A descriptive study of demographics, triage allocations and patient outcomes at a private emergency centre in Pretoria

Background: Triage aims to detect critically ill patients and to prioritise those with time-sensitive needs, whilst contributing to the efficiency of an emergency centre (EC). International systems have been relatively well researched; however, little data exists on the use of the South African Tria...

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Autores principales:	Kirsty Hedding, Enrico Dippenaar, Lee Wallis
Formato:	article
Lenguaje:	EN
Publicado:	AOSIS 2021
Materias:	emergency medicine triage icu critically ill patients private healthcare Medicine R
Acceso en línea:	https://doaj.org/article/1cb08883e9cb4ef9a2ea659cdab04021
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spelling	oai:doaj.org-article:1cb08883e9cb4ef9a2ea659cdab040212021-11-24T07:44:19ZA descriptive study of demographics, triage allocations and patient outcomes at a private emergency centre in Pretoria2078-61902078-620410.4102/safp.v63i1.5308https://doaj.org/article/1cb08883e9cb4ef9a2ea659cdab040212021-11-01T00:00:00Zhttps://safpj.co.za/index.php/safpj/article/view/5308https://doaj.org/toc/2078-6190https://doaj.org/toc/2078-6204Background: Triage aims to detect critically ill patients and to prioritise those with time-sensitive needs, whilst contributing to the efficiency of an emergency centre (EC). International systems have been relatively well researched; however, little data exists on the use of the South African Triage Scale (SATS) in private healthcare settings in South Africa (SA). Methods: A retrospective descriptive study was undertaken. Data relating to demographics, application of triage, time in EC and disposition were collected on all patients presenting to the EC from 1st January to 31st December 2018. Results: A total of 29 055 patients’ data were included. The mean age was 41 years. Most patients were triaged yellow (73.5%); 17.4% were triaged as red and orange. Patients were seen by a doctor in a mean time of 28 min. Delays to be seen exceeded standards for red and orange patients at 8 min and 18 min, respectively. Most patients (76.1%) were discharged; 5.6% were admitted to intensive care unit (ICU)/high care, and 14.4% to general wards. Of patients triaged red and orange, 11.1% and 49.3% were discharged, respectively, whereas 81.7% of yellow patients were discharged home. Conclusion: This study found that most patients were triaged into low acuity categories and were discharged home. High acuity patients were usually admitted to ICU/high care; however, these patients experienced delays in receiving treatment. The causes of these issues, and the implications, remain unknown. Large numbers of high acuity patients were discharged home. Further studies are needed to understand the influence of triage accuracy on these patients’ outcomes.Kirsty HeddingEnrico DippenaarLee WallisAOSISarticleemergency medicinetriageicucritically ill patientsprivate healthcareMedicineRENSouth African Family Practice, Vol 63, Iss 1, Pp e1-e7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	emergency medicine triage icu critically ill patients private healthcare Medicine R
spellingShingle	emergency medicine triage icu critically ill patients private healthcare Medicine R Kirsty Hedding Enrico Dippenaar Lee Wallis A descriptive study of demographics, triage allocations and patient outcomes at a private emergency centre in Pretoria
description	Background: Triage aims to detect critically ill patients and to prioritise those with time-sensitive needs, whilst contributing to the efficiency of an emergency centre (EC). International systems have been relatively well researched; however, little data exists on the use of the South African Triage Scale (SATS) in private healthcare settings in South Africa (SA). Methods: A retrospective descriptive study was undertaken. Data relating to demographics, application of triage, time in EC and disposition were collected on all patients presenting to the EC from 1st January to 31st December 2018. Results: A total of 29 055 patients’ data were included. The mean age was 41 years. Most patients were triaged yellow (73.5%); 17.4% were triaged as red and orange. Patients were seen by a doctor in a mean time of 28 min. Delays to be seen exceeded standards for red and orange patients at 8 min and 18 min, respectively. Most patients (76.1%) were discharged; 5.6% were admitted to intensive care unit (ICU)/high care, and 14.4% to general wards. Of patients triaged red and orange, 11.1% and 49.3% were discharged, respectively, whereas 81.7% of yellow patients were discharged home. Conclusion: This study found that most patients were triaged into low acuity categories and were discharged home. High acuity patients were usually admitted to ICU/high care; however, these patients experienced delays in receiving treatment. The causes of these issues, and the implications, remain unknown. Large numbers of high acuity patients were discharged home. Further studies are needed to understand the influence of triage accuracy on these patients’ outcomes.
format	article
author	Kirsty Hedding Enrico Dippenaar Lee Wallis
author_facet	Kirsty Hedding Enrico Dippenaar Lee Wallis
author_sort	Kirsty Hedding
title	A descriptive study of demographics, triage allocations and patient outcomes at a private emergency centre in Pretoria
title_short	A descriptive study of demographics, triage allocations and patient outcomes at a private emergency centre in Pretoria
title_full	A descriptive study of demographics, triage allocations and patient outcomes at a private emergency centre in Pretoria
title_fullStr	A descriptive study of demographics, triage allocations and patient outcomes at a private emergency centre in Pretoria
title_full_unstemmed	A descriptive study of demographics, triage allocations and patient outcomes at a private emergency centre in Pretoria
title_sort	descriptive study of demographics, triage allocations and patient outcomes at a private emergency centre in pretoria
publisher	AOSIS
publishDate	2021
url	https://doaj.org/article/1cb08883e9cb4ef9a2ea659cdab04021
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A descriptive study of demographics, triage allocations and patient outcomes at a private emergency centre in Pretoria

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