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Table 4 ED resource utilisation, hospitalisation and in-hospital mortality per MTS category in older surgical and medical patients

From: Performance of the Manchester triage system in older emergency department patients: a retrospective cohort study

Outcome measure

Group

MTS category – relative estimates with 95% confidence intervals

Red‡

Orange‡

Yellow‡

Absolute value in green reference category

surgical: n = 9

surgical: n = 160

surgical: n = 1271

surgical: n = 1775

medical: n = 52

medical: n = 903

medical: n = 1894

medical: n = 1044

ED-LOS (minutes, difference)¶

Surgical

23.4 (− 22.5–69.4)

61.8 (50.5–73.2)**

31.8 (26.7–36.8)**

Median 95 (59–140)

Medical

−56.2 (− 73.6- -38.7)

−19.1 (− 24.7- -13.5)**

5.2 (0.4–9.9)

Median 158 (119–200)

Number of diagnostic tests (IDR)^

Surgical

3.6 (2.4–5.3)**

3.6 (3.3–4.0)**

2.2 (2.0–2.3)**

Mean 0.8 (0.9)

Medical

1.5 (1.2–1.7)**

1.8 (1.7–1.9)**

1.4 (1.3–1.4)**

Mean 2.2 (1.4)

Number of medical procedure (IDR)^

Surgical

3.1 (2.1–4.7)**

3.1 (2.8–3.4)**

1.6 (1.5–1.7)**

Mean 0.8 (0.9)

Medical

3.5 (3.0–4.1)**

2.5 (2.3–2.7)**

1.6 (1.5–1.7)**

Mean 1.0 (0.9)

Medication administered (OR)±

Surgical

4.0 (1.1–15.0)**

6.6 (4.7–9.4)**

3.9 (3.4–4.6)**

N = 423 (23.8%)

Medical

4.8 (2.7–8.7)**

4.4 (3.7–5.4)**

1.8 (1.5–2.1)**

N = 312 (29.9%)

> 1 specialty consultations (OR)±

Surgical

–

9.0 (6.2–13.0)**

2.6 (2.1–3.3)**

N = 117 (6.6%)

Medical

1.4 (0.7–3.1)

1.7 (1.4–2.3)**

1.8 (1.5–2.3)**

N = 117 (11.2%)

Hospitalisation (OR)#±

Surgical

–

22.9 (15.0–34.9)**

6.2 (5.2–7.3)**

N = 291 (16.4%)

Medical

–

9.1 (6.8–12.4)**

2.6 (2.2–3.1)**

N = 660 (63.2%)

In-hospital mortality (OR)# ±

Surgical

50.4 (9.3–273.3)**

19.7 (8.8–44.3)**

4.1 (2.0–8.5)**

N = 10 (0.6%)

Medical

15.7 (7.7–32.1)**

4.0 (2.7–5.9)**

1.4 (0.95–2.1)

N = 37 (3.5%)

  1. MTS Manchester Triage System; ED Emergency Department; Surgical includes: general surgery, plastic surgery, urology, orthopaedics, otorhinolaryngology, ophthalmology, dermatology, oral surgery, gynaecology; Medical includes: internal medicine, pulmonology, cardiology, neurology, psychiatry, gastroenterology, rheumatology; SD standard deviation; IQR interquartile range; ED-LOS emergency department length of stay. ‡ = Comparison of MTS category in older surgical and medical patients with reference category, which is MTS category green; ^= analysed with Poisson regression, reporting incidence density ratios; ± = analysed with logistic regression, reporting odds ratio and 95% confidence intervals; ¶ = difference with MTS green in minutes, analysed with linear regression, reporting regression coefficients and 95% confidence intervals; # = patients who have died in the ED are excluded from the analyses; ** = p < 0.001