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Validity of the Manchester Triage System in emergency care: A prospective observational study.

dc.contributor.authorZachariasse, J
dc.contributor.authorSeiger, N
dc.contributor.authorRood, P
dc.contributor.authorAlves, C
dc.contributor.authorFreitas, PT
dc.contributor.authorSmit, F
dc.contributor.authorRoukema, G
dc.contributor.authorMoll, H
dc.date.accessioned2017-03-06T16:49:13Z
dc.date.available2017-03-06T16:49:13Z
dc.date.issued2017
dc.description.abstractOBJECTIVES: To determine the validity of the Manchester Triage System (MTS) in emergency care for the general population of patients attending the emergency department, for children and elderly, and for commonly used MTS flowcharts and discriminators across three different emergency care settings. METHODS: This was a prospective observational study in three European emergency departments. All consecutive patients attending the emergency department during a 1-year study period (2010-2012) were included. Validity of the MTS was assessed by comparing MTS urgency as determined by triage nurses with patient urgency according to a predefined 3-category reference standard as proxy for true patient urgency. RESULTS: 288,663 patients were included in the analysis. Sensitivity of the MTS in the three hospitals ranged from 0.47 (95%CI 0.44-0.49) to 0.87 (95%CI 0.85-0.90), and specificity from 0.84 (95%CI 0.84-0.84) to 0.94 (95%CI 0.94-0.94) for the triage of adult patients. In children, sensitivity ranged from 0.65 (95%CI 0.61-0.70) to 0.83 (95%CI 0.79-0.87), and specificity from 0.83 (95%CI 0.82-0.83) to 0.89 (95%CI 0.88-0.90). The diagnostic odds ratio ranged from 13.5 (95%CI 12.1-15.0) to 35.3 (95%CI 28.4-43.9) in adults and from 9.8 (95%CI 6.7-14.5) to 23.8 (95%CI 17.7-32.0) in children, and was lowest in the youngest patients in 2 out of 3 settings and in the oldest patients in all settings. Performance varied considerably between the different emergency departments. CONCLUSIONS: Validity of the MTS in emergency care is moderate to good, with lowest performance in the young and elderly patients. Future studies on the validity of triage systems should be restricted to large, multicenter studies to define modifications and improve generalizability of the findings.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPLoS One. 2017 Feb 2;12(2):e0170811pt_PT
dc.identifier.doi10.1371/journal.pone.0170811pt_PT
dc.identifier.issn1932-6203
dc.identifier.urihttp://hdl.handle.net/10400.10/1808
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherPublic Library of Sciencept_PT
dc.relation.publisherversionhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5289484/pdf/pone.0170811.pdfpt_PT
dc.subjectManchester Triage Systempt_PT
dc.subjectTriagem de Manchesterpt_PT
dc.subjectEmergency medical servicespt_PT
dc.subjectServiço hospitalar de emergênciapt_PT
dc.subjectServiço de urgência geralpt_PT
dc.titleValidity of the Manchester Triage System in emergency care: A prospective observational study.pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceSan Franciscopt_PT
oaire.citation.titlePublic Library of Science onept_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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