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[急诊科的分诊:分诊级别与患者结局之间的关联]

[Triage at the Emergency Department: association between triage levels and patient outcome].

作者信息

Becker Juliana Barros, Lopes Maria Carolina Barbosa Teixeira, Pinto Meiry Fernanda, Campanharo Cassia Regina Vancini, Barbosa Dulce Aparecida, Batista Ruth Ester Assayag

机构信息

Hospital Universitário, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

出版信息

Rev Esc Enferm USP. 2015 Oct;49(5):783-9. doi: 10.1590/S0080-623420150000500011.

DOI:10.1590/S0080-623420150000500011
PMID:26516748
Abstract

OBJECTIVE

Identify association between sociodemographic, clinical and triage categories with protocol outcomes developed at Hospital São Paulo (HSP).

METHODS

Retrospective cohort study conducted with patients older than 18 years submitted to the triage protocol in August 2012. Logistic regression was used to associate the risk categories to outcomes (p-value ≤0,05).

RESULTS

Men with older age and those treated in clinical specialties had higher rates of hospitalization and death. Patients in the high-priority group had hospitalization and mortality rates five and 10.6 times, respectively (p < 0.0001).

CONCLUSION

The high-priority group experienced higher hospitalization and mortality rates. The protocol was able to detect patients with more urgent conditions and to identify risk factors for hospitalization and death.

摘要

目的

确定圣保罗医院(HSP)制定的社会人口统计学、临床和分诊类别与方案结果之间的关联。

方法

对2012年8月接受分诊方案的18岁以上患者进行回顾性队列研究。采用逻辑回归将风险类别与结果相关联(p值≤0.05)。

结果

年龄较大的男性以及在临床专科接受治疗的男性住院率和死亡率较高。高优先级组的住院率和死亡率分别是其他组的5倍和10.6倍(p<0.0001)。

结论

高优先级组的住院率和死亡率更高。该方案能够检测出病情更紧急的患者,并识别出住院和死亡的风险因素。

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