Development inverse triage system in intensive care units using APACHE II scoring system for emergency situation: brief report

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EBRAHIMIAN ABBASALI; FAKHR MOVAHEDI ALI; GHORBANI RAHEB; Ghasemian Nik Hossein

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Paper Information

Journal: TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ) Year:2018 | Volume:76 | Issue:7 Page(s): 492-497

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Title

Development inverse triage system in intensive care units using APACHE II scoring system for emergency situation: brief report

Author(s)

EBRAHIMIAN ABBASALI | FAKHR MOVAHEDI ALI | GHORBANI RAHEB | Ghasemian Nik Hossein | Issue Writer Certificate

Keywords

APACHEQ2

disastersQ2

patient dischargeQ1

triageQ3

Abstract

Background: Hospital bed capacity is one of problems in intensive care unit during at the time of crisis, emergencies and disasters. At this regard, it seems reverse triage can resolve this issue by using predictive score systems. This study was purposed to develop a reverse triage system in intensive care unit using APACHE II scoring system for crisis, emergencies and disasters situations. Methods: This study was performed by a prospective longitudinal design that lasted from March 2016 to February 2017. Research population were 420 internal patients that were admitted in intensive care units of Imam Reza Hospital in Mashhad, Iran. Data were collected and documented for each patient by demographic questionnaire and APACHE II scoring system daily until discharging time from intensive care units. The patient’ s status after discharge from the intensive care unit was used as a criterion for statistical tests. Results: APACHE II mean score in first day of admission was 18. 9± 16. 20. Risk ratio of patients’ discharging from intensive care unit was 1. 034. The patients were placed in four levels of inverse triage according to mortality rate and risk ratio. The scores of four levels were including: 0-10 (first level and green color), 11-16 (second level and yellow color), 27-71 (third level and black color) and 17-26 (fourth level and red color). Conclusion: The APACHE II system can be used as a tool for reverse triage in intensive care units during at the time of crisis, emergencies and disasters. When using this system for reverse triage, patients at the first to third levels can be discharged from intensive care unit. However, patients on the fourth level should not be discharged from intensive care units under any circumstances.

Cites

Comparison of four prognostic markers in opioid poisoned patients admitted in ICU

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APA: Copy

EBRAHIMIAN, ABBASALI, FAKHR MOVAHEDI, ALI, GHORBANI, RAHEB, & Ghasemian Nik, Hossein. (2018). Development inverse triage system in intensive care units using APACHE II scoring system for emergency situation: brief report. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 76(7 ), 492-497. SID. https://sid.ir/paper/376134/en

Vancouver: Copy

EBRAHIMIAN ABBASALI, FAKHR MOVAHEDI ALI, GHORBANI RAHEB, Ghasemian Nik Hossein. Development inverse triage system in intensive care units using APACHE II scoring system for emergency situation: brief report. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2018;76(7 ):492-497. Available from: https://sid.ir/paper/376134/en

IEEE: Copy

ABBASALI EBRAHIMIAN, ALI FAKHR MOVAHEDI, RAHEB GHORBANI, and Hossein Ghasemian Nik, “Development inverse triage system in intensive care units using APACHE II scoring system for emergency situation: brief report,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 76, no. 7 , pp. 492–497, 2018, [Online]. Available: https://sid.ir/paper/376134/en

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