Abstract
Aim: To evaluate the association between vital signs collected at the patient's entrance to the emergency department and the risk levels of the Manchester Triage System (MTS). Method: This is a retrospective observational study; whose sample was 154,714 patients. The exposure factor was the vital signs data, and the primary endpoint was the level of risk of MTS. Statistical, descriptive and inferential analyzes were conducted. Results: The most evaluated vital data was pain intensity; blood pressure was the least evaluated. Changes in heart rate to more or less of physiological patterns have increased the clinical priority of patients. Discussion: The higher the level of severity of MTS, the greater the variability of the mean of the vital signs evaluated. Conclusion: More severe patients tend to present greater variation in terms of vital signs on admission to the emergency department.References
Miltner RS, Johnson KD, Deierhoi R. Exploring the Frequency of Blood Pressure Documentation in Emergency Department. J Nurs Scholarsh. 2014;46:2,98–105.
Chalari E, Intas G, Stergiannis P, Paraskevas V, Fildissis G. The importance of vital signs in the triage of injured patients. Crit Care Nurs Q. 2012;35(3):292-8.
Aeenparast A, Farzadi F, Maftoon F. Waiting time for specialist consultation in Tehran. Arch Iran Med. 2012;15(12):756–8
Cordeiro Júnior W, Mafra AA. Sistema Manchester de Classificação de Risco: Classificação de risco na urgência e emergência. Grupo Brasileiro de Classificação de Risco; 2010. 249p.
Armstrong B, Walthall H, Clancy M, Mullee M, Simpson H. Recording of vital signs in a district general hospital emergency department. Emerg Med J. 2008,25(12): 799–802.
Santos AP, Freitas P, Martins HMG. Manchester triage system version II and resource utilisation in emergency department. Emerg Med J. 2014; 31(2):148-52.
Guedes HM, Martins J CA, Chianca TCM. Predictive value of the Manchester Triage System: evaluation of clinical outcomes of patients. Rev. bras enferm. 2015,68(1):45-51
Pinto Júnior D, Salgado PO, Chianca TCM. Predictive validity of the Manchester Triage System: evaluation of outcomes of patients admitted to an emergency department. Rev Latino-Am Enfermagem. 2012;20(6):1041-7.
Santos AP, Freitas P, Martins HMG. Manchester triage system version II and resource
utilisation in the emergency department. Emerg Med J. 2014;31:148-52.
Souza CC, Toledo AD, Tadeu LFR, Chianca TCM. Risk classification in an emergency room: agreement level between a Brazilian institutional and the Manchester Protocol. Rev. Latino-Am. Enfermagem. 2011;19(1):26-33.
Guedes HM, Souza KM, Lima PO, Martins JCA, Chianca TCM. Relationship between complaints presented by emergency patients and the final outcome. Rev. Latino-Am. Enfermagem. 2015;23(4):587-94.
Souza CC, Toledo AD, Tadeu LFR, Chianca TCM. Main complaints of emergency patients according to the Manchester Protocol for risk classification. Rev. Enferm. UFPE on line. 2012; 6(3):540-8.
Guedes HM, Almeida ÁGP, Ferreira FO, Vieira Júnior G, Chianca TCM. Risk classification: portrait of a population using a Brazilian emergency service. Revista de Enfermagem Referência. 2014; IV(1):37-44.
Caterino JM, Hoover EM, Moseley MG. Effect of advanced age and vital signs on admission from an emergency department observation unit. Am J Emerg Med. 2013;31(1):1–7.
Barfod C, Lauritzen MMP, Danker JK, Sölétormos G, Forberg JL, Berlac PA, et al. Lange Abnormal vital signs are strong predictors for intensive care unit admission and in-hospital mortality in adults triaged in the emergency department - a prospective cohort study. Scand J Trauma Resusc Emerg Med. 2012, 20:28.
Henriksen DP, Brabrand M, Lassen AT. Prognosis and Risk Factors for Deterioration in Patients Admitted to a Medical Emergency Department. PLoS One. 2014;9(4):e94649.