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Original Research
Firaol Birhanu Tola
Tikur Anbessa Specialized Hospital
Corresponding Author
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This work is licensed under a CC BY 4.0 License. Read Full License
Background: - Acute myocardial infarction (AMI) is the leading cause of morbidity and mortality worldwide. AMI should be treated within a “golden time”, which is < 90 minutes from the onset of the symptom to balloon insertion. Late recognition of diagnosis has increase mortality and long term outcome of the patients in AMI patients. Patients in high priority triage categories were under triage which leads to long waiting time. Determine the associated factors for high priority triage category scale of AMI patients.
Result: Among the total of 131 study participants, 91(69.5%) of them were males. The mean age of the study participants were 54 year with the standard deviation of 12.75. Patients who were categorized under high priority triage category accounts 47.3% of the total study participants with 95% CI (38.9-56.5). Among the total study participants 78(59.5%) of them were ST elevation myocardial infarction. Having more than 5 years of triage experience (OR: 13.63, 95% CI (2.32-79.86)) and having Triage early warning score of 5-10 during admission (OR: 65.28, 95% CI (5.39-790.52)) has a significant association on categorizing AMI patients in High priority triage category.
Conclusion & Recommendation: Nearly half of the patients at emergency room were categorized under high priority. Triage early warning score and triage nurse experience were the factors which had a significant effect on categorizing AMI patients as high priority triage. Assigning of senior nurses at emergency triage room could improve triage category and early diagnosis and treatment for AMI patients at Tikur Anbessa Specialized Hospital.
Keywords
Acute myocardial infarction, triage, triage early warning scale and high priority
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A new preprint design is coming!
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Original Research
Firaol Birhanu Tola
Tikur Anbessa Specialized Hospital
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 29 Jan, 2021
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Critical Care & Emergency Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: - Acute myocardial infarction (AMI) is the leading cause of morbidity and mortality worldwide. AMI should be treated within a “golden time”, which is < 90 minutes from the onset of the symptom to balloon insertion. Late recognition of diagnosis has increase mortality and long term outcome of the patients in AMI patients. Patients in high priority triage categories were under triage which leads to long waiting time. Determine the associated factors for high priority triage category scale of AMI patients.
Result: Among the total of 131 study participants, 91(69.5%) of them were males. The mean age of the study participants were 54 year with the standard deviation of 12.75. Patients who were categorized under high priority triage category accounts 47.3% of the total study participants with 95% CI (38.9-56.5). Among the total study participants 78(59.5%) of them were ST elevation myocardial infarction. Having more than 5 years of triage experience (OR: 13.63, 95% CI (2.32-79.86)) and having Triage early warning score of 5-10 during admission (OR: 65.28, 95% CI (5.39-790.52)) has a significant association on categorizing AMI patients in High priority triage category.
Conclusion & Recommendation: Nearly half of the patients at emergency room were categorized under high priority. Triage early warning score and triage nurse experience were the factors which had a significant effect on categorizing AMI patients as high priority triage. Assigning of senior nurses at emergency triage room could improve triage category and early diagnosis and treatment for AMI patients at Tikur Anbessa Specialized Hospital.
Figure 1
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