ED triage of patients with acute myocardial infarction: predictors of low acuity triage

The American Journal of Emergency Medicine
Clare L AtzemaMichael J Schull

Abstract

Virtually all emergency department (ED) patients receive an ED triage assessment that determines their priority to be seen by a physician. Previous research found that half of patients who are having an acute myocardial infarction (AMI) are given a low priority triage score, which is associated with delays in electrocardiogram (ECG) acquisition and reperfusion therapy. We sought to determine some of the reasons why ED triage is failing in these patients. We conducted a retrospective cohort analysis of a population-based cohort of AMI patients admitted to 102 acute care hospitals in Ontario, Canada, from July 2000 to March 2001. We examined 10 potential patient- and hospital-level predictors of low acuity triage: age, sex, number of comorbidities, arrival mode, socioeconomic status, time of day, day of week, ED AMI volume, hospital type, and department use of triage ECGs. Mean age of the 3088 patients was 67.5 (SD, 14.0), and 65% were men. In adjusted quantile regression analyses, low acuity triage was independently associated with ED AMI volume (odds ratio [OR], 0.44 at very high volume centers), arrival mode (OR, 0.60 for ambulance arrival), sex (OR, 0.80 for males), age (OR, 1.1 per 10 years of age), and a low number of comor...Continue Reading

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Citations

May 27, 2015·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Kimberley RyanLouise Cullen
Mar 10, 2016·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Susan F Sanders, Holli A DeVon
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Aug 10, 2017·Journal of Clinical Nursing·Carine Lais NonnenmacherAmália de Fátima Lucena
Apr 14, 2018·The Canadian Journal of Nursing Research = Revue Canadienne De Recherche En Sciences Infirmières·Leon PetruniakSusan Fox-Wasylyshyn
Jan 25, 2020·Intensive Care Medicine·Jonas Sunden-CullbergMalin Inghammar
Oct 11, 2020·Australasian Emergency Care·Malihe AmeriFahimeh Arab Esmaeili

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