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Irish Journal of Medical Science (1971 -)

14.03.2024 | Original Article

Comparison of Manchester, qSOFA, emergency severity index, and national early warning scores for prognostic estimation and effective triage system in geriatric patients

verfasst von: Ozge Yildirim, Aysun Sahin, Senem Derya Tatar, Mustafa Yilmaz Gok, Akkan Avci, Sadiye Yolcu Seven

Erschienen in: Irish Journal of Medical Science (1971 -)

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Abstract

Background

Triage refers to classifying and prioritizing patients based on the severity of their injuries or illnesses in the health care setting. The increasing number of elderly patients seeking care in emergency departments (EDs) highlights the need for special attention to the unique needs of this patient population.

Aim

We aimed to compare the qSOFA, Emergency Severity Index (ESI), National Early Warning Score (NEWS), and Manchester Triage System (MTS) scores to assist ED physicians in assessing the severity of elderly patients’ clinical conditions and triaging them appropriately.

Methods

This cross-sectional study included 1066 patients aged 65 and over who presented to our ED as outpatients or by ambulance between September 1, 2022, and August 30, 2023. Scoring systems at the time of admission to the ED were recorded separately for outpatients and arriving by ambulance.

Results

According to the qSOFA, patients with a score of 0 were 0.976 times less likely to arrive by ambulance compared to those scoring 1 and above (OR = 0.976, p = .934). According to the NEWS, patients in the moderate-risk category were 0.447 times less likely to arrive by ambulance (OR = 0.447, p = .054). According to the ESI score, patients requiring high resource use with normal vital signs were 146.758 times more likely to arrive by ambulance (OR = 146.758, p = .001).

Conclusion

Significant differences in patients’ methods of presentation to the ED were observed based on the MTS, qSOFA, NEWS, and ESI scores.

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Titel: Comparison of Manchester, qSOFA, emergency severity index, and national early warning scores for prognostic estimation and effective triage system in geriatric patients
verfasst von: Ozge Yildirim
Aysun Sahin
Senem Derya Tatar
Mustafa Yilmaz Gok
Akkan Avci
Sadiye Yolcu Seven
Publikationsdatum: 14.03.2024
Verlag: Springer International Publishing
Erschienen in: Irish Journal of Medical Science (1971 -)
Print ISSN: 0021-1265
Elektronische ISSN: 1863-4362
DOI: https://doi.org/10.1007/s11845-024-03664-y

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Comparison of Manchester, qSOFA, emergency severity index, and national early warning scores for prognostic estimation and effective triage system in geriatric patients

Abstract

Background

Aim

Methods

Results

Conclusion

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Abstract

Background

Aim

Methods

Results

Conclusion

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Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

Nach Herzinfarkt mit Typ-1-Diabetes schlechtere Karten als mit Typ 2?

15% bedauern gewählte Blasenkrebs-Therapie

Costims – das nächste heiße Ding in der Krebstherapie?

Update Innere Medizin