[The Spanish triage system in the evaluation of neonates in paediatric emergency departments].
Por:
Mesquita M, Pavlicich V and Luaces-Cubells C
Publicada:
1 ene 2017
Categoría:
Pediatrics, perinatology and child health
Resumen:
The triage system in the emergency department classifies patients
according to priority levels of care. Neonates are a vulnerable
population and require rapid assessment.
OBJECTIVE: To correlate the priority levels in newborns seen in the
paediatric emergency department with admissions, resource consumption,
and service times.
PATIENTS AND METHOD: Observational study, using the Andorran triage
model (MAT-SET) with ePATV4 software database, in paediatric
emergencies. Neonates were classified into 3 levels of care established
for them as level I resuscitation, level II emergency, and level iii
urgent. The correlation between levels of priority and admission and
resource consumption were analysed, as well as the time spent on medical
care and stay in the emergency department.
RESULTS: The study included 1103 infants. The highest priority level was
positively correlated with hospital admission (r = 0.66, P<.005) and
resource consumption (r = 0.59, P < .005). The medical care times were
126 ± 203, 119 ± 51, and 33 ± 81 min for levels i, ii, and iii,
respectively and the stay in emergency department was 150 ± 203, 131 ±
80, and 55 ± 86 min, respectively for these levels (P < .05).
CONCLUSION: The higher level of priority in the care of neonates in the
paediatric emergency department was positively correlated with increased
need for hospital admission and resource consumption. They also required
a longer time for medical care and stay in the emergency department.
Filiaciones:
Mesquita M:
Departamento de Docencia e Investigación, Hospital Pediátrico Niños de Acosta Ñu, San Lorenzo, Paraguay
Pavlicich V:
Departamento de Emergencias, Hospital Pediátrico Niños de Acosta Ñu, San Lorenzo, Paraguay
Luaces-Cubells C:
Servicio de Urgencias, Hospital San Joan de Déu, Barcelona, España
Open Access
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