Associated Factors of Under and Over-Triage Based on The Emergency Severity Index, a Retrospective Cross-Sectional Study

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Huabbangyang Thongpitak; Rojsaengroeng Rapeeporn; Tiyawat Gawin; Silakoon Agasak; Vanichkulbodee Alissara; Sri on Jiraporn; Buathong Siriwimol

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Journal: Archives of Academic Emergency Medicine Year:621 | Volume: | Issue: Page(s): 0-0

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Title

Associated Factors of Under and Over-Triage Based on The Emergency Severity Index, a Retrospective Cross-Sectional Study

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Keywords

Emergency service

hospital

Triage

Emergency medicine

Nurses

Physician-nurse relations

Abstract

Introduction: Under-Triage increases patients’,risks for morbidity and mortality, whereas over-Triage limits the resources available to sicker patients. This study aimed to determine the rates as well as associated factors of under-Triage and over-Triage in emergency department (ED), based on Emergency Severity Index (ESI) Triage system. Methods: In this retrospective cross-sectional study, Triage level of ED patients based on the ESI version 4, was studied during a 9-month period in 2019. Patients’,ESI level, which were examined by Triage Nurses were reevaluated by 3 emergency physicians and the rate of correct, under-, and over-Triage as well as their associated factors were analyzed. Results: 1000 cases of Triage were evaluated. Triage was correct in 69. 1% of cases. The rate of under-Triage was 4. 9%, and that of overTriage was 26. 0%. Over-Triage was significantly more common among patients aged 18–, 30 years than for those aged ¸, 65 years (adjusted odds ratio [OR] = 1. 73,95% confidence interval [CI]: 1. 07–, 2. 81,p = 0. 026),those with traumatic injuries (adjusted OR = 1. 80,95% CI: 1. 29–, 2. 52,p = 0. 001),those arriving at the hospital during the evening shift (adjusted OR = 1. 42,95% CI: 1. 01–, 2. 0,p = 0. 046),patients who were hospitalized (adjusted OR = 0. 35,95% CI: 0. 22–, 0. 54,p < 0. 001),and those with severe pain (adjusted OR = 0. 28,95% CI: 0. 10–, 0. 84,p = 0. 023). Younger age was also significantly associated with under-Triage. Patients aged 18–, 30 years were under-Triaged more often than those aged ¸, 65 years (adjusted OR = 3. 05,95% CI: 1. 16–, 8. 00,p = 0. 023). Conclusion: Over-Triage was substantially more common than under-Triage in Vajira hospital. Factors associated with over-Triage were younger age, traumatic injury, arrival time, hospital admission, and severe pain. Younger age was the only factor related to under-Triage.

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APA: Copy

Huabbangyang, Thongpitak, Rojsaengroeng, Rapeeporn, Tiyawat, Gawin, Silakoon, Agasak, Vanichkulbodee, Alissara, Sri on, Jiraporn, & Buathong, Siriwimol. (2023). Associated Factors of Under and Over-Triage Based on The Emergency Severity Index, a Retrospective Cross-Sectional Study. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 11(1), 0-0. SID. https://sid.ir/paper/1116046/en

Vancouver: Copy

Huabbangyang Thongpitak, Rojsaengroeng Rapeeporn, Tiyawat Gawin, Silakoon Agasak, Vanichkulbodee Alissara, Sri on Jiraporn, Buathong Siriwimol. Associated Factors of Under and Over-Triage Based on The Emergency Severity Index, a Retrospective Cross-Sectional Study. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2023;11(1):0-0. Available from: https://sid.ir/paper/1116046/en

IEEE: Copy

Thongpitak Huabbangyang, Rapeeporn Rojsaengroeng, Gawin Tiyawat, Agasak Silakoon, Alissara Vanichkulbodee, Jiraporn Sri on, and Siriwimol Buathong, “Associated Factors of Under and Over-Triage Based on The Emergency Severity Index, a Retrospective Cross-Sectional Study,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 11, no. 1, pp. 0–0, 2023, [Online]. Available: https://sid.ir/paper/1116046/en

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