Relationship between complaints presented by emergency patients and the final outcome

AbstractObjective: to relate complaints presented by emergency room patients, classified using the Manchester Triage System, with the final outcome (discharge/death/transfer).Methods: prospective cohort study, involving 509 patients who were admitted to the emergency room and remained there for more...

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Main Authors: Helisamara Mota Guedes, Kesia Meiriele Souza, Patrícia de Oliveira Lima, José Carlos Amado Martins, Tânia Couto Machado Chianca
Format: Article
Language:English
Published: Universidade de São Paulo 2015-08-01
Series:Revista Latino-Americana de Enfermagem
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692015000400587&lng=en&tlng=en
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author Helisamara Mota Guedes
Kesia Meiriele Souza
Patrícia de Oliveira Lima
José Carlos Amado Martins
Tânia Couto Machado Chianca
author_facet Helisamara Mota Guedes
Kesia Meiriele Souza
Patrícia de Oliveira Lima
José Carlos Amado Martins
Tânia Couto Machado Chianca
author_sort Helisamara Mota Guedes
collection DOAJ
description AbstractObjective: to relate complaints presented by emergency room patients, classified using the Manchester Triage System, with the final outcome (discharge/death/transfer).Methods: prospective cohort study, involving 509 patients who were admitted to the emergency room and remained there for more than 24 hours after admission, being monitored to the final outcome. Data were analyzed with a statistical program using descriptive and analytical statistics.Results: the mean age of the patients was 59.1 years and 59.3% were male. The main complaints were unwell adult (130 - 22.5%), shortness of breath in adults (81 - 14.0%), abdominal pain in adults (58 - 10.0%) and behaving strangely (34 - 5.9%), with 87% of the patients being discharged. More deaths were found in the patients classified in the severe colors, with 42.8% classified as red, 17.0% as orange and 8.9% as yellow. Among the patients classified as green, 9.6% died.Conclusion: in the various colors of the Manchester Triage System, death prevailed in patients that presented the complaints of unwell adult, shortness of breath, head injury, major trauma, diarrhea and vomiting. The higher the clinical priority the greater the prevalence of death.
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spelling doaj.art-cdeec37baba847c686e0f9a006b814e52022-12-22T00:51:14ZengUniversidade de São PauloRevista Latino-Americana de Enfermagem1518-83452015-08-0123458759410.1590/0104-1169.0227.2592S0104-11692015000400587Relationship between complaints presented by emergency patients and the final outcomeHelisamara Mota GuedesKesia Meiriele SouzaPatrícia de Oliveira LimaJosé Carlos Amado MartinsTânia Couto Machado ChiancaAbstractObjective: to relate complaints presented by emergency room patients, classified using the Manchester Triage System, with the final outcome (discharge/death/transfer).Methods: prospective cohort study, involving 509 patients who were admitted to the emergency room and remained there for more than 24 hours after admission, being monitored to the final outcome. Data were analyzed with a statistical program using descriptive and analytical statistics.Results: the mean age of the patients was 59.1 years and 59.3% were male. The main complaints were unwell adult (130 - 22.5%), shortness of breath in adults (81 - 14.0%), abdominal pain in adults (58 - 10.0%) and behaving strangely (34 - 5.9%), with 87% of the patients being discharged. More deaths were found in the patients classified in the severe colors, with 42.8% classified as red, 17.0% as orange and 8.9% as yellow. Among the patients classified as green, 9.6% died.Conclusion: in the various colors of the Manchester Triage System, death prevailed in patients that presented the complaints of unwell adult, shortness of breath, head injury, major trauma, diarrhea and vomiting. The higher the clinical priority the greater the prevalence of death.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692015000400587&lng=en&tlng=enEnfermeríaServicios Médicos de UrgenciaTriajeEvolución Clínica
spellingShingle Helisamara Mota Guedes
Kesia Meiriele Souza
Patrícia de Oliveira Lima
José Carlos Amado Martins
Tânia Couto Machado Chianca
Relationship between complaints presented by emergency patients and the final outcome
Revista Latino-Americana de Enfermagem
Enfermería
Servicios Médicos de Urgencia
Triaje
Evolución Clínica
title Relationship between complaints presented by emergency patients and the final outcome
title_full Relationship between complaints presented by emergency patients and the final outcome
title_fullStr Relationship between complaints presented by emergency patients and the final outcome
title_full_unstemmed Relationship between complaints presented by emergency patients and the final outcome
title_short Relationship between complaints presented by emergency patients and the final outcome
title_sort relationship between complaints presented by emergency patients and the final outcome
topic Enfermería
Servicios Médicos de Urgencia
Triaje
Evolución Clínica
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692015000400587&lng=en&tlng=en
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