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Optimization of Treatment Priority of the Manchester Triage System (OPTIMTS)

K

Kepler University Hospital

Status

Completed

Conditions

Triage

Treatments

Other: Admission to Intensive Care Unit
Other: 30 Day Mortality
Other: Admission to General Ward

Study type

Observational

Funder types

Other

Identifiers

NCT05473988
OPTIMTS

Details and patient eligibility

About

In the emergency department, the urgency for treating patients is determined according to the Manchester Triage System. The parameters collected in this process are deterministically translated into a treatment priority.

The Manchester Triage System (MTS), which has been in use for at least 20 years, is a widely used, validated and standardized procedure for initial assessment in the emergency department - this initial assessment (triage) is done to prioritize medical assistance at a central point. Especially in emergency situations, critically endangered patients often require the deployment of a large part of the available staff at the same time - the medically correct triage of patients according to objective criteria in order to enable an adequate allocation of the available resources at the right time is the main objective. In the optimal case, each patient is treated by medical professionals within the time frame that is adequate for his/her health condition.

Using artificial intelligence methods, it may be possible to increase the accuracy of treatment priority assignment. In the best case, incorrect prioritization of patients can be prevented and medical care can be ensured for those patients who actually need it most urgently.

However, initial assessment, even if standardized and validated, still runs under limited resource conditions - time, space, material and personnel. Last but not least, the very idea of conducting an initial assessment limits its validity, and the results of the allocation fluctuate according to current research, although the determinants of this are currently unknown.

Enrollment

77,976 patients

Sex

All

Ages

18 to 120 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • All adult patients that were triaged at the emergency department at the Kepler University Hospital in the period between 2015-12-01 to 2020-08-31.

Exclusion criteria

  • None.

Trial design

77,976 participants in 6 patient groups

Admission to General Ward Positive
Description:
Admission to General Ward Positive
Treatment:
Other: Admission to General Ward
30 Day Mortality Positive
Description:
30 Day Mortality Positive
Treatment:
Other: 30 Day Mortality
Admission to Intensive Care Unit Positive
Description:
Admission to Intensive Care Unit Positive
Treatment:
Other: Admission to Intensive Care Unit
Admission to General Ward Negative
Description:
Admission to General Ward Negative
30 Day Mortality Negative
Description:
30 Day Mortality Negative
Admission to Intensive Care Unit Negative
Description:
Admission to Intensive Care Unit Negative

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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