Correlation between classification in risk categories and clinical aspects and outcomes.

Gabriella Novelli Oliveira,Cássia Regina Vancini-Campanharo,Dulce Aparecida Barbosa,Maria Carolina Barbosa Teixeira Lopes,Meiry Fernanda Pinto Okuno,Ruth Ester Assayag Batista

doi:10.1590/1518-8345.1284.2842

Gabriella Novelli Oliveira, Cássia Regina Vancini-Campanharo + Show 4 more

Open Access

https://doi.org/10.1590/1518-8345.1284.2842

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Abstract

ABSTRACTObjective:to correlate classification in risk categories with the clinical profiles, outcomes and origins of patients. Method:analytical cross-sectional study conducted with 697 medical forms of adult patients. The variables included: age, sex, origin, signs and symptoms, exams, personal antecedents, classification in risk categories, medical specialties, and outcome. The Chi-square and likelihood ratio tests were used to associate classifications in risk categories with origin, signs and symptoms, exams, personal antecedents, medical specialty, and outcome. Results:most patients were women with an average age of 44.5 years. Pain and dyspnea were the symptoms most frequently reported while hypertension and diabetes mellitus were the most common comorbidities. Classifications in the green and yellow categories were the most frequent and hospital discharge the most common outcome. Patients classified in the red category presented the highest percentage of ambulance origin due to surgical reasons. Those classified in the orange and red categories also presented the highest percentage of hospitalization and death. Conclusion:correlation between clinical aspects and outcomes indicate there is a relationship between the complexity of components in the categories with greater severity, evidenced by the highest percentage of hospitalization and death.

Highlights

IntroductionThe causes leading to the increased demand for such services include: difficult access to the health network, increased prevalence of chronic diseases accruing from increased life expectancy, more frequent accidents and urban violence[1,2]
Overcrowding is one of the main problems for Emergency Rooms (ERs) around the world
ERs are characterized as one of the main entrance doors into the health system, and cases not characterized as emergencies are the ones that most consume this type of service, due to its convenience and the difficulty individuals face accessing primary health care (PHC) services[3]

Summary

Introduction

The causes leading to the increased demand for such services include: difficult access to the health network, increased prevalence of chronic diseases accruing from increased life expectancy, more frequent accidents and urban violence[1,2]. In this context, ERs are characterized as one of the main entrance doors into the health system, and cases not characterized as emergencies are the ones that most consume this type of service, due to its convenience and the difficulty individuals face accessing primary health care (PHC) services[3]. The most well known international scales are: the Emergency Severity Index (ESI), Australasian Triage Scale (ATS), Canadian Triage Acuity Scale (CTAS), and the Manchester Triage System (MTS)(5)

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