Relationship between complaints presented by emergency patients and the final outcome

Authors

  • Helisamara Mota Guedes Universidade Federal de Minas Gerais; Escola de Enfermagem
  • Kesia Meiriele Souza Universidade Federal dos Vales do Jequitinhonha e Mucuri
  • Patrícia de Oliveira Lima Hospital Nossa Senhora da Saúde
  • José Carlos Amado Martins Escola Superior de Enfermagem de Coimbra
  • Tânia Couto Machado Chianca Universidade Federal de Minas Gerais; Escola de Enfermagem

DOI:

https://doi.org/10.1590/0104-1169.0227.2592

Abstract

Objective: to relate complaints presented by emergency room patients, classified using the Manchester Triage System, with the final outcome (discharge/death/transfer).Methods: prospective cohort study, involving 509 patients who were admitted to the emergency room and remained there for more than 24 hours after admission, being monitored to the final outcome. Data were analyzed with a statistical program using descriptive and analytical statistics.Results: the mean age of the patients was 59.1 years and 59.3% were male. The main complaints were unwell adult (130 - 22.5%), shortness of breath in adults (81 - 14.0%), abdominal pain in adults (58 - 10.0%) and behaving strangely (34 - 5.9%), with 87% of the patients being discharged. More deaths were found in the patients classified in the severe colors, with 42.8% classified as red, 17.0% as orange and 8.9% as yellow. Among the patients classified as green, 9.6% died.Conclusion: in the various colors of the Manchester Triage System, death prevailed in patients that presented the complaints of unwell adult, shortness of breath, head injury, major trauma, diarrhea and vomiting. The higher the clinical priority the greater the prevalence of death.

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Published

2015-08-01

Issue

Section

Original Articles

How to Cite

Relationship between complaints presented by emergency patients and the final outcome . (2015). Revista Latino-Americana De Enfermagem, 23(4), 587-594. https://doi.org/10.1590/0104-1169.0227.2592