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:: Volume 15, Issue 1 (3-2013) ::
J Gorgan Univ Med Sci 2013, 15(1): 115-120 Back to browse issues page
Accuracy of emergency severity index of triage in Imam Hossein hospital - Tehran, Iran (2011)
Kariman H1 , Joorabian J *2 , Shahrami A3 , Alimohammadi H3 , Noori Z4 , Safari S3
1- Associate Professor, Department of Emergency, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Resident of Emergency Medicine, Department of Emergency, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran , joorabian@yahoo.com
3- Assistant Professor, Department of Emergency, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Nurse, Department of Emergency, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract:   (16461 Views)
Background and Objective: Triage is the most important and the first stage of patient’s management at the time of arrival to hospital emergency department. Emergency severity index (ESI) is a common triage system worldwide. This study was aimed to evaluate the accuracy of ESI in emergency department of Imam Hossein hospital in Tehran, Iran. Materials and Methods: In this descriptive study the result of patients’ triage based on ESI were gathered for all patients referred to emergency department of Imam Hossein Hospital from January to April 2011. A questioner was filled for each patient by the nurse and a emergency specialist independently. The l for the degree of agreement of triage between nurse and clinician was 81% (95% CI: 0.79-0.83). The sensivity of triage for step I, II, III, IV and V were 100%, 53.2%, 90.7%, 67.1% and 98% respectively. The specificity of triage for step I, II, III, IV and V were 99.8%, 97.5%, 93.7%, 98.3% and 94% respectively. There was a significant overlapping between the triage step and the patient clinical outcome. Conclusion: This study showed that five steps triage contain a high accuracy and estimation of patient outcomes.
Keywords: Emergency severity Index, Five-step triage system, Nurse, Clinician, Patients outcome
Full-Text [PDF 267 kb] [English Abstract]   (23848 Downloads)    
Type of Study: Original Articles | Subject: Emergency Medicine
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Kariman H, Joorabian J, Shahrami A, Alimohammadi H, Noori Z, Safari S. Accuracy of emergency severity index of triage in Imam Hossein hospital - Tehran, Iran (2011). J Gorgan Univ Med Sci 2013; 15 (1) :115-120
URL: http://goums.ac.ir/journal/article-1-1696-en.html


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Volume 15, Issue 1 (3-2013) Back to browse issues page
مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
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Creative Commons License
This work is licensed under a Creative Commons — Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)