Comparison the Emergency Severity Index and Manchester Triage System in Trauma Patients.

Bulletin of emergency and trauma Pub Date : 2022-04-01 DOI:10.30476/BEAT.2022.92297.1302

Hossein Zakeri, Lahya Afshari Saleh, Shabnam Niroumand, Maryam Ziadi-Lotfabadi

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引用次数: 0

Abstract

Objective: To compare the emergency severity index (ESI) and Manchester triage system (MTS) in trauma patients.

Methods: This cross-sectional study was conducted by census method in Hasheminejad hospital during 2019. Patients referred to a trauma center triaged by five trained triage nurses based on ESI and MTS. Outcomes were considered as length of stay at the emergency department, admission to the other sectors and discharge or leave the hospital. Information from the triage form, nursing registry office and hospital registry system were extracted and analyzed by SPSS software.

Results: Totally 447 and 468 patients triaged with the ESI and MTS were included, respectively. Seventy percent of patients triaged with ESI and 34% with MTS were placed in level 3 or the yellow group (equivalent group 3 triage). The hospitalization rate is approximately equal at each triage level in the both systems. The mortality rate in both groups was 0%. Mean length of stay was significantly lower in the MTS group compared to ESI in the emergency department (p<0.05).

Conclusion: Using of ESI triage in the trauma center causes to arrive more patients to the emergency department instead of the fast track and leads to waste the time and energy of staff'. However, further studies are needed to prove this result.

Abstract Image

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创伤患者急诊严重程度指数与曼彻斯特分诊系统的比较。

目的：比较创伤患者的急诊严重程度指数（ESI）和曼彻斯特分诊系统（MTS）。方法：这项横断面研究于2019年在Hasheminejad医院采用人口普查方法进行。患者被转诊到创伤中心，由五名受过培训的分诊护士根据ESI和MTS进行分诊。结果被视为在急诊科的住院时间、进入其他部门以及出院或出院。从分诊表、护理登记处和医院登记系统中提取信息，并用SPSS软件进行分析。结果：共纳入了447例和468例分别采用ESI和MTS分诊的患者。70%的ESI分诊患者和34%的MTS分诊患者被分为3级或黄色组（相当于第3组分诊）。在这两个系统中，每个分诊级别的住院率大致相等。两组的死亡率均为0%。MTS组的平均住院时间明显低于急诊科的ESI（结论：在创伤中心使用ESI分诊会导致更多的患者到达急诊科，而不是快速通道，并浪费工作人员的时间和精力）。然而，还需要进一步的研究来证明这一结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Bulletin of emergency and trauma

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： BEAT: Bulletin of Emergency And Trauma is an international, peer-reviewed, quarterly journal coping with original research contributing to the field of emergency medicine and trauma. BEAT is the official journal of the Trauma Research Center (TRC) of Shiraz University of Medical Sciences (SUMS), Hungarian Trauma Society (HTS) and Lusitanian Association for Trauma and Emergency Surgery (ALTEC/LATES) aiming to be a publication of international repute that serves as a medium for dissemination and exchange of scientific knowledge in the emergency medicine and trauma. The aim of BEAT is to publish original research focusing on practicing and training of emergency medicine and trauma to publish peer-reviewed articles of current international interest in the form of original articles, brief communications, reviews, case reports, clinical images, and letters.