%0 Journal Article
%T Triage, Temperatura, Frecuencia Card¨ªaca y Saturaci¨®n de O2, en la Clasificaci¨®n de Pacientes en un Servicio de Urgencia Pedi¨¢trico
%A M¨¦NDEZ E
%A BENIGNO MIGUEL
%A DUFFAU T
%A GAST¨®N
%J Revista chilena de pediatr¨ªa
%D 2009
%I Sociedad Chilena de Pediatr¨ªa
%R 10.4067/S0370-41062009000600005
%X this study evaluares the association of triage (tr), body temperature (t) and oxygen saturation (sato2) at the time of admission to a pediatric emergency service (pes) with discharge home or hospitalization. method: 1 863 patients admitted to a pes in june and july of 2007 were included, stratified by age (< 2 mo, 3-12 mo, 13-36 m, 37-60 mo, 61-120 mo, 121-187 mo). chi square test was used, screening for p < 0.05. results: hospitalization was most likely for children under 6 months old, (5.42, range 3.9-7.6), scoring triage < 2 (6.9, range 4.7-10.2), or a saturation level below 93% (23.68, range 14.6-38.3). no significant association was seen between fever and hospitalization (1.31, range 0.9-1.8). sato2 < 93% was associated to tachycardia in all ages (3.62, range 2.09-5.79), so did fever (6.74, range 5.07-8.67). over half (51.8%) of children with fever showed tachycardia, 22.8% of afebrile cases were associated to this symptom. discussion: risk of hospitalization is higher if a child is younger than 6 months o¨ªd, with oxygen saturation below 93% or triage level < 2. over 600 children presented tachycardia (33%); none progressed to shock even with sato2 < 93% or triage level < 2. tachycardia, as an isolated sign, does not appear to be forecast significant hemodynamic change or need to be treated as such.
%K children
%K emergency room
%K triage
%K oxygen saturation
%K tachycardia
%K outcome.
%U http://www.scielo.cl/scielo.php?script=sci_abstract&pid=S0370-41062009000600005&lng=en&nrm=iso&tlng=en