Outcome assessment of patients classified through the Manchester Triage System in emergency units in Brazil and Portugal

  • Helisamara Mota Guedes Nurse, Ph.D. Adjunct Professor, Federal University of the Jequitinhonha and Mucuri Valleys, Diamantina, MG, Brazil. email: helisamaraguedes@gmail.com
  • Francielli Aparecida Araújo Nurse, Resident in Emergency and Trauma. Odilon Behrens Hospital, Belo Horizonte, MG. Brazil. email: francielli-araujo@hotmail.com
  • Domingos Pinto Júnior Nurse, Master. Odilon Behrens Hospital, Belo Horizonte, MG. Brazil. email: domingoshob@yahoo.com.br
  • José Carlos Amado Martins Nurse, Ph.D. Associate Professor, College of Nursing of Coimbra, Coimbra, Portugal. email: jmartins@esenfc.pt
  • Tânia Couto Machado Chianca Nurse, Ph.D. Full Professor, Federal University of Minas Gerais, Belo Horizonte, MG. Brazil. email: taniachianca@gmail.com
Keywords: 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 therisk 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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Author Biographies

Helisamara Mota Guedes, Nurse, Ph.D. Adjunct Professor, Federal University of the Jequitinhonha and Mucuri Valleys, Diamantina, MG, Brazil. email: helisamaraguedes@gmail.com

 

 

José Carlos Amado Martins, Nurse, Ph.D. Associate Professor, College of Nursing of Coimbra, Coimbra, Portugal. email: jmartins@esenfc.pt

 

 

References

(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.

Published
2017-06-14
How to Cite
Mota Guedes H., Aparecida Araújo F., Pinto Júnior D., Amado Martins J. C., & Machado Chianca T. C. (2017). Outcome assessment of patients classified through the Manchester Triage System in emergency units in Brazil and Portugal. Investigación Y Educación En Enfermería, 35(2). https://doi.org/10.17533/udea.iee.v35n2a06
Section
ORIGINAL ARTICLES / ARTÍCULOS ORIGINALES / ARTIGOS ORIGINAIS