Thereza Raquel Machado Azeredo1, Helisamara Mota Guedes2, Ricardo Alexandre Rebelo de Almeida3, Tânia Couto Machado Chianca4, José Carlos Amado Martins5. 1. Federal University of the Mucuri and Jequitinhonha Valley, Diamantina, Minas Gerais, Brazil. 2. Federal University of the Mucuri and Jequitinhonha Valley, Diamantina, Minas Gerais, Brazil; Federal University of Minas Gerais, Minas Gerais, Brazil. Electronic address: helisamaraguedes@gmail.com. 3. Centro Hospitalar University of Coimbra, Coimbra, Portugal. 4. Federal University of Minas Gerais, Minas Gerais, Brazil. 5. Scientific-Pedagogical Unit of Medical-Surgical Nursing, Nursing School of Coimbra, Coimbra, Portugal; Health Sciences Research Unit - Nursing, Coimbra, Portugal; University of São Paulo at Ribeirão Preto College of Nursing/WHO Collaborating Centre for Nursing Research Development, Brazil.
Abstract
INTRODUCTION: The growing number of patients in emergency departments can lead to overcrowding, often adding to organisational problems. Triage aims to predict the severity of disease, with the aim of organising patient flow. The aim of this study was to analyse the efficacy of the Manchester Triage System (MTS) for risk classification of patients. METHODS: A systematic review of the literature in Ebscohost, Pubmed and Scielo (2002-2013) was undertaken. Articles were selected independently by two researchers using selection criteria. Twenty-two articles were selected for inclusion in this review. RESULTS: The results support the applicability of the MTS, which has proven validity for use in children, adults, patients with coronary syndrome and patients with acute pulmonary embolism. The MTS was found to be inclusive, and to predict emergency department admission and death in the short term. CONCLUSION: The majority of studies found that the MTS was useful in triage of patients in emergency departments, but sub-triage and super-triage (i.e. under and over classification of severity, respectively) still occur.
INTRODUCTION: The growing number of patients in emergency departments can lead to overcrowding, often adding to organisational problems. Triage aims to predict the severity of disease, with the aim of organising patient flow. The aim of this study was to analyse the efficacy of the Manchester Triage System (MTS) for risk classification of patients. METHODS: A systematic review of the literature in Ebscohost, Pubmed and Scielo (2002-2013) was undertaken. Articles were selected independently by two researchers using selection criteria. Twenty-two articles were selected for inclusion in this review. RESULTS: The results support the applicability of the MTS, which has proven validity for use in children, adults, patients with coronary syndrome and patients with acute pulmonary embolism. The MTS was found to be inclusive, and to predict emergency department admission and death in the short term. CONCLUSION: The majority of studies found that the MTS was useful in triage of patients in emergency departments, but sub-triage and super-triage (i.e. under and over classification of severity, respectively) still occur.
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