364589

Comparison between Australasian triage scale and emergency severity index

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Last updated: 05 Jan 2025

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Abstract

Background
The aim of triage system is to ensure that the treatment of patients in the Emergency departments will be according to their clinical urgency. Also, it decreases waiting time and helps in proper direction of the patients to the most suitable area for better assessment and treatment.
Aim of the Work
The purpose of this study is to compare the efficiency of Australasian Triage Scale versus the Emergency Severity Index triage systems.
Methods
Full medical history of 167 Patients arrived at the ED from January till March 2016 were recorded, chief complain, examination, resources number also were recorded and triaged by both systems.
Results
Our results revealed that the most frequent age group was between 20 to 40 years old, while the least frequent age group was ≥80 years old. The frequency of male patients was higher than the female patients. ATS and ESI were agreed in urgency level 1. Urgency level 2 and 5 was higher in ESI system while, Urgency level 3 and 4 was higher in ATS. The majority of the patients were discharged, while only 2.4 percent were dead. There were insignificant differences between ATS system and final outcome regarding degree of urgency. While, there was significant over-triage in urgency level 2, while there was significant under-triage in urgency levels 3–5 in comparison to final outcome.
Conclusion
We found that both systems are applicable, but ESI showed some limitation. So we recommended using ATS since it was easier to use and did not show any limitation.

DOI

10.4103/ejs.ejs_1_20

Keywords

Australasian triage scale, emergency department, emergency severity index, Triage

Authors

First Name

Zaynab M.

Last Name

Elsayed

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Orcid

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First Name

Asmaa B.

Last Name

El-Zeny

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First Name

Mohamed S.

Last Name

Moustafa

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Affiliation

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Orcid

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First Name

Hany A.

Last Name

Ellouly

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Volume

39

Article Issue

2

Related Issue

48960

Issue Date

2020-04-01

Receive Date

2020-01-01

Publish Date

2020-04-27

Print ISSN

1110-1121

Online ISSN

1687-7624

Link

https://ejsur.journals.ekb.eg/article_364589.html

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https://ejsur.journals.ekb.eg/service?article_code=364589

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364,589

Publication Type

Journal

Publication Title

The Egyptian Journal of Surgery

Publication Link

https://ejsur.journals.ekb.eg/

MainTitle

Comparison between Australasian triage scale and emergency severity index

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Article

Created At

21 Dec 2024