Model to predict risk for hospital admission and indicate the safety of reverse triage in a hospital emergency department: A prospective validation study

To prospectively validate a model to predict hospital admission of patients given a low-priority classification on emergency department triage and to indicate the safety of reverse triage. Material and methods: Single-center observational study of a prospective cohort to validate a risk model incorp...

Descripción completa

Detalles Bibliográficos
Autores: Leey-Echavarría, Connie, Zorrilla-Riveiro, José, Arnau, Anna, Fernàndez-Puigbó, Mireia, Sala-Barcons, Ester, Gené, Emili
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:20.500.12328/4082
Acceso en línea:http://hdl.handle.net/20.500.12328/4082
Access Level:acceso embargado
Palabra clave:Bajo nivel de prioridad de visita
Emergency department
Hospitalization
Ingreso
Triage
Triaje
Urgencias
Low priority
61
Descripción
Sumario:To prospectively validate a model to predict hospital admission of patients given a low-priority classification on emergency department triage and to indicate the safety of reverse triage. Material and methods: Single-center observational study of a prospective cohort to validate a risk model incorporating demographic and emergency care process variables as well as vital signs. The cohort included emergency visits from patients over the age of 15 years with priority level classifications of IV and V according to the Andorran-Spanish triage system (Spanish acronym, MAT-SET) between October 2018 and June 2019. The area under the receiver operating characteristic curve (AUC) of the model was calculated to evaluate discrimination. Based on the model, we identified cut-off points to distinguish patients with low, intermediate, or high risk for hospital admission.