Department of Emergency, Health Science University, Adana City Reseach and Training Hospital, 01060, Adana, Turkey.
Ir J Med Sci. 2024 Aug;193(4):2051-2059. doi: 10.1007/s11845-024-03664-y. Epub 2024 Mar 14.
Triage refers to classifying and prioritizing patients based on the severity of their injuries or illnesses in the health care setting. The increasing number of elderly patients seeking care in emergency departments (EDs) highlights the need for special attention to the unique needs of this patient population.
We aimed to compare the qSOFA, Emergency Severity Index (ESI), National Early Warning Score (NEWS), and Manchester Triage System (MTS) scores to assist ED physicians in assessing the severity of elderly patients' clinical conditions and triaging them appropriately.
This cross-sectional study included 1066 patients aged 65 and over who presented to our ED as outpatients or by ambulance between September 1, 2022, and August 30, 2023. Scoring systems at the time of admission to the ED were recorded separately for outpatients and arriving by ambulance.
According to the qSOFA, patients with a score of 0 were 0.976 times less likely to arrive by ambulance compared to those scoring 1 and above (OR = 0.976, p = .934). According to the NEWS, patients in the moderate-risk category were 0.447 times less likely to arrive by ambulance (OR = 0.447, p = .054). According to the ESI score, patients requiring high resource use with normal vital signs were 146.758 times more likely to arrive by ambulance (OR = 146.758, p = .001).
Significant differences in patients' methods of presentation to the ED were observed based on the MTS, qSOFA, NEWS, and ESI scores.
分诊是指根据患者的伤害或疾病严重程度在医疗保健环境中对患者进行分类和优先排序。越来越多的老年患者到急诊科就诊，这凸显了需要特别关注这一患者群体的独特需求。
我们旨在比较 qSOFA、紧急严重程度指数 (ESI)、国家早期预警评分 (NEWS) 和曼彻斯特分诊系统 (MTS) 评分，以帮助急诊科医生评估老年患者的临床状况严重程度并对其进行适当分诊。
本横断面研究纳入了 2022 年 9 月 1 日至 2023 年 8 月 30 日期间以门诊或救护车形式到我院急诊科就诊的 1066 名 65 岁及以上的患者。分别记录患者在急诊科就诊时的评分系统，包括门诊患者和救护车送来的患者。
根据 qSOFA，评分 0 的患者通过救护车到达的可能性比评分 1 及以上的患者低 0.976 倍（OR=0.976，p=0.934）。根据 NEWS，中度风险类别的患者通过救护车到达的可能性低 0.447 倍（OR=0.447，p=0.054）。根据 ESI 评分，生命体征正常但需要高资源利用的患者通过救护车到达的可能性高 146.758 倍（OR=146.758，p=0.001）。
根据 MTS、qSOFA、NEWS 和 ESI 评分，观察到患者到急诊科就诊方式存在显著差异。
