الفهرس 
List of abbreviationsOnly 14 pages are availabe for public view
 |  | from | 105 |  |  |
| | | from | 105 | | |
Abstract
The Emergency Severity Index (ESI) is a five-level triage algorithm, easy to use, that classify ED patients by evaluating both patient severity and resource needs level 1 indicates the highest acuity and , level 5 indicates lowest acuity. Severity is determined by the stabilization of vital functions and the potential threat to life. Inclusion of resource needs in the triage classifications is a unique character of the ESI in comparison with other triage systems. The goal of our work is to study the correlation of Emergency Severity Index and its short term outcome. And attempt to correlate triage category as assessed by the ESI with need for hospitalization, ED length of stay, and resource utilization. Our study included 400 patients who were arrived to Mansoura University Emergency Hospital. All patients are subjected to the following: Emergency severity index (ESI) categorization. Resuscitation: if needed .History taking and physical examination. Investigation: when needed. Treatment: when needed. The present study revealed the following results: There was a statistically significant strong correlation between the ESI score and the length of stay. There was a statistically significant strong correlation between the ESI score and numbers of resources used. There was a statistically significant strong correlation between the ESI score and disposition and hospitalization rates. The ESI score acuity increases with increasing age of studied patients.The majority of patients meet ESI level 3 (38.8%), and ESI level 4 (30.2%).The most common complaint was General medicine complaint (16.8%), followed by abdominal complaint (16.5%), then orthopedic & extremities (15.8%), the least presenting complaint was assaulted (0.5%) and psychological complaint (0.5%).The most common resources used were X–ray (36%) and consultation (36%), then U.S. (35.5%) and Injections (35.5%).The majority of the patients discharged (75.2%), (23.2%) admitted to ward, (1.2%) required ICU admission. The present study concluded that: ESI is a five-level triage algorithm, easy to use, reliable, and valid predictive ED triage instrument. ESI is highly correlated and strongly predicted ED length of stay, also ESI is highly correlated and strongly predicted clinical resource utilization, and also ESI is highly correlated and strongly predicted disposition and hospitalization rates.