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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La creciente demanda asistencial de los servicios de urgencia obliga a establecer unos sistemas de selecci&#243;n que detecten la urgencia preferente</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se han establecido una serie de criterios de selecci&#243;n del paciente&#46; Entre octubre de 1998 y abril de 1999 se han seleccionado 20 d&#237;as de m&#225;xima demanda asistencial &#40;media de pacientes visitados&#44; 225 pacientes&#47;d&#237;a&#41;&#46; Se seleccionan los pacientes con criterios de atenci&#243;n preferente&#46; Se estudian las siguientes variables&#58; edad&#44; sexo&#44; criterio de selecci&#243;n&#44; tiempo de espera&#44; tiempo de visita y diagn&#243;stico final&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se obtuvieron 513 informes que cumplen criterios de atenci&#243;n preferente &#40;11 &#37; de los pacientes visitados&#41;&#46; Los pacientes presentaban una mediana de edad de 3&#44;4 a&#241;os&#46; El motivo de consulta m&#225;s frecuente es la dificultad respiratoria &#40;36&#44;4 &#37; casos&#41;&#44; seguido por la derivaci&#243;n por otro facultativo &#40;29 &#37;&#41;&#44; la fiebre acompa&#241;ada de exantema &#40;11&#44;7 &#37;&#41; y la edad menor de 1 mes &#40;5&#44;8 &#37;&#41;&#46; Los motivos de derivaci&#243;n por otro facultativo m&#225;s frecuentes han sido el dolor abdominal agudo y la fiebre &#40;ambos&#44; 31 &#37;&#41;&#46; Los tiempos de espera y visita de los pacientes seleccionados presentan una mediana de 29 y 55 min&#44; respectivamente&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Definir unos criterios de selecci&#243;n parece eficaz y equiparable a la realizaci&#243;n de un <span class="elsevierStyleItalic">triage</span> cl&#237;nico&#44; lo cual permite optimizar los recursos humanos&#46;</p>"
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Vol. 54. Núm. 3.
Páginas 233-237 (marzo 2001)
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Vol. 54. Núm. 3.
Páginas 233-237 (marzo 2001)
Acceso a texto completo
Aplicación de criterios de atención preferente (triage) en un servicio de urgencias
Triage criteria in a emergency department
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10394
A. Concheiro Guisán, J.J. García García, E.P. Díaz González, C. Luaces Cubells
Autor para correspondencia
cluaces@hsjdbcn.org

Correspondencia: Servicio de Pediatría. Hospital Sant Joan de Déu. P.° Sant Joan de Déu, 2. Esplugues de Llobregat. 08950 Barcelona.
, J. Pou Fernández
Sección de Urgencias. Servicio de Pediatría. Unidad Integrada Hospital Sant Joan de Déu-Hospital Clínic. Universidad de Barcelona
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Estadísticas
Objetivo

La creciente demanda asistencial de los servicios de urgencia obliga a establecer unos sistemas de selección que detecten la urgencia preferente

Material y métodos

Se han establecido una serie de criterios de selección del paciente. Entre octubre de 1998 y abril de 1999 se han seleccionado 20 días de máxima demanda asistencial (media de pacientes visitados, 225 pacientes/día). Se seleccionan los pacientes con criterios de atención preferente. Se estudian las siguientes variables: edad, sexo, criterio de selección, tiempo de espera, tiempo de visita y diagnóstico final.

Resultados

Se obtuvieron 513 informes que cumplen criterios de atención preferente (11 % de los pacientes visitados). Los pacientes presentaban una mediana de edad de 3,4 años. El motivo de consulta más frecuente es la dificultad respiratoria (36,4 % casos), seguido por la derivación por otro facultativo (29 %), la fiebre acompañada de exantema (11,7 %) y la edad menor de 1 mes (5,8 %). Los motivos de derivación por otro facultativo más frecuentes han sido el dolor abdominal agudo y la fiebre (ambos, 31 %). Los tiempos de espera y visita de los pacientes seleccionados presentan una mediana de 29 y 55 min, respectivamente.

Conclusión

Definir unos criterios de selección parece eficaz y equiparable a la realización de un triage clínico, lo cual permite optimizar los recursos humanos.

Palabras clave:
Triage
Urgencias
Criterios de selección
Objective

Accurate patient triage for the early identification of potentially seriously ill or high-risk children is needed due to the increasing demands made on paediatric emergency departments.

Material and methods

A set of triage criteria for patient selection was established.Between October 1998 and April 1999 we selected 20 days with maximum patient flow in our emergency department (average 225 children/day). Patients who satisfied the triage criteria were selected. The following variables were studied: age, sex, triage criteria, waiting time, visit time and final diagnosis.

Results

Five hundred and thirteen patients satisfied our triage criteria (11 % of patients admitted to the emergency department). Median age was 3.4 years. The most frequent complaints (criteria) were dyspnea (36.4 %), referral to the emergency department by another physician (29 %), fever and rash (11.7%) and age under 1 month (5.8 %). The most common causes of patient referral to hospital were acute abdominal pain and fever (31% each). Waiting and visit times were 29 and 55 minutes, respectively.

Conclusion

Definition of selection criteria seems effective and equivalent to other triage systems and allows optimization of human resource.

Key words:
Triage
Pediatrics
Emergency department
Selection criteria
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Bibliografía
[1.]
Derlet RW. Triage. Emedicine. 1 enero 2000, topic 6 (Consulta 11 de enero 2000)
[2.]
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Improved pediatric patient flow in a general emergency department by altering triage criteria.
Acad Emerg Med, 3 (1996), pp. 65-71
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Does a physician visual assessment change triage?.
Ann Emerg Med, 15 (1997), pp. 29-33
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R.A. Wiebe, L.M. Rosen.
Triage in the emergency department.
Emerg Med Clin North Am, 9 (1991), pp. 491-505
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K. Kennedy, R.V. Aghababian, L. Gans, C.P. Lewis.
Triage: techniques and applications in decision making.
Ann Emerg Med, 28 (1996), pp. 136-144
[6.]
E.D. Slak, D.L. Schriger, K.A. Hubbell, B.L. Schwartz.
Effect of visual cues, vital signs, and protocols on triage: a prospective randomized crossover trial.
Ann Emerg Med, 32 (1998), pp. 655-664
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P.J. Whiteman, G.L. Foltin.
Physician bias during patient selection in the pediatric emergency department.
Pediatr Emerg Care, 14 (1998), pp. 332-333
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R.A. Lowe, A.B. Bindman, S.K. Ulrich, G. Norman, T.A. Scaletta.
Refusingcare to emergency department of patients: evaluation of published triage guidelines.
Ann Emerg Med, 23 (1994), pp. 286-293
Copyright © 2001. Asociación Española de Pediatría
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