protocolos: Manchester/Inglaterra(9), AST/Austrália(10),. CTAS/Canadá(11) .. humanizacao/docs/gongturoqate.gq Ministério da Saúde. Objetivo: analizar el valor predictivo del Sistema Triage Manchester en relación con *Artigo extraído da Tese “Valor de predição do protocolo Manchester em um hospital do Vale do Jequitinhonha” .. gongturoqate.gq pdf. PDF | Objective To assess the time before and time spent on risk classification, ﬁabilidade do Protocolo de Manchester: revisão integrativa da literatura.
|Language:||English, Spanish, Japanese|
|Distribution:||Free* [*Register to download]|
PDF | 45 minutes read | Objetivo Analisar a confiabilidade interobservadores da segunda edição do protocolo de Acolhimento com Classificação de Risco em Pediatria, na prática clínica de Triage and Acuity System, Manchester Triage. Protocolo de Manchester no. Mundo. Page 2. Reasons not to triage. ▫ No queue! ▫ Minimum wait. ▫ No risk. ▫ Identifiable and consistent workload. ▫ Enough. Manchester Triage System: main flowcharts, discriminators and outcomes of a pediatric emergency care. Rev .. científica sobre a validade e confiabilidade do Protocolo de Manchester: Disponível em: gongturoqate.gq v49n1/.
There are 55 different flow charts and a risk scale that, depending on signs and symptoms, classifies the situation of the patients into: emergent red , very urgent orange , urgent yellow , not urgent green care to be provided between 0 and minutes. Principles of universality, comprehensiveness, gratuity and validity throughout the national territory are also guaranteed in both countries.
In Portugal, fees are charged, which are not intended to finance the system, but rather to limit unnecessary access to certain services. Moreover, the MTS in the emergency services has been adopted as a guiding protocol in the two countries.
Thus, the system data such as complaints, colors, stratifications, severity, time of service, and so on, can allow valuable analyses. The patients' behavior towards the classification of risk has been studied by authors from several countries.
The present study aimed to evaluate the outcome of patients classified through the MTS in two large hospitals, one in Brazil and the other in Portugal. They share common characteristics: both are large hospitals, and references for urgent care in municipalities and regions.
The CHUC is a national reference in clinical and surgical areas of various medical specialties, besides offering field of internships for undergraduate, graduate and research programs. The HOB is also a teaching hospital and a state reference in trauma, and clinical and surgical care of various medical specialties. Both have medical and multiprofessional residency programs in various specialties. The study population consisted of all the patients who entered the ES in both hospitals, who passed through the triage room between January 1st and December 31st, , and were triaged by nurses using the MTS.
This system makes it possible to calculate the length of stay, based on the clinical outcome of patients in the institution. The five categories of classification were always compared with the color considered of lower priority in the service, the "blue" category. This was applied to the length of stay. For analysis of the risk of death, data were evaluated in relation to the "Green" color, because deaths did not occur in the "blue" category in either country.
Patients classified in the "white" color were excluded from statistical analysis because this is a category that refers to hospital returns or administrative appointments, which are not emergency cases. A total of 13 9.
The sample consisted, therefore, of cases in Portugal and in Brazil, in the year Evolution to hospital discharge, transference, abandonment of treatment and death, as well as the length of stay of the users who sought the emergency service within the stipulated period were considered as "outcome".
The following data were surveyed: age, sex, MTS classification red, orange, yellow, green and blue and flowchart.
Descriptive statistics with frequency and inferential analysis were used for characterization of patients. Median was used for length of stay, which corresponds to the 50th percentile. Logistic regression was performed to control confounding variables. Results Among the patients analyzed in the Portuguese group , , female subjects predominated The characterization data is presented in Table 1. The main complaints of patients attended at the institution in Portugal were: adult malaise 22 - In Brazil, problems in extremities 21 - Regarding the length of hospital stay of patients in Portugal, 2 9.
Of the total number of patients studied, were admitted to the ES and discharged within 24 hours, and were not hospitalized. In the case of patients in Brazil, 75 This information was not obtained in the case of patients 0. In Brazil, the variable "less than 1 day" refers to the patients who entered into the ES, received assistance, and were discharged within 24 hours or were hospitalized for less than one day.
Statistically significant difference of length of hospital stay was found among all groups of patients in the two cases studied. The five categories of classification were always compared to the color considered of lower priority in the service, i.
Thus, the higher the priority of the patients, the longer they would remain in the hospital Table 2. Journal of Clinical Nursing. Fry M, Burr G.
Cronin, J. The introduction of the Manchester Triage Scale to an emergency department in the Republic of Ireland. Accident and Emergency Nursing, ; Journal of Emergency Nursing , feb; 30 1 : Romero-Nieva Lozano J.
The emergency nursing assessment process—A structured framework for a systematic approach. Australasian Emergency Nursing Journal. Working with Manchester triage — Job satisfaction in nursing. International Emergency Nursing. Sensitivity and specificity of the Manchester Triage System for patients with acute coronary syndromes Pinto D.
Lunet N. The diagnostic utility of triage nurses at recognising pleuritic chest pain Wright J. Mackway-Jones K Emergency Nurse.
Hogg K. Schrivers AJP. Is Manchester MTS more than a triage system? Freitas P Emergency Medicine Journal.
Martins HMG et al. Steyerberg EW.
Manchester triage system in paediatric emergency care: Ruige M et al British Medical Journal. It errs on the safe side. Ubbink DT. Reliability and validity of the Manchester Triage System in a general emergency department patient population in the Netherlands: Bishop RO. The Manchester triage system provides good reliability in an Australian emergency department Grouse AI.
Netherlands van der Wulp et al. Netherlands Grouse et al. Interrater reproducibility studies Author Kappa Storm-Vestoot et 0. Test-retest reproducibility studies Author Kappa Storm-Vestoot et 0. What is MTS for? What is MTS not designed for? Cardiac Chest Pain Which Patients? The local mapping process Identify possible dispositions Map each p-p complex to a disposition Identify local Final Map Map each p-p complex Iteration stakeholders to a disposition Map each p-p complex to a disposition.
Manchester Triage System. Flag for inappropriate content. Related titles.