Triage using the Emergency Severity Index (ESI) and seven versus three vital signs

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dc.contributor.authorGunaydin, Y. K.
dc.contributor.authorCaglar, A.
dc.contributor.authorKokulu, K.
dc.contributor.authorYildiz, C. G.
dc.contributor.authorDundar, Z. D.
dc.contributor.authorAkilli, N. B.
dc.contributor.authorKoylu, R.
dc.date.accessioned2024-02-23T13:55:55Z
dc.date.available2024-02-23T13:55:55Z
dc.date.issued2016
dc.departmentNEÜen_US
dc.description.abstractPurpose. The aim of this study was to compare sensitivity and validity of the emergency severity index (ESI) using 3 vital signs vs. the modified ESI (mESI) with 7 vital signs. Methods. This prospective, observational study comprised all patients without trauma (>18 years old), presenting between 1 September 2014 and 1 October 2014 from 08: 00-16: 00 h, and having ESI triage scores levels 3, 4, and 5. Different from the ESI, 7 vital signs for patients in levels 3, 4, and 5 were determined. When the result revealed an abnormality in at least one of the 7 vital signs, these patients were designated as level 2 and the mESI triage was applied to them. Results. A total of 4536 patients were included in the study. Comparing the hospitalized patient group and the patients treated as outpatients according to the ESI and mESI levels, the ESI and the mESI level median values were 4 (3-4) and 3 (2-4), respectively, and those of patients treated on an out-patient basis were 4 (4-5) and 4 (3-5). A significant difference was observed between the two groups with regard to both the ESI and the mESI scores (p < 0.001). Furthermore, when the ESI and the mESI were compared with regard to the sensitivity and the reliability in determining the patients for hospitalization, a significant difference was determined favoring ESI [ROC curve: area under the curve mESI: 0.690, 95 % confidence interval (Cl) 0.666-0.713; ESI 0.753, 95 % Cl 0.733-0.774; p < 0.001]. Conclusion. The ESI, in which 3 vital signs are measured in order to distinguish only level 2 and 3 patients, is an adequate and reliable triage system.en_US
dc.identifier.doi10.1007/s10049-015-0119-4
dc.identifier.endpage216en_US
dc.identifier.issn1434-6222
dc.identifier.issn1436-0578
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-84954326615en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage209en_US
dc.identifier.urihttps://doi.org/10.1007/s10049-015-0119-4
dc.identifier.urihttps://hdl.handle.net/20.500.12452/11015
dc.identifier.volume19en_US
dc.identifier.wosWOS:000379432400009en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofNotfall & Rettungsmedizinen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEmergency Services, Hospitalen_US
dc.subjectEmergency Treatmenten_US
dc.subjectRespiratory Rateen_US
dc.subjectHeart Rateen_US
dc.subjectOxyimetryen_US
dc.titleTriage using the Emergency Severity Index (ESI) and seven versus three vital signsen_US
dc.typeArticleen_US

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