Associação das escalas triagem com o tempo de permanência e mortalidade hospitalar

Abstract

INTRODUCTION: Hospital triage plays a crucial role in prioritizing care and reducing mortality in trauma patients. Studies have shown that structured protocols such as the Rapid Emergency Medicine (REMS) and Revised Trauma Score (RTS) scales allow for rapid assessment of patient severity, optimizing hospital stay and contributing to better clinical outcomes. The absence of an integrated national trauma care system reinforces the need for standardization of protocols to ensure efficiency and quality in hospital care. OBJECTIVE: To associate the triage criteria applied in the scales with hospital stay and mortality. MATERIALS AND METHODS: This is an umbrella, prospective cohort study with data collected at the time of hospital admission until discharge using collection instruments. The data were transferred to Excel and analyzed by a statistician using the JAMOVI program. Statistics were calculated for all variables, with a general characterization of the sample. Numerical variables were assessed using central tendency (mean and median) and dispersion (standard deviation, minimum and maximum values). Categorical variables were described as percentages. RESULTS: The REMS scale showed a significant correlation with an effect of 1.62 (p<0.001), indicating a worse prognosis with increasing score. The RTS scale had a significant effect on length of hospital stay, with a negative coefficient of -5.15 (p<0.001), suggesting that high scores tend to have a reduced length of hospital stay. Patients who died had a shorter length of hospital stay, with an average of 2.89 days. Furthermore, patients discharged from hospital had an average REMS of 7.48 and RTS of 4.02, while deaths had a REMS of 2.69 and RTS of 7.56. CONCLUSION: Both scales, REMS and RTS, were shown to be good predictors of mortality and length of hospital stay, with RTS being associated with a better prognosis. The time elapsed from the accident to hospital admission was also associated with mortality. The importance of the applicability of the triage scales (REMS and RTS) was proven.