Abstract

to analyze demographic data, clinical profile and outcomes of patients in emergency services according to Manchester Triage System's priority level. a cross-sectional, analytical study, carried out with 3,624 medical records. For statistical analysis, the Chi-Square Test was used. white individuals were more advanced in age. In the red and white categories, there was a higher percentage of men when compared to women (p=0.0018) and higher prevalence of personal history. Yellow priority patients had higher percentage of pain (p<0.0001). Those in red category had a higher frequency of altered vital signs, external causes, and death outcome. There was a higher percentage of exams performed and hospitalization in the orange category. Blue priority patients had a higher percentage of non-specific complaints and dismissal after risk stratification. a higher percentage of altered vital signs, number of tests performed, hospitalization and death were evidenced in Manchester protocol's high priority categories.

Highlights

  • OBJECTIVESThe need to organize assistance in emergency services (ES) arose from the growing demand from users looking for assistance in this type of service, which makes it the gateway to the health system[1,2]

  • Cancer patients represent only a small percentage of admissions in the ES, most were stratified as high priority and have high rates of admission and mortality[27], corroborating the findings found in this study

  • Individuals in the white category were more advanced in age, and men had a higher percentage in the red and white category when compared to women

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Summary

Introduction

OBJECTIVESThe need to organize assistance in emergency services (ES) arose from the growing demand from users looking for assistance in this type of service, which makes it the gateway to the health system[1,2]. There are undesirable outcomes, such as increased costs and mortality[5], which are reflected in the low performance of the health system In this context, the use of a triage system, nationally called risk stratification (RS), has great relevance in prioritizing patients with greater severity and in preserving the safety of patients cared for in ES[6,7]. MTS establishes five categories/clinical priorities, assigned during RS, instituting a color for each of them: red (emergent), orange (very urgent), yellow (urgent), green (not urgent) and blue (not urgent). Each of these categories represents a degree of severity with a respective waiting time for the first medical care[8]. It is worth mentioning that the inclusion of white color in the MTS is used as a way to identify an organizational dysfunction, i.e., patients who use ES as a gateway for elective or scheduled procedures, returns and referrals for complementary examinations or assessment with specialists, among others[8]

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