University of Brasilia, Faculty of Health Sciences, Nursing Department, Brasília, Brazil.
Inquiry. 2022 Jan-Dec;59:469580221095824. doi: 10.1177/00469580221095824.
In the midst of the pandemic caused by the new coronavirus (SARS-CoV-2), researchers and governmental and non-governmental institutions are mobilizing to implement strategies to face cases of COVID-19. Aim: This study aimed to map the triage strategies for cases of COVID-19, with the purpose of identifying sources in the literature that make it possible to explore the understanding of the strategies in different contexts. A scope review was conducted with searches in the CINAHL Database, PubMed, LILACS and hand-search, considering studies carried out with users of health services and documents published by governmental and non-governmental institutions, between the years 2019 and 2020, resulting in 40 articles for full reading. To explore the key concept, thematic analysis was carried out at two levels: (1) triage strategies, (2) forms and experiences of triage. Five triage strategies were mapped: health services triage; digital triage by remote use of technologies; community triage; home visit triage and airport and port triage. The forms and experiences of mapped triages involved risk classification, diagnosis and definition of conducts or combined. The use of strategies with remote technological resources stands out, as well as the adaptation of existing scales with simple algorithms as a tendency.
在由新型冠状病毒(SARS-CoV-2)引起的大流行期间,研究人员和政府及非政府机构正在动员起来,实施应对 COVID-19 病例的策略。目的:本研究旨在绘制 COVID-19 病例的分诊策略图,以便从文献中确定来源,从而探索不同背景下对这些策略的理解。在 CINAHL 数据库、PubMed、LILACS 进行了范围审查,并进行了手工检索,考虑了在 2019 年至 2020 年间对卫生服务使用者进行的研究和政府及非政府机构发布的文件,共进行了 40 篇文章的全文阅读。为了探索关键概念,在两个层次上进行了主题分析:(1)分诊策略,(2)分诊的形式和经验。绘制了五种分诊策略:卫生服务分诊;远程使用技术的数字分诊;社区分诊;上门就诊分诊和机场及港口分诊。映射分诊的形式和经验涉及风险分类、诊断和行为或组合的定义。突出使用具有远程技术资源的策略,以及使用简单算法改编现有量表的趋势。