急诊室的风险分类优先级及所提供服务的结果。
Risk classification priorities in an emergency unit and outcomes of the service provided.
作者信息
Marconato Rafael Silva, Monteiro Maria Ines
机构信息
Doctoral Student, Faculdade de Enfermagem, Universidade Estadual de Campinas, Campinas, SP, Brazil. RN, Hospital de Clínicas, Universidade Estadual de Campinas, Campinas, SP, Brazil.
PhD, Associate Professor, Faculdade de Enfermagem, Universidade Estadual de Campinas, Campinas, SP , Brazil.
出版信息
Rev Lat Am Enfermagem. 2017 Dec 21;25:e2974. doi: 10.1590/1518-8345.2345.2974.
OBJECTIVE
to check the association of the proposed priorities of the institutional protocol of risk classification with the outcomes and evaluate the profile of the care provided in an emergency unit.
METHOD
observational epidemiological study based on data from the computerized files of a Reference Emergency Unit. Care provided to adults was evaluated regarding risk classification and outcomes (death, hospitalization and hospital discharge) based on the information recorded in the emergency bulletin.
RESULTS
the mean age of the 97,099 registered patients was 43.4 years; 81.5% cases were spontaneous demand; 41.2% had been classified as green, 15.3% yellow, 3.7% blue, 3% red and 36.and 9% had not received a classification; 90.2% of the patients had been discharged, 9.4% hospitalized and 0.4% had died. Among patients who were discharged, 14.7% had been classified as yellow or red, 13.6% green or blue, and 1.8% as blue or green.
CONCLUSION
the protocol of risk classification showed good sensitivity to predict serious situations that can progress to death or hospitalization.
目的
检查机构风险分类方案所提议的优先事项与结果之间的关联，并评估急诊科提供的护理情况。
方法
基于一家参考急诊科计算机化文件中的数据进行观察性流行病学研究。根据急诊公告中记录的信息，对为成年人提供的护理进行风险分类和结果（死亡、住院和出院）评估。
结果
97099名登记患者的平均年龄为43.4岁；81.5%的病例为自发就诊；41.2%被分类为绿色，15.3%为黄色，3.7%为蓝色，3%为红色，36.9%未接受分类；90.2%的患者已出院，9.4%住院，0.4%死亡。在出院患者中，14.7%被分类为黄色或红色，13.6%为绿色或蓝色，1.8%为蓝色或绿色。
结论
风险分类方案在预测可能进展为死亡或住院的严重情况方面显示出良好的敏感性。
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