2 edition of Variation in emergency department triage of acute myocardial infarction patients, the effect on outcomes, and predictors of low triage. found in the catalog.
Variation in emergency department triage of acute myocardial infarction patients, the effect on outcomes, and predictors of low triage.
Clare L. Atzema
Written in English
Conclusion. Half of AMI patients are given a low ED triage score, which is associated with substantial delay to thrombolysis.Background. Emergency department (ED) triage of patients with acute myocardial infarction (AMI) has not been examined.Results. The rate of low triage was 50.3%. Low triage was associated with significantly longer median door-to-ECG and door-to-needle times (by 4 and 15 minutes, respectively). Mortality was not associated with triage. Several variables were independent predictors of low triage.Methods. The EFFECT database contains population-based chart review data on AMI patients in Ontario from 1999 to 2001. We utilized EFFECT data to determine the rate of low triage, defined as a score of III, IV, or V on the Canadian Triage and Acuity Scale, among 3088 patients. Multivariable modeling was used to determine the association between low triage and door-to-ECG time, door-to-needle time, and 30-day mortality, and to assess predictors of low triage.
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