Publication
The Manchester Triage System in acute coronary syndromes
| dc.contributor.author | Matias, C | |
| dc.contributor.author | Oliveira, R | |
| dc.contributor.author | Duarte, R | |
| dc.contributor.author | Bico, P | |
| dc.contributor.author | Mendonça, C | |
| dc.contributor.author | Nuno, L | |
| dc.contributor.author | Almeida, A | |
| dc.contributor.author | Rabaçal, C | |
| dc.contributor.author | Afonso, S | |
| dc.date.accessioned | 2014-04-20T17:43:51Z | |
| dc.date.available | 2014-04-20T17:43:51Z | |
| dc.date.issued | 2008 | |
| dc.description.abstract | INTRODUCTION: A growing number of hospitals have implemented the Manchester Triage System (MTS) in their Emergency Department (ED), so as to better prioritize the evaluation of those attending these departments. OBJECTIVES: To assess whether the MTS was used effectively in patients admitted to the hospital with a diagnosis of acute coronary syndrome (ACS). METHODS: We evaluated 114 consecutive patients admitted to the Cardiology Department with a diagnosis of ACS. We recorded the color assigned in the MTS, mean time from arrival in the ED to MTS, mean time from MTS to first medical assessment (1-MA) and mean time from 1-MA to admission. We also analyzed the correlation between the type of ACS and clinical presentation and its relation with MTS. RESULTS: Of the 114 patients, one was coded red (0.9%), 71 orange (62.3%), 12 green (11%), and two were not assigned a color code according to MTS because they were admitted via a Medical Emergency and Resuscitation Vehicle. Mean time from arrival in the ED to MTS was 5.2 +/- 0.6 min and from MTS to MA was 20 +/- 2.5 min. In patients triaged as orange the time from MTS to MA was 15.1 +/- 1.5 min, as yellow 36.2 +/- 7 min, and as green 35.2 +/- 20.6 min (p = 0.003). Mean time from 1-MA to admission was 144.4 +/- 17 min, with no differences according to triage code or ACS type. Clinical presentation influenced triage and the speed of 1-MA and admission, patients with typical presentation being evaluated and admitted more quickly. CONCLUSIONS: Most patients admitted for ACS are initially triaged as orange or yellow, an indication for prompt assessment in the ED; this has a positive effect on time to first medical assessment, but has no effect on time to hospital admission. | por |
| dc.identifier.citation | Rev Port Cardiol. 2008 Feb;27(2):205-16. | por |
| dc.identifier.uri | http://hdl.handle.net/10400.26/6233 | |
| dc.language.iso | por | por |
| dc.peerreviewed | yes | por |
| dc.subject | Acute Coronary Syndrome | por |
| dc.subject | Triage | por |
| dc.subject | Portugal | por |
| dc.subject | Síndrome Coronária Aguda | por |
| dc.subject | Triagem | por |
| dc.title | The Manchester Triage System in acute coronary syndromes | por |
| dc.title.alternative | Triagem de Manchester nas Síndromes Coronárias Agudas | por |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| rcaap.rights | openAccess | por |
| rcaap.type | article | por |