Characterization of triage V patients who consult the emergency room of a high-level complexity institution in the city of Medellín, Colombia
Caracterización de los pacientes triaje V que consultan a urgencias de una institución de alto nivel de complejidad en la ciudad de Medellín, Colombia
How to Cite
Download Citation
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Show authors biography
Introduction: Emergency triage is mandatory, our system classifies patients into five levels, classifications I to III are institutionalized, IV and V are referred for outpatient care in a period of 24 to 48 hours because they are considered to be low risk.
Objective: To characterize patients classified as triage V in a given period.
Materials and methods: All the triages V of the month of June 2022 were characterized, identifying the age, compromised system and reported symptoms, follow-up was carried out through their insurer or by phone call to find out the resolution of the reason for consultation or complications derived from triage classification. Descriptive prospective observational study.
Results: 147 patients classified as triage V during June 2022, 79 were women (53.7%). The main complaint was: respiratory 38 patients (25.8%), gastrointestinal 31 (21%) and musculoskeletal 25 (17%); 95 (64.6%) attended their outpatient appointment, their symptoms resolved in 92 (96.8%), of the remaining 52 (35.4%), 36 (69.2%) im-proved, 9 (17.3%) consulted at other institutions or private doctors. 1 patient (1.9%) self-medicated in a pharmacy and 6 patients (11.5%) do not have data because they were not located by telephone nor did their insurer have a record after their classi-fication.
Conclusions: The majority of triage V are young women, with respiratory, gastrointestinal and musculoskeletal symptoms, which are adequately resolved on an outpatient basis. Referring them to their insurer is safe and contributes to decongesting emergency services
Article visits 698 | PDF visits 307
Downloads
- 1. Savioli G, Ceresa IF, Gri N, Piccini GB, Longhitano Y, Zanza C, et al. Emergency department overcrowding: un-derstanding the factors to find corresponding solutions. J Pers Med. 2022;12(2):279. doi: 10.3390/jpm12020279.2. Estrada-Atehortúa AF, Zuluaga-Gómez M. Estrategias para la medición y el manejo de la sobreocupación de los servicios de urgencias de adultos en instituciones de alta complejidad con altos volúmenes de consulta. Iatreia. 2020;33(1):68-77. Disponible en: https://doi.org/10.17533/udea.iatreia.343. Wuerz RC, Milne LW, Eitel DR, Travers D, Gilboy N. Reliability and validity of a new five-level triage instrument. Acad Emerg Med. 2000;7(3):236-242. doi: 10.1111/j.1553-2712.2000.tb01066.x.4. Colombia. Ministerio de Salud y Protección Social. Resolución 5593 de 2015. Diario Oficial No. 49.739 del 28 de diciembre de 2015. 5. Khaw SK, Teo SC, Bujang MA. The impact on patients’ time-to-theatre following colour coding classification in emergency operation theatre, Sarawak General Hospital. Med J Malaysia. 2020;75(4):379-84. PMID: 32723998.6. Erazo Castro PA, Sánchez Granada CC. Impacto del Centro Integrado de Gestión del Acceso en Salud (CIGA) en el servicio de urgencias de la clínica León XIII [Trabajo de grado]. Medellín, Colombia: Universidad de Antio-quia. 2018.7. Christ M, Grossmann F, Winter D, Bingisser R, Platz E. Modern triage in the emergency department. Dtsch Arztebl Int. 2010;107(50):892-898. doi: 10.3238/arztebl.2010.0892.8. Cardozo Ocampo A, García Pareja MA, Serrano Rojas CA, Grajales Osorio N. Seguridad en urgencias sobre la referencia de pacientes no urgentes a centros de atención primaria. Repert Med Cir. 2023;32(1):71–76. Disponible en: https://doi.org/10.31260/RepertMedCir.01217372.12859. Lindner G, Woitok BK. Emergency department overcrowding: analysis and strategies to manage an international phenomenon. Vie Kli Wochen. 2021;133(5-6):229–233. doi: 10.1007/s00508-019-01596-7. 10. Sartini M, Carbone A, Demartini A, Giribone L, Oliva M, Spagnolo AM, et al. Overcrowding in emergency de-partment: causes, consequences, and solutions-a narrative review. Healthcare. 2022;10:1625. Available from: https://doi.org/10.3390/healthcare1009162511. Rodríguez-Páez FG, Jiménez-Barbosa WG, Palencia-Sánchez F. Uso de los servicios de urgencias en Bogotá, Colombia: un análisis desde el Triaje. Univ Salud. 2018;20(3):215-26. Disponible en: http://dx.doi.org/10.22267/rus.182003.12412. Sanchez de Moraes RC, Katz M, Tarasoutchi F. Clinical and epidemiological profile of patients with valvular heart disease admitted to the emergency department. Einstein (Sao Paulo). 2014;12(2):154-158. doi: 10.1590/s1679-45082014ao3025.13. León-Jiménez F, Núñez-Corrales D, Medina-Arboleda E, Briones-Díaz E. Times of attention and data management in the emergency of a hospital level III, Lambayeque, Peru, 2016. Rev Exp Med. 2019;5(2):63-69. 14. Herrera-Almanza L, Hernández-Martínez A, Roldan-Tabares MD, Hernández-Restrepo F, Thowinson-Hernández MC, Coronado-Magalhães G, et al. El triage como herramienta de priorización en los servicios de urgencias. Med Int Mex. 2022; 38(2):322-334. Disponible en: https://doi.org/10.24245/mim.v38i2.375115. Gil Ramos JM, Cuartas-Agudelo YS, Martínez Sánchez LM, Estrada Atehortúa AF, Thowinson-Hernández MC, Roldán Tabares MD, et al. Caracterización de los usuarios y servicios de urgencias basados en el triaje en dos instituciones de alto nivel de complejidad en Medellín, Colombia. 2023.
Information
