J Anal Res Clin Med. 2014;2(1):36-41.
doi: 10.5681/jarcm.2014.006
  Abstract View: 878
  PDF Download: 1601

Original Research

Accuracy of Emergency Severity Index, Version 4 in emergency room patients’ classification

Samad Golzari 1, Hassan Soleimanpour 2 * , Payam Raoufi 3, Shaker Salarilak 4, Majid Sabahi 5, Hamidreza Nouri 6, Yaghoub Heshmat 7

1 Anesthesiologist, Medical Philosophy and History Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2 Associate Professor, Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
3 Emergency Medicine, Department of Emergency Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
4 Associate Professor, Department of Public Health, School of Medicine, Islamic Azad University, Tabriz Branch, Tabriz, Iran
5 Emergency Physician, Sunnybrook Hospital, University of Toronto (UOT), Heart and Stroke Foundation of Canada (HSFO), Toronto,
6 General Physician, Department of Emergency Medicine, Student Research Committee, Tabriz University of Medical Sciences,
7 General Physician, Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Abstract

Introduction: Emergency Severity Index Version 4 (ESI v.4) is a validated triage tool for emergency departments, with an easy training system optimizing the allocation of limitedresources to emergency patients. The present study aimed to determine the outcomes of triagewith ESI v.4 method in all five levels of patients triage in emergency departments. Methods: In this retrospective observational-descriptive study, following the training coursesand implementation of triage with ESI v.4 method, the third quarter of 2008 was randomly selected for study. In this period, all patient files with their codes ending in zero were selectedequaling one-tenth of all files. Triage levels and outcomes were extracted and the obtaineddata from 1309 were expressed using descriptive statistics. Results: The mean age of the patients was 40.73 ± 21.37 years and 59.4% of the subjects weremales. Classification of patients by ESI v.4 level was as the following: 1 (4.0%), 2 (11.6%), 3 (52.8%), 4 (25.5%) and 5 (6.1%). Hospitalization rate by ESI v.4 level was as below: 1(80.76%), 2 (23.68%), 3 (25.75%), 4 (11.76%) and 5 (14.5%). Conclusion: The rate of hospitalization decreased from ESI level 1 to ESI level 5. Althoughthe findings of this study were in line with the previous reports, some discrepancies indicated the existing inaccuracy in out-patient hospitalization system in the evening and night shiftsand also at stage 5 triage level.
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Submitted: 02 Sep 2013
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