Sensitivity and specificity of the Manchester Triage System in risk prioritization of patients with acute myocardial infarction who present with chest pain

European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
Fernanda Ayache NishiDiná de Almeida Lopes Monteiro da Cruz

Abstract

The purpose of the Manchester Triage System is to clinically prioritize each patient seeking care in an emergency department. Patients with suspected acute myocardial infarction who have typical symptoms including chest pain should be classified in the highest priority groups, requiring immediate medical assistance or care within 10 min. As such, the Manchester Triage System should present adequate sensitivity and specificity. This study estimated the sensitivity and specificity of the Manchester Triage System in the triage of patients with chest pain related to the diagnosis of acute myocardial infarction, and the associations between the performance of the Manchester Triage System and selected variables. This was an observational, analytical, cross-sectional, retrospective study. The sensitivity and specificity of the Manchester Triage System were estimated by verifying the triage classification received by these patients and their established medical diagnoses. The sample was composed of 10,087 triage episodes, in which 139 (1.38%) patients had a diagnosis of acute myocardial infarction. In 49 episodes, confirmation of medical diagnosis was not possible. The estimated sensitivity of the Manchester Triage System was 44.60% (3...Continue Reading

References

Oct 19, 2002·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Debbie A TraversJudith Tintinalli
Aug 17, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Marja N Storm-VerslootJan S K Luitse
Jun 13, 2015·BMC Cardiovascular Disorders·Luís LeiteJosé Nascimento Costa
Jun 10, 2016·The Journal of Cardiovascular Nursing·Holli A DeVonAnne G Rosenfeld
Jun 20, 2017·JBI Database of Systematic Reviews and Implementation Reports·Fernanda Ayache NishiDina de Almeida Lopes Monteiro da Cruz

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