کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3248337 1589152 2013 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Racial Disparity in Emergency Department Triage
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
پیش نمایش صفحه اول مقاله
Racial Disparity in Emergency Department Triage
چکیده انگلیسی

BackgroundPrevious reports of lower triage acuity scores and longer Emergency Department (ED) wait times for African Americans compared to Caucasians had insufficient information to determine if this was due to bias or appropriately based on medical history and clinical presentation.Objective(1) Determine if African Americans are assigned lower triage acuity scores (TAS) after adjusting for a number of demographic and clinical variables likely to affect triage scores. (2) Determine if lower TAS translate into clinically significant longer wait times to assignment to a treatment area.MethodsThis was a retrospective matched cohort design analysis of de-identified data extracted from the ED electronic medical record system, which included demographic and clinical information, as well as TAS, and ED process times. Triage scores were assigned using a 5-point scale (ESI), with 1 being most urgent and 5 being least urgent. Mean TAS and wait times to a treatment area for specific chief complaints were compared by race; after adjusting for age, gender, insurance status, time of day, day of week, presence of co-morbidities, and abnormal vital signs using a 1:1 matched case analysis.ResultsThe overall mean TAS for African Americans was 2.97 vs. 2.81 for Caucasians (difference of 0.18; p < 0.001), translating to a lower acuity rating. African Americans had a significantly longer wait time to a treatment area compared to case-matched Caucasians (10.9 min; p < 0.001), with much larger differences in wait times noted within certain specific chief complaint categories.ConclusionOur current study supports the hypothesis that racial bias may influence the triage process.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Emergency Medicine - Volume 44, Issue 2, February 2013, Pages 511–518
نویسندگان
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