prognoses and managing critical care resources effectively.