A descriptive study of demographics, triage allocations and patient outcomes at a private emergency centre in Pretoria

South African Family Practice

 
 
Field Value
 
Title A descriptive study of demographics, triage allocations and patient outcomes at a private emergency centre in Pretoria
 
Creator Hedding, Kirsty Dippenaar, Enrico Wallis, Lee
 
Subject Emergency medicine; urban medicine; private health care; triage emergency medicine; triage; ICU; critically ill patients; private healthcare
Description Background: Triage aims to detect critically ill patients and to prioritise those with time-sensitive needs, whilst contributing to the efficiency of an emergency centre (EC). International systems have been relatively well researched; however, little data exists on the use of the South African Triage Scale (SATS) in private healthcare settings in South Africa (SA).Methods: A retrospective descriptive study was undertaken. Data relating to demographics, application of triage, time in EC and disposition were collected on all patients presenting to the EC from 1st January to 31st December 2018.Results: A total of 29 055 patients’ data were included. The mean age was 41 years. Most patients were triaged yellow (73.5%); 17.4% were triaged as red and orange. Patients were seen by a doctor in a mean time of 28 min. Delays to be seen exceeded standards for red and orange patients at 8 min and 18 min, respectively. Most patients (76.1%) were discharged; 5.6% were admitted to intensive care unit (ICU)/high care, and 14.4% to general wards. Of patients triaged red and orange, 11.1% and 49.3% were discharged, respectively, whereas 81.7% of yellow patients were discharged home.Conclusion: This study found that most patients were triaged into low acuity categories and were discharged home. High acuity patients were usually admitted to ICU/high care; however, these patients experienced delays in receiving treatment. The causes of these issues, and the implications, remain unknown. Large numbers of high acuity patients were discharged home. Further studies are needed to understand the influence of triage accuracy on these patients’ outcomes.
 
Publisher AOSIS
 
Contributor
Date 2021-11-09
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article Qualitative research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v63i1.5308
 
Source South African Family Practice; Vol 63, No 1 (2021): Part 4; 7 pages 2078-6204 2078-6190
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://safpj.co.za/index.php/safpj/article/view/5308/7062 https://safpj.co.za/index.php/safpj/article/view/5308/7063 https://safpj.co.za/index.php/safpj/article/view/5308/7064 https://safpj.co.za/index.php/safpj/article/view/5308/7066
 
Coverage Africa; South Africa; Gauteng; Pretoria January 2018-December 2018 age, gender, emergency centre patients
Rights Copyright (c) 2021 Kirsty Hedding, Enrico Dippenaar, Lee Wallis https://creativecommons.org/licenses/by/4.0
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