Factors Predicting the Accuracy of Triage in Elderly Patients at Emergency Department
Keywords:
triage accuracy, elderly patients, emergency department, atypical presentationAbstract
This study was the predictive correlation of atypical presentation, activity of daily living, cognitive impairment and nursing workload on the accuracy of triage in 500 elderly patients at emergency department of a tertiary hospital in Bangkok. Participants were selected by purposive sampling. Data were collected by demographic data record form, the accuracy triage form, atypical presentation assessment, Barthel Activities of Daily Living Index, six item cognitive impairment test, and nursing workload record form. The reliability of the atypical presentation assessment , Barthel Activities of Daily Living Index, six item cognitive impairment test were 0.84, 0.95, and 0.91, respectively. Data were analyzed by using descriptive statistics and binary logistic regression.
The results showed 65.4% of the accuracy of triage among elderly patients. About 31.8% of elderly patients had atypical presentation. From the analyzing predictive power, atypical presentation was predicted statistically significant the accuracy triage. Elderly patients who had atypical presentation had a 39.1% lower accuracy triage than those who had typical presentation (OR = .609; 95%CI = .411, .903, p = .014). The result suggested that nurses should be encouraged to learn about atypical symptoms to enable triage accuracy in elderly patients.
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