Stratification of patients with emergency severity index and effects of its implementation on the outcome in emergency department of tertiary care hospital

Dr. E C Sada; Dr. Shivkumar Iyer; Dr Mrs Gayatri Rangnath Godbole; Dr Rajesh Ursekar; Dr Jignesh Shah

Volume : VII, Issue : III, March - 2018

Stratification of patients with emergency severity index and effects of its implementation on the outcome in emergency department of tertiary care hospital

Dr. E C Sada, Dr. Shivkumar Iyer, Dr Mrs Gayatri Rangnath Godbole, Dr Rajesh Ursekar, Dr Jignesh Shah

Abstract :

In the hospital the emergency medicine department represents the nodal point of entry for all patients. There is always an overcrowding of the patients in the ED. emergency Severity Index is a reliable and validated triage tool.

Aim: To stratify patients with ESI triage tool and to analyze the effect of ESI implementation.

Material and Methods

All patients coming to the Emergency Department were included except Pediatric patient below 18 years of age. Then Patients were categorized according to ESI level 1 to 5. Level 1 is most urgent and to Level 5 is least urgent. Outcome of allthe patients analyzed. Data was collected analyzed statistically.

Results: Total 1438 patients were attended. There were 4.03% patients of ESI 1 i.e. most urgent category, 23.71(ESI 2), 37.98 %( ESI 3), 26.91(ESI 4) and 7.37(ESI 5) i.e. least urgent category. patients of <40 years were more and least from >60 years age group. Most of the <40 years patients were from ESI 3 and 4. Around 35% of patients in 40–60 years age group were presented in acute condition (ESI 1 and 2). While out of 247 patients of >60 years age, 9% were in urgent category.

There were around 63% males. Pattern of presentation is nearly comparable in males and females. Less number of patients were shifted to ICU and HDU. Conclusion : ESI is a convenient system for triage in emergency department. This study will help to focus on planning of resources so that demand can be managed efficiently and effectively.