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

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 i...

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Main Authors: Helisamara Mota Guedes, Francielli Aparecida Araújo, Domingos Pinto Júnior, José Carlos Amado Martins, Tânia Couto Machado Chianca
Format: Article
Language:English
Published: Universidad de Antioquia 2017-06-01
Series:Investigación y Educación en Enfermería
Subjects:
Online Access:https://revistas.udea.edu.co/index.php/iee/article/view/328032
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author Helisamara Mota Guedes
Francielli Aparecida Araújo
Domingos Pinto Júnior
José Carlos Amado Martins
Tânia Couto Machado Chianca
author_facet Helisamara Mota Guedes
Francielli Aparecida Araújo
Domingos Pinto Júnior
José Carlos Amado Martins
Tânia Couto Machado Chianca
author_sort Helisamara Mota Guedes
collection DOAJ
description 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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spelling doaj.art-7cbfb02c704a4fd79a0f23f26ef84afc2023-12-02T16:44:49ZengUniversidad de AntioquiaInvestigación y Educación en Enfermería2216-02802017-06-0135210.17533/udea.iee.v35n2a0627464Outcome assessment of patients classified through the Manchester Triage System in emergency units in Brazil and PortugalHelisamara Mota Guedes0Francielli Aparecida Araújo1Domingos Pinto Júnior2José Carlos Amado Martins3Tânia Couto Machado Chianca4Nurse, Ph.D. Adjunct Professor, Federal University of the Jequitinhonha and Mucuri Valleys, Diamantina, MG, Brazil. email: helisamaraguedes@gmail.comNurse, Resident in Emergency and Trauma. Odilon Behrens Hospital, Belo Horizonte, MG. Brazil. email: francielli-araujo@hotmail.comNurse, Master. Odilon Behrens Hospital, Belo Horizonte, MG. Brazil. email: domingoshob@yahoo.com.brNurse, Ph.D. Associate Professor, College of Nursing of Coimbra, Coimbra, Portugal. email: jmartins@esenfc.ptNurse, Ph.D. Full Professor, Federal University of Minas Gerais, Belo Horizonte, MG. Brazil. email: taniachianca@gmail.comIntroduction. 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.https://revistas.udea.edu.co/index.php/iee/article/view/328032nursingemergency servicehospitaltriage.
spellingShingle Helisamara Mota Guedes
Francielli Aparecida Araújo
Domingos Pinto Júnior
José Carlos Amado Martins
Tânia Couto Machado Chianca
Outcome assessment of patients classified through the Manchester Triage System in emergency units in Brazil and Portugal
Investigación y Educación en Enfermería
nursing
emergency service
hospital
triage.
title Outcome assessment of patients classified through the Manchester Triage System in emergency units in Brazil and Portugal
title_full Outcome assessment of patients classified through the Manchester Triage System in emergency units in Brazil and Portugal
title_fullStr Outcome assessment of patients classified through the Manchester Triage System in emergency units in Brazil and Portugal
title_full_unstemmed Outcome assessment of patients classified through the Manchester Triage System in emergency units in Brazil and Portugal
title_short Outcome assessment of patients classified through the Manchester Triage System in emergency units in Brazil and Portugal
title_sort outcome assessment of patients classified through the manchester triage system in emergency units in brazil and portugal
topic nursing
emergency service
hospital
triage.
url https://revistas.udea.edu.co/index.php/iee/article/view/328032
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