Speake Douglas, Teece Stewart, Mackway-Jones Kevin
Manchester Royal Infirmary.
Emerg Nurse. 2003 Sep;11(5):19-21. doi: 10.7748/en2003.09.11.5.19.c1131.
To assess the ability of nurses using the Manchester Triage System (MTS) to identify those patients with chest pain requiring immediate electrocardiogram (ECG) and physician assessment within ten minutes.
A four-week prospective cohort of all patients attending with chest pain compared detection of risk by nurses using the MTS to that of researchers using best available evidence-based prognostic indicators from history.
The study of 167 patients showed that nurses using MTS had a sensitivity of 86.8 per cent (95 per cent confidence interval (CI), 78.4-92.3 per cent) and a specificity of 72.4 per cent (95 per cent CI, 61.4-81.2 per cent) when identifying high risk cardiac chest pain.
Nurses using the MTS are a sensitive tool for identifying high risk cardiac chest pain but further work is required to assess whether additional training can improve sensitivity.
评估使用曼彻斯特分诊系统（MTS）的护士识别那些需要在十分钟内进行心电图（ECG）检查和医生评估的胸痛患者的能力。
对所有因胸痛前来就诊的患者进行为期四周的前瞻性队列研究，将使用MTS的护士对风险的检测与使用基于病史的最佳循证预后指标的研究人员的检测进行比较。
对167名患者的研究表明，使用MTS的护士在识别高危心脏性胸痛时，灵敏度为86.8%（95%置信区间（CI），78.4 - 92.3%），特异度为72.4%（95%CI，61.4 - 81.2%）。
使用MTS的护士是识别高危心脏性胸痛的一种灵敏工具，但需要进一步开展工作来评估额外培训是否能提高灵敏度。
