Outcome assessment of patients classified through the Manchester Triage System in emergency units in Brazil and Portugal
DOI:
https://doi.org/10.17533/udea.iee.v35n2a06Keywords:
Nursing, emergency service, hospital, triage.Abstract
Introduction. The aim was to evaluate the outcomes of patients’ treatment classified according to the Manchester Triage System (MTS) in two large hospitals.
Methods. Historical cohort study performed in two hospitals in different countries: one emergency unit of a hospital in Portugal, and another in Brazil.
The studied population was composed of all patients attended and triaged by nurses in emergency services using the MTS, based on data obtained through the ALERT software. The sample in this study was composed of 158 959 triages in Portugal and 155 121 in Brazil.
Results. The higher the priority attributed to the patient according to the MTS, the longer the hospital stay and risk of death. For both groups, the higher the
risk classification of the patient, the greater the risk of death when compared to the group classified as "green". In Portugal, patients classified in the "red"
category according to the MTS had 1 516-fold higher risk of death compared to those classified in the green category, and in Brazil, this risk was 1 177-fold higher.
Conclusion. In both countries, the MTS proved to be a good predictor of length of hospital stay and death.
How to cite this article: Guedes HM, Araújo FA, Júnior DP, Martins JCA, Chianca TCM. Outcome assessment of patients classified through the Manchester Triage System in emergency units in Brazil and Portugal. Invest. Educ. Enferm. 2017; 35(2):174-181.
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(1) Mackway-Jones K, Marsden J, Windle J. Sistema Manchester de Classificação de Risco: classificação de risco. Belo Horizonte: Grupo Brasileiro de classificação de Risco; 2010 [Cited Apr 6, 2017]. Available from: http://gbcr.org.br/sistema-manchester
(2) Oharal R, Melol MRAC, Lausl AM. Characterization of the care profile of adult patients of an emergency medical service. Rev. Lat-Am. Enfermagem. 2010 63:749-54.
(3) Guedes HM, Almeida AGP, Ferreira FO, Júnior GV, Chianca TCM. Risk classification: portrait of a population using a Brazilian emergency service. Rev. Enf. Ref. 2014: 4(1):37-44.
(4) Brasil. Ministério da Saúde. Política Nacional de Humanização da Atenção e Gestão do SUS. Acolhimento e classificação de risco nos serviços de urgência. Brasília: Ministério da Saúde; 2009 [Cited Apr 6, 2017]; 1-60. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/acolhimento_classificaao_risco_servico_urgencia.pdf
(5) Portugal. Ministério da Saúde. Determinação da obrigatoriedade da triagem de prioridades no Serviço de Urgência. Despacho 19124/2005, de 17 de Agosto. Diário da República nº 169, 2 de Setembro de 2005, página 12834.
(6) Forsgren B, Forsman S, Carlstrom ED. Nurses working with Manchester triage. The impact of experience on patient security. Australas. Emerg. Nurs. J. 2012;15:100-7.
(7) Azeredo TR, Guedes HM, Rebelo de Almeida R, Chianca TC, Martins JC. Efficacy of the Manchester Triage System: a systematic review. Int. Emerg. Nurs. 2015; 23:47-52.
(8) 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. Lat-Am. Enfermagem 2011; 19:26–33.
(9) Martins, HMG, Cuña LMDCD, Freitas P. Is Manchester (MTS) more than a triage system? A study of its association with mortality and admission to a large Portuguese hospital. Emerg. Med. J. 2009; 26:183–86.
(10) Van der Wulp I, Schrijvers AJ, van Stel HF. Predicting admission and mortality with the Emergency Severity Index and the Manchester Triage System: a retrospective observational study. Emerg. Med. J. 2009; 26:506-9.
(11) Guedes HM, Martins JCA, Chianca TCM. Predictive value of the Manchester Triage System: evaluation of clinical outcomes of patients. Rev. Bras. Enferm. 2015; 68:45-51.
(12) Pinto Júnior D. Valor preditivo do protocolo de classificação de risco em unidade de urgência de um hospital municipal de Belo Horizonte [Dissertation]. Belo Horizonte (MG): Universidade Federal de Minas Gerais; 2011.
(13) Pinto Júnio D, Salgado PO, Chianca TCM. Predictive validity of the Manchester Triage System: evaluation of outcomes of patients admitted to an emergency department. Rev. LatAm. Enfermagem 2012; 20(6):1041–7.
(14) Santos AP, Freitas P, Martins HMG. Manchester triage system version II and resource utilisation in emergency department. Emerg. Med. J. 2014; 31:148–52.
(15) Gonçales PC, Pinto Júnior, D, Salgado PO, Chianca TCM. Relationship between risk stratification, mortality and length of stay in a Emergency Hospital. Invest. Educ. Enferm. 2015; 33:424-31.
(16) Guedes HM, Souza KM, Lima PO, Martins JCA, Chianca TCM. Relationship between complaints presented by emergency patients and the final outcome. Rev. Lat-Am. Enfermagem. 2015; 23:587-94.
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