|
KMID : 0384320080290050354
|
|
Korean Journal of Family Medicine
2008 Volume.29 No. 5 p.354 ~ p.359
|
|
|
Triage of Non-urgent Ambulatory Patients by Family Medicine Resident in Emergency Room
|
|
Seo Eun-Seong
Choi Woo-Jin
Kim Chan-Woong
Cho Soo-Hyun
|
|
|
Abstract
|
|
|
Background: This study was performed to evaluate the validity of triage of non-urgent ambulatory patients using Triage Tool, the Emergency Severity Index-4 by a family medicine resident in the emergency room (ER).
Methods: A total of 790 ambulatory patients who visited an urban ER between March and April 2007 were enrolled. A family medicine (FM) resident and emergency medicine (EM) residents independently evaluated the severity of patients with ESI-4, and reviewed the basic characteristics and disposition of the patients. Concurrent validity and predictive validity were measured using weighted kappa analysis and chi-square analysis.
Results: Concurrent validity was good. The weighted kappa value was 0.910 between an FM resident and EM residents. The hospitalization rate was 75% in catergory 2 and 19.6%, 2.5%, 0.05% in category 3 through 5, respectively. More severe category patients of ESI-4 had higher rate of hospitalization rate.
Conclusion: Triage by a family medicine resident, using the Emergency Severity Index-4 in ambulatory patients of emergency room (ER) is a useful screening tool for non-urgent patients. (J Korean Acad Fam Med 2008; 29:354-359)
|
|
|
KEYWORD
|
|
|
triage, non-urgent, ambulation
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|