Abstract
Background: Cardiovascular diseases are the leading cause of death worldwide. The search for safe solutions to ensure priority in the healthcare of patients with severe conditions, such as acute coronary syndrome, is a determining factor in the prognosis. Objective: To evaluate the healthcare of patients with acute coronary syndrome undergoing the Manchester triage system applied by nurses. Methods: Retrospective observational study based on the review of medical reports of patients admitted for acute coronary syndrome between October 2010 and April 2012 in a public hospital of cardiology in Joinville, Brazil. The following were assessed: health history, symptoms on admission, medical diagnosis, classification by the Manchester triage system, opening hours and procedures, information on admission, and the outcome of the case. The data were entered into an e-form and submitted to statistical analysis. Results: Of the 191 patients selected, 65.0% were men and 47.0% had a history of coronary artery disease. The Manchester triage system allowed correctly classifying 80.1% of patients. The flowchart “thorax pain” with the discriminator “chest pain” was the most used. The average waiting time for classification, medical care and first electrocardiogram were 12.2, 28.6 and 24.9 minutes, respectively. Conclusion: The Manchester triage system allowed a high rate of correct classification by the nurse of patients with acute coronary syndrome.
Highlights
Excessive demand for emergency care is a global problem that causes a greater need for medical appointments, exceeding the capacity for which the services are organized[1]
The Manchester triage system (MTS) is based on a scale that uses five priority levels, allows classifying patients according to the degree of urgency and emergency, linking them to the target times for medical evaluation and respective colors and for the visual identification of cases: Corresponding author: Vivian Ellen Tácito Gouvêa Rua Paulo Malschitzki, 10 – Bom Retiro, 89219-710 – Joinville, SC – Brazil E-mail: vitacito@yahoo.com.br
ICD-10 associated with unstable angina (UA) or acute myocardial infarction (AMI) used in the hospital (I21 - Acute myocardial infarction; I21. 1 - Acute transmural infarction of the anterior myocardial wall; I21.2 - Acute transmural infarction of the anterior myocardial wall from other locations; I21.4 - Acute subendocardial myocardial infarction and I20.0 - Unstable angina)
Summary
Excessive demand for emergency care is a global problem that causes a greater need for medical appointments, exceeding the capacity for which the services are organized[1]. In this context, it is of the essence to find safe solutions to ensure priority care to patients with severe conditions. Objective: To evaluate the healthcare of patients with acute coronary syndrome undergoing the Manchester triage system applied by nurses. Conclusion: The Manchester triage system allowed a high rate of correct classification by the nurse of patients with acute coronary syndrome
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