Evidence of the validity of the Emergency Severity Index for triage in a general hospital emergency department
OBJECTIVES: To determine whether the Emergency Severity Index (ESI) is valid for triage according to evidence based on classifying real patients in a general referral hospital's emergency department.
MATERIAL AND METHODS: Observational, cross-sectional descriptive study carried out in the emergency department of Hospital Clínico Universitario Virgen de la Arrixaca in Murcia. Thirty-two nurses used the ESI algorithm to triage 410 patients as they arrived seeking care. The results were compared to a gold standard (a triage expert's opinion, which was later confirmed by an expert committee after discussion, if necessary, of cases for which opinions were not unanimous). We calculated sensitivity, specificity, under- and over-triage rates, as well as descriptive statistics about resource assignment, exitus, patients who left without being seen, destination on discharge, and times.
RESULTS: ESI was highly correlated with resources (ρ = -0.717, P < .01) and moderately correlated with destination on discharge (ρ = -0.437, P < .01). Regarding time spent in the department, we found that patients assigned ESI levels 1 and 2 had significantly longer stays, and those assigned ESI levels 4 and 5 had significantly shorter stays (p < 0,001). Interobserver agreement was good or very good, indicating that this triage tool is reliable.
CONCLUSION: This pilot of the ESI triage algorithm in the emergency department of a referral hospital found evidence supporting the system's validity.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2015 |
|---|---|
| Erschienen: |
2015 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:27 |
|---|---|
| Enthalten in: |
Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias - 27(2015), 5 vom: 14. Okt., Seite 301-306 |
| Sprache: |
Spanisch |
|---|
| Weiterer Titel: |
Evidencias de validez del sistema de triaje Emergency Severity Index en un servicio de urgencias de un hospital general |
|---|
| Beteiligte Personen: |
Hernández Ruipérez, Tomás [VerfasserIn] |
|---|
| Themen: |
ESI |
|---|
| Anmerkungen: |
Date Revised 11.03.2022 published: Print Citation Status PubMed-not-MEDLINE |
|---|
| Förderinstitution / Projekttitel: |
|
|---|
| PPN (Katalog-ID): |
NLM27754498X |
|---|
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| 100 | 1 | |a Hernández Ruipérez, Tomás |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Evidence of the validity of the Emergency Severity Index for triage in a general hospital emergency department |
| 246 | 3 | 3 | |a Evidencias de validez del sistema de triaje Emergency Severity Index en un servicio de urgencias de un hospital general |
| 264 | 1 | |c 2015 | |
| 336 | |a Text |b txt |2 rdacontent | ||
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| 500 | |a Date Revised 11.03.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a OBJECTIVES: To determine whether the Emergency Severity Index (ESI) is valid for triage according to evidence based on classifying real patients in a general referral hospital's emergency department | ||
| 520 | |a MATERIAL AND METHODS: Observational, cross-sectional descriptive study carried out in the emergency department of Hospital Clínico Universitario Virgen de la Arrixaca in Murcia. Thirty-two nurses used the ESI algorithm to triage 410 patients as they arrived seeking care. The results were compared to a gold standard (a triage expert's opinion, which was later confirmed by an expert committee after discussion, if necessary, of cases for which opinions were not unanimous). We calculated sensitivity, specificity, under- and over-triage rates, as well as descriptive statistics about resource assignment, exitus, patients who left without being seen, destination on discharge, and times | ||
| 520 | |a RESULTS: ESI was highly correlated with resources (ρ = -0.717, P < .01) and moderately correlated with destination on discharge (ρ = -0.437, P < .01). Regarding time spent in the department, we found that patients assigned ESI levels 1 and 2 had significantly longer stays, and those assigned ESI levels 4 and 5 had significantly shorter stays (p < 0,001). Interobserver agreement was good or very good, indicating that this triage tool is reliable | ||
| 520 | |a CONCLUSION: This pilot of the ESI triage algorithm in the emergency department of a referral hospital found evidence supporting the system's validity | ||
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a ESI | |
| 650 | 4 | |a Emergency Severity Index | |
| 650 | 4 | |a Enfermería | |
| 650 | 4 | |a Hospital emergency health services | |
| 650 | 4 | |a Nursing | |
| 650 | 4 | |a Servicio de urgencias hospitalario | |
| 650 | 4 | |a Triage | |
| 650 | 4 | |a Triaje | |
| 700 | 1 | |a Leal Costa, César |e verfasserin |4 aut | |
| 700 | 1 | |a Adánez Martínez, María de Gracia |e verfasserin |4 aut | |
| 700 | 1 | |a García Pérez, Bartolomé |e verfasserin |4 aut | |
| 700 | 1 | |a Nova López, Daniel |e verfasserin |4 aut | |
| 700 | 1 | |a Díaz Agea, José Luis |e verfasserin |4 aut | |
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