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Manchester Triage System: assessment in an emergency hospital service

Sistema de Triaje Manchester: evaluación en un servicio hospitalario de emergencia

ABSTRACT

Objectives:

to analyze demographic data, clinical profile and outcomes of patients in emergency services according to Manchester Triage System’s priority level.

Methods:

a cross-sectional, analytical study, carried out with 3,624 medical records. For statistical analysis, the Chi-Square Test was used.

Results:

white individuals were more advanced in age. In the red and white categories, there was a higher percentage of men when compared to women (p=0.0018) and higher prevalence of personal history. Yellow priority patients had higher percentage of pain (p<0.0001). Those in red category had a higher frequency of altered vital signs, external causes, and death outcome. There was a higher percentage of exams performed and hospitalization in the orange category. Blue priority patients had a higher percentage of non-specific complaints and dismissal after risk stratification.

Conclusions:

a higher percentage of altered vital signs, number of tests performed, hospitalization and death were evidenced in Manchester protocol’s high priority categories.

Descriptors:
Triage; Emergency Service, Hospital; Emergency Nursing; Outcome and Process Assessment (Health Care); Vital Signs

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