Volume 20, Issue 2 (10-2023)
J Res Dev Nurs Midw 2023, 20(2): 39-43 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Mohammadi Sangsari A, Roohi G, Sabzi Z, Abdollahi A A, Behnampour N. A comparison of Cardiac Triage Method and Emergency Severity Index impact on admission time for acute coronary syndrome patients. J Res Dev Nurs Midw 2023; 20 (2) :39-43
URL: http://nmj.goums.ac.ir/article-1-1293-en.html
URL: http://nmj.goums.ac.ir/article-1-1293-en.html
1- School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran
2- Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran , roohi_43@yahoo.com
3- Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran
4- Department of Biostatistics and Epidemiology, School of Health, Golestan University of Medical Sciences, Gorgan, Iran
2- Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran , roohi_43@yahoo.com
3- Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran
4- Department of Biostatistics and Epidemiology, School of Health, Golestan University of Medical Sciences, Gorgan, Iran
Abstract: (610 Views)
Background: Swift diagnosis and treatment of cardiac patients can avert unnecessary hospitalizations. Emergency departments routinely assess patients using the Emergency Severity Index (ESI) method. This study compares the effects of two triage methods, cardiac triage, and ESI, on the admission time of acute coronary syndrome patients.
Methods: This intervention study aimed to enhance the quality of therapeutic interventions through an intervention design featuring a control group. The research sample comprised all patients referred to the Sayad Shirazi Educational and Medical Center triage unit in Gorgan, Iran. All patients were randomly allocated into two groups: the control group (23 patients) and the intervention group (46 patients), utilizing a simple random allocation method. The control group underwent triage using the Emergency Severity Index, whereas the intervention group received cardiac triage. Triage forms and time-related indices were completed for both groups. Statistical analysis was conducted using descriptive statistics, the Shapiro-Wilk, and the Mann-Whitney tests to compare these characteristics between the two groups, utilizing SPSS version 18.
Results: Significant statistical differences were observed between the two groups in several aspects: the average time from the emergency department to the cardiac intensive care unit (p < 0.001), the average duration of presence of a cardiac specialist physician (p < 0.001), the average time from arrival to triage room exit (p < 0.001), and the average hospitalization time (p < 0.001). These time intervals were shorter in the cardiac triage group.
Conclusion: Implementing specialized cardiac triage for cardiac patients plays a pivotal role in reducing response times. Cardiac triage can furnish the medical team with more comprehensive information, thereby improving the management of these patients in the emergency department.
Methods: This intervention study aimed to enhance the quality of therapeutic interventions through an intervention design featuring a control group. The research sample comprised all patients referred to the Sayad Shirazi Educational and Medical Center triage unit in Gorgan, Iran. All patients were randomly allocated into two groups: the control group (23 patients) and the intervention group (46 patients), utilizing a simple random allocation method. The control group underwent triage using the Emergency Severity Index, whereas the intervention group received cardiac triage. Triage forms and time-related indices were completed for both groups. Statistical analysis was conducted using descriptive statistics, the Shapiro-Wilk, and the Mann-Whitney tests to compare these characteristics between the two groups, utilizing SPSS version 18.
Results: Significant statistical differences were observed between the two groups in several aspects: the average time from the emergency department to the cardiac intensive care unit (p < 0.001), the average duration of presence of a cardiac specialist physician (p < 0.001), the average time from arrival to triage room exit (p < 0.001), and the average hospitalization time (p < 0.001). These time intervals were shorter in the cardiac triage group.
Conclusion: Implementing specialized cardiac triage for cardiac patients plays a pivotal role in reducing response times. Cardiac triage can furnish the medical team with more comprehensive information, thereby improving the management of these patients in the emergency department.
Type of Study: Original Article |
Subject:
Nursing
References
1. Hinson JS, Martinez DA, Schmitz PS, Toerper M, Radu D, Scheulen J, et al. Accuracy of emergency department triage using the Emergency Severity Index and independent predictors of under-triage and over-triage in Brazil: a retrospective cohort analysis. Int J Emerg Med. 2018;11(1):3. [View at Publisher] [DOI] [PMID] [Google Scholar]
2. Heravi M, Setayeshi S. Intelligent and fast recognition of heart disease based on synergy of linear neural network and logistic regression model. J Mazandaran Univ Med Sci. 2014;24(112):78-87. [View at Publisher] [Google Scholar]
3. Crim MT, Berkowitz SA, Saheed M, Miller J, Deutschendorf A, Gerstenblith G, Hill P, Korley FK. Novel emergency department risk score discriminates acute coronary syndrome among chest pain patients with known coronary artery disease. Crit Pathw Cardiol. 2016;15(4):138-44. [View at Publisher] [DOI] [PMID] [Google Scholar]
4. Šljivo A, Mulać A, Džidić-Krivić A, Ivanović K, Radoičić D, Selimović A, et al. HEART Score and Its Implementation in Emergency Medicine Departments in the West Balkan Region-A Pilot Study. Healthcare (Basel). 2023;11(17):2372. [View at Publisher] [DOI] [PMID] [Google Scholar]
5. Raff GL, Hoffmann U, Udelson JE. Trials of imaging use in the emergency department for acute chest pain. JACC Cardiovasc Imaging. 2017;10(3):338-49. [View at Publisher] [DOI] [PMID] [Google Scholar]
6. Gilboy N, Tanabe P, Travers D, Rosenau AM. Emergency Severity Index (ESI): a triage tool for emergency department care, version 4. Implementation handbook. Boston: AHRQ; 2005. [View at Publisher] [Google Scholar]
7. Farrington T, Antony J, O'Gorman KD. Continuous improvement methodologies and practices in hospitality and tourism. Int J Contemp Hosp Manag. 2018;30(1):581-600. [View at Publisher] [DOI] [Google Scholar]
8. Fazel-Asgharpour A, Barfi-dokht A, Mirhaghi AH, Shakeri MT, Kianian T. Effect of the implementation of cardiac triage scale on the time indices of patients with chest pain. Medical-Surgical Nursing Journal. 2016;5(1):e68072. [View at Publisher] [Google Scholar]
9. Tichnor-Wagner A, Wachen J, Cannata M, Cohen-Vogel L. Continuous improvement in the public school context: Understanding how educators respond to plan-do-study-act cycles. J Educ Change. 2017;18(4):465-94. [View at Publisher] [DOI] [Google Scholar]
10. Samanian A, Sadeghi T, Kazemi M. Frequency of Miss Triage Using Emergency Severity Index and Shock Index in Patients with Abdominal Trauma. Trauma Monthly. 2018;23(3):e55647. [View at Publisher] [DOI] [Google Scholar]
11. Pouyamehr A, Mirhaghi A, Eshraghi A, Sharifi MD. The effect of Heart Failure Triage Scale on used resources among heart failure patients with Dyspnea in the emergency department: a randomized clinical trial. Medical J Mashhad Univ Med Sci. 2019;61(4):1100-11. [View at Publisher] [DOI] [Google Scholar]
12. Miró Ò, Tost J, Herrero P, Jacob J, Martín-Sánchez FJ, Gil V, et al. Short-term predictive capacity of two different triage systems in patients with acute heart failure: TRICA-EAHFE study. Eur J Emerg Med. 2016;23(6):435-41. [View at Publisher] [DOI] [PMID] [Google Scholar]
13. Jenson A, Hansoti B, Rothman R, de Ramirez SS, Lobner K, Wallis L. Reliability and validity of emergency department triage tools in low-and middle-income countries: a systematic review. Eur J Emerg Med. 2018;25(3):154-60. [View at Publisher] [DOI] [PMID] [Google Scholar]
14. Hughes JA, Cabilan CJ, Young C, Staib A. Effect of the 4-h target on 'time-to-ECG'in patients presenting with chest pain to an emergency department: a pilot retrospective observational study. Aust Health Rev. 2018;42(2):196-202. [View at Publisher] [DOI] [PMID] [Google Scholar]
15. Ho JK, Suen LKP. Effectiveness of using the front door score to enhance the chest pain triage accuracy of emergency nurse triage decisions. J Cardiovasc Nurs. 2013;28(6):E55-64. [View at Publisher] [DOI] [PMID] [Google Scholar]
16. Frisoli TM, Nowak R, Evans KL, Harrison M, Alani M, Varghese S, et al. Henry Ford HEART score randomized trial: rapid discharge of patients evaluated for possible myocardial infarction. Circ Cardiovasc Qual Outcomes. 2017;10(10):e003617. [View at Publisher] [DOI] [PMID] [Google Scholar]
17. Abbasi N, Moghaddamnia MT, Ghanbari khaneghah A, Alizadeh R, Kazemnezhad leili E. Factors influencing the time interval from the onset of clinical symptoms to thrombolytic infusion in patients with acute myocardial infarction. Iran J Cardiovasc Nurs. 2016;4(4):48-55. [View at Publisher] [Google Scholar]
18. Mirhaghi A, Pouyamehr A, Eshraghi A, Sharifi MD. P564 Comparison between heart failure triage scale and emergency severity index to triage heart failure patients. European Heart Journal. 2018;39(suppl_1):ehy564-P564. [View at Publisher] [DOI] [Google Scholar]
19. Bohula EA, Van Diepen S, Katz J, Morrow D. Can triage to cardiac intensive care units foracute coronary sendroms be refined : data from the critical care cardiology trials network (CCCTN) registry . J Am Coll Cardiol. 2019;73(9S1):27. [View at Publisher] [DOI] [Google Scholar]
20. Gharaee R, Zohari Anboohi S, Shiri H, Nasiri M. Comparison of triage effectiveness based on ESI and HEART scale in diagnosis of outcome in patients with chest pain. J Babol Univ Med Sci. 2019;21(1):299-305. [View at Publisher] [DOI] [Google Scholar]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
