期刊
PEDIATRIC EMERGENCY CARE
卷 38, 期 2, 页码 E639-E643出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/PEC.0000000000002482
关键词
triage; ambulatory care; patient care planning; Austria
This retrospective study analyzes the urgency of patient visits at the emergency department of the Clinic for Pediatrics at the Medical University of Innsbruck. The majority of visits were classified as nonurgent, with more visits recorded during regular office hours and on weekends. Likelihoods of inpatient admission and hospital stay lengths increased with urgency levels.
Objectives The Manchester Triage System (MTS) has entered widespread international use in emergency departments (EDs). This retrospective study analyzes urgency of patient visits (PV) at the ED of the Clinic for Pediatrics at the Medical University of Innsbruck. Methods We collected demographic and outcome information, including PV urgency levels (UL) according to the MTS, for 3 years (2015-2018), separating PV during regular office hours (ROH; 8:00 am to 5:00 pm) from PV during afternoon and night hours (5:00 pm to 8:00 am), and PV on weekdays from PV on weekends and bank holidays (WE). Results A total of 56,088 PV were registered with a UL. Most (68.4%) PV were classified as nonurgent. During ROH, more PV per hour (PV/h) were recorded than during afternoon and night hours (3.0 PV/h vs 1.6 PV/h), with a higher proportion of less urgent cases during ROH. On WE, the amount of PV/h was higher than on weekdays (3.6 PV/h vs 2.8 PV/h), with a higher proportion of nonurgent cases (74.6% vs 68.6%). Likelihoods of inpatient admission and hospital stay lengths increased in step with UL. Conclusions The MTS proved useful for delineating UL distributions. The MTS analyses may be of value in managing EDs. Prompted by the results of our study, a general practice pediatric care unit was established to support the ED during WE.
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