Advanced triage protocols in the emergency department: A systematic review and meta-analysis

To evaluate the effectiveness of using advanced triage protocols on the length of stay, safety and satisfaction of the patients and professionals in the emergency department. A systematic review with meta-analysis of randomized clinical trials included in the Embase, BVS, PubMed, CINAHL, Cochrane Li...

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Bibliographic Details
Published in:Revista latino-americana de enfermagem 2022-01, Vol.30, p.e3511-e3511
Main Authors: Soster, Cecilia Biasibetti, Anschau, Fernando, Rodrigues, Nicole Hertzog, Silva, Luana Gabriela Alves da, Klafke, André
Format: Article
Language:eng ; por
Subjects:
Clinical decision making
Emergency medical care
Emergency Service, Hospital
Humans
Length of stay
Meta-analysis
Physical examinations
Review
Systematic review
Triage - methods
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Summary:To evaluate the effectiveness of using advanced triage protocols on the length of stay, safety and satisfaction of the patients and professionals in the emergency department. A systematic review with meta-analysis of randomized clinical trials included in the Embase, BVS, PubMed, CINAHL, Cochrane Library databases and in the gray literature, using Review Manager 5.4. Studies that analyzed length of stay in their outcomes were included and the studies excluded were those that considered other triage protocols. 26,672 peer-reviewed studies were found and ten were included in the meta-analysis. For the patients' length of stay, seven studies were included in the meta-analysis (n=8,229), showing a 36-minute reduction (-0.36[-0.55;-0.17] p=0.002), a result with low certainty of evidence, favorable to the intervention, varying between -0.53 (-0.81;- 0.25) and -0.29 (-0.50;-0.07) in the analysis of the subgroups. Regarding the exams requested, five studies were included (n=2,270), indicating that there is no significant difference between the groups (odds ratio 0.94 [0.64;1.38]). Four studies (n=6,094) analyzed the patients' and the professionals' satisfaction, indicating a favorable result to the intervention. The advanced triage protocol reduced length of stay in the emergency room without compromising care safety and quality, although more randomized clinical studies on the theme are needed. Registered in PROSPERO (CRD42019142640).
ISSN:0104-1169
1518-8345
DOI:10.1590/1518-8345.5479.3511