{"title":"在大规模伤亡到来之前对患者进行分类:紧急程度指数等同于SALT灾难分类。","authors":"Bryan J Wexler, Barbara A Stahlman","doi":"10.5055/ajdm.2022.0426","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To compare the Emergency Severity Index (ESI) and Sort Assess Life Saving Interventions Treatment and Transport (SALT) triage categories for an existing emergency department (ED) patient population.</p><p><strong>Design: </strong>A prospective, cross-sectional study.</p><p><strong>Setting: </strong>An academic-affiliated community teaching ED at a Level 1 Trauma Center.</p><p><strong>Participants: </strong>All patients presenting to the ED over 2 nonconsecutive 24-hour weekdays.</p><p><strong>Main outcome measures: </strong>The correlation between triage system classifications was assessed using the Spearman's rank correlation coefficient.</p><p><strong>Results: </strong>100 percent of ESI 5, 83.3 percent of ESI 4, and 70.4 percent of ESI 3 were categorized as Minimal under SALT. 70.8 percent of ESI 2 was categorized as Delayed, and 71.4 percent of ESI 1 designations correlated with Immediate. Spearman's rank correlation coefficient was 0.509 (p < 0.001).</p><p><strong>Conclusion: </strong>This study results suggest that ESI moderately correlates with SALT, particularly in lower acuity patients. This result may inform future protocol development for rapid triage of existing ED populations prior to the arrival of patients from a mass casualty event.</p>","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Triaging patients prior to the arrival of the mass casualty: Emergency Severity Index equivalency to SALT disaster triage.\",\"authors\":\"Bryan J Wexler, Barbara A Stahlman\",\"doi\":\"10.5055/ajdm.2022.0426\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To compare the Emergency Severity Index (ESI) and Sort Assess Life Saving Interventions Treatment and Transport (SALT) triage categories for an existing emergency department (ED) patient population.</p><p><strong>Design: </strong>A prospective, cross-sectional study.</p><p><strong>Setting: </strong>An academic-affiliated community teaching ED at a Level 1 Trauma Center.</p><p><strong>Participants: </strong>All patients presenting to the ED over 2 nonconsecutive 24-hour weekdays.</p><p><strong>Main outcome measures: </strong>The correlation between triage system classifications was assessed using the Spearman's rank correlation coefficient.</p><p><strong>Results: </strong>100 percent of ESI 5, 83.3 percent of ESI 4, and 70.4 percent of ESI 3 were categorized as Minimal under SALT. 70.8 percent of ESI 2 was categorized as Delayed, and 71.4 percent of ESI 1 designations correlated with Immediate. Spearman's rank correlation coefficient was 0.509 (p < 0.001).</p><p><strong>Conclusion: </strong>This study results suggest that ESI moderately correlates with SALT, particularly in lower acuity patients. This result may inform future protocol development for rapid triage of existing ED populations prior to the arrival of patients from a mass casualty event.</p>\",\"PeriodicalId\":40040,\"journal\":{\"name\":\"American journal of disaster medicine\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American journal of disaster medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5055/ajdm.2022.0426\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of disaster medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5055/ajdm.2022.0426","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
Triaging patients prior to the arrival of the mass casualty: Emergency Severity Index equivalency to SALT disaster triage.
Objective: To compare the Emergency Severity Index (ESI) and Sort Assess Life Saving Interventions Treatment and Transport (SALT) triage categories for an existing emergency department (ED) patient population.
Design: A prospective, cross-sectional study.
Setting: An academic-affiliated community teaching ED at a Level 1 Trauma Center.
Participants: All patients presenting to the ED over 2 nonconsecutive 24-hour weekdays.
Main outcome measures: The correlation between triage system classifications was assessed using the Spearman's rank correlation coefficient.
Results: 100 percent of ESI 5, 83.3 percent of ESI 4, and 70.4 percent of ESI 3 were categorized as Minimal under SALT. 70.8 percent of ESI 2 was categorized as Delayed, and 71.4 percent of ESI 1 designations correlated with Immediate. Spearman's rank correlation coefficient was 0.509 (p < 0.001).
Conclusion: This study results suggest that ESI moderately correlates with SALT, particularly in lower acuity patients. This result may inform future protocol development for rapid triage of existing ED populations prior to the arrival of patients from a mass casualty event.
期刊介绍：
With the publication of the American Journal of Disaster Medicine, for the first time, comes real guidance in this new medical specialty from the country"s foremost experts in areas most physicians and medical professionals have never seen…a deadly cocktail of catastrophic events like blast wounds and post explosion injuries, biological weapons contamination and mass physical and psychological trauma that comes in the wake of natural disasters and disease outbreak. The journal has one goal: to provide physicians and medical professionals the essential informational tools they need as they seek to combine emergency medical and trauma skills with crisis management and new forms of triage.
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