Impacto del triaje estructurado en el hacinamiento del servicio de emergencia de un hospitalterciario

Waldo Augusto Taype-Huamaní, Lucila Amelia De-La-Cruz-Rojas, José Percy Amado Tineo

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

Resumen

Objetive: To assess the impact of structured triage on overcrowding indicators in the emergency department (ED) of a tertiary hospital. Material and Methods: Retrospective observational study of pre and post design. Carried out in a social security hospital, comparing care during two quarters. The implementation of structured triage of five Manchester-type priorities was evaluated, comparing the number of visits, patients attended, priority of care, admission topic, patients not attended, patients who died in the first 6 hours and time to first attention. Statistical analysis (95% confidence interval) was performed with data from the institutional system using SPSS 24.0, with institutional approval. Results: 42000 attendances per quarter, 12% were admitted to observation wards. Median age 57 years (range 14 - 103), female 57%. Average daily number of patients admitted to the ED was 240 vs 230 (p<0.01). Priority on admission: I 3%, II 44%, III 37%, IV 16% and V 0%. In the second trimester, priority I care decreased and priority II and III increased. The daily average of patients not evaluated was 20.5 and 13.7 in each quarter. Deaths in the first 6 hours were 0.13 and 0.15% of total admissions, according to the study period. The average time in the ED after first care was 5.2 hours, decreasing in the second quarter in all areas.

Título traducido de la contribuciónImpact of structured triage on the overcrowding of the emergency department of a tertiary hospital
Idioma originalEspañol
Páginas (desde-hasta)491-495
Número de páginas5
PublicaciónRevista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo
Volumen14
N.º4
DOI
EstadoPublicada - oct. 2021
Publicado de forma externa

Nota bibliográfica

Publisher Copyright:
© 2022 by the authors.

Palabras clave

  • Triage
  • crowding
  • emergency medical services . (Source: DeCS-BIREME)

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