The Hashemite University, Zarqa, Jordan.
Clin Nurs Res. 2021 Nov;30(8):1127-1134. doi: 10.1177/1054773821999688. Epub 2021 Mar 1.
Sepsis and neutropenia are considered the primary life-threatening complications of cancer treatment and are the leading cause of hospitalization and death. The objective was to study whether patients with neutropenia, sepsis, and septic shock were identified appropriately at triage and receive timely treatment within the emergency setting. Also, we investigated the effect of undertriage on key treatment outcomes. We conducted a retrospective analysis of all accessible records of admitted adult cancer patients with febrile neutropenia, sepsis, and septic shock. Our results identified that the majority of patients were inappropriately triaged to less urgent triage categories. Patients' undertriage significantly prolonged multiple emergency timeliness indicators and extended length of stay within the emergency department and hospital. These effects suggest that triage implementation must be objective, consistent, and accurate because of the several influences of the assigned triage scoring on treatment and health outcomes.
中性粒细胞减少症、脓毒症和感染性休克被认为是癌症治疗中危及生命的主要并发症，也是导致住院和死亡的主要原因。本研究旨在探讨在分诊时是否恰当地识别出中性粒细胞减少症、脓毒症和感染性休克患者，并在急诊环境中及时给予治疗。此外，我们还研究了分诊不足对关键治疗结果的影响。我们对所有可获得的成人癌症患者中性粒细胞减少症、脓毒症和感染性休克的住院记录进行了回顾性分析。我们的研究结果表明，大多数患者被不恰当地分诊到不那么紧急的分诊类别。患者分诊不足显著延长了多个紧急及时性指标，并延长了急诊科和医院的住院时间。这些影响表明，由于分诊评分对治疗和健康结果的多种影响，分诊实施必须是客观的、一致的和准确的。
