medigraphic.com
SPANISH

Archivos de Medicina de Urgencia de México

ISSN 2594-3006 (Electronic)
ISSN 2007-1752 (Print)
Archivos de Medicina de Urgencia de México
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2011, Number 3

<< Back Next >>

Arch Med Urg Mex 2011; 3 (3)

Sensibility of clinical triage in the HRLALM of the ISSSTE adult emergency service

Mendoza CG, Elguero PE
Full text How to cite this article

Language: Spanish
References: 9
Page: 96-98
PDF size: 91.16 Kb.


Key words:

Emergency department triage.

ABSTRACT

Objective: To determine the sensitivity on Clinical-made triage in Lic. Adolfo López Mateos Regional Hospital Emergency Department. Material and methods: A prospective, transversal and clinical study was made, including patients of 18 years and older, who came to the emergency department, asking for care, and were attended by the Triage Doctor. The sample was of 380 patients and all of them were aleatorized, 3 color system was used and, before their definitive medical approach was given, the color was reassigned, making a comparison with the first one, to determine the diagnostic sensibility. Results: From the 380 patients initially sorted in the triage area, 249 were green, 105 yellow, and 26 red. During the approaching or at the end of it, the sort of real green was 188, yellow 135 and red 57, 151 patients were misdiagnosed at the end of their care. The global sensitivity was of 60.2. The sensitivity for the red color was 73.07, 40.9 for yellow color and 67.06 for green color. Conclusions: 1. the triage sensitivity in Adolfo López Mateos Regional Hospital Emergency Department was 60.2 2. Sensitivity for the real emergency was found better than the media and minor. 5. More studies are required considering the sorters and the medical units as a variable.


REFERENCES

  1. Illescas FG. Triage: atención y selección de pacientes. Trauma 2006; 9 (2): 48-56.

  2. López RJ, Montiel EMD, Licona QR. Triage en el servicio de urgencias. Med Int Méx 2006; 22: 310-308.

  3. Robertson-Steel I. Evolution of triage systems. Emerg Med J 2006; 23 (2): 154-155.

  4. Hughes G. Triage; evolution or extinction. Emerg Med J 2006; 23: 88.

  5. Twomey M, Wallis LA, Myers JE. Limitations in validating emergency department triage scales. Emerg Med J 2007; 24: 477-479.

  6. Núñez-Rocha GM, Flores-Guerrero FJ, Salinas-Martínez AM. ¿Tiempos de espera? El triage una alternativa en los departamentos de emergencia. Rev Inv Clin 2004; 56 (3): 314-320.

  7. Choi YF, Wong TW, Lau CC, Wardrope J. Triage rapid initial assessment by doctor (TRIAD) improves. Waiting time and processing time of the emergency department. Emerg Med J 2006; 23: 262-265.

  8. Lyons M, Brown R, Wears R. Factors that affect the flow of patients through triage. Emerg Med J 2007; 24: 78-85.

  9. Rosen M et al. Medicina de Urgencias, conceptos y práctica clínica. Editorial Elsevier Science. Volumen uno. 2003: 107-110.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Arch Med Urg Mex. 2011;3