A New Vital Sign in Determining the Triage Category in Emergency Department Presentations: End-Tidal Carbon Dioxide

tortum, fatma; Gur, Ali; calbay, ayca; Turalioglu, Ömer; Tekin, Erdal

doi:10.58600/eurjther1819

A New Vital Sign in Determining the Triage Category in Emergency Department Presentations: End-Tidal Carbon Dioxide

Fatma Tortum, (Atatürk Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Erzurum, Türkiye)

Ali Gür, (Atatürk Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Erzurum, Türkiye)

Ayca Calbay, (Atatürk Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Erzurum, Türkiye)

Ömer Turalioğlu, (Atatürk Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Erzurum, Türkiye)

Erdal Tekin (Atatürk Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Erzurum, Türkiye)

European Journal of Therapeutics

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Yıl: 2023 Cilt: 29 Sayı: 4 Sayfa Aralığı: 689 - 697 Metin Dili: İngilizce DOI: 10.58600/eurjther1819 İndeks Tarihi: 19-01-2024

A New Vital Sign in Determining the Triage Category in Emergency Department Presentations: End-Tidal Carbon Dioxide

Öz:

Objective: To investigate whether patients’ end-tidal carbon dioxide (ETCO2) values measured at the time of their presentation to the emergency department can be used together with vital signs in determining their triage categories and predicting hospitalization. Methods: This prospective, observational, cross-sectional study was conducted between May 1, 2023, and June 1, 2023, at the emergency department of a tertiary hospital. The study included patients aged >18 years who presented to the emergency department and were evaluated to have a triage category of level 2, 3, or 4 according to the five-step triage system. The patients’ vital signs were measured at the time of their presentation to the emergency department and the ETCO2 values measured through a nasal cannula were statistically evaluated in terms of their relationship with triage categories and hospitalization indications. Results: A total of 1,100 patients were included in the study. According to the triage category of the patients, the mean ETCO2 values for triage levels 2, 3, and 4 were 27.1±3.6, 30.6±3.1, and 35.4±3.5, respectively, indicating statistically significant differences (p<0.001). When the relationship of ETCO2 and vital signs with hospitalization indications evaluated at the emergency department was examined, the area under the receiver operating characteristic curve for ETCO2 was 0.733, which was statistically significant (p<0.001). Conclusion: On completion of the study, it was concluded that the ETCO2 values measured at the time of presentation to the emergency department can be a new vital sign that can be used to determine the triage categories of patients and identify those who require hospitalization. Keywords: Emergency triage, end-tidal carbon dioxide, triage category, vital sign, hospitalization

Anahtar Kelime: Emergency triage end-tidal carbon dioxide triage category vital sign hospitalization

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	tortum f, Gur A, calbay a, Turalioglu Ö, Tekin E (2023). A New Vital Sign in Determining the Triage Category in Emergency Department Presentations: End-Tidal Carbon Dioxide. , 689 - 697. 10.58600/eurjther1819
Chicago	tortum fatma,Gur Ali,calbay ayca,Turalioglu Ömer,Tekin Erdal A New Vital Sign in Determining the Triage Category in Emergency Department Presentations: End-Tidal Carbon Dioxide. (2023): 689 - 697. 10.58600/eurjther1819
MLA	tortum fatma,Gur Ali,calbay ayca,Turalioglu Ömer,Tekin Erdal A New Vital Sign in Determining the Triage Category in Emergency Department Presentations: End-Tidal Carbon Dioxide. , 2023, ss.689 - 697. 10.58600/eurjther1819
AMA	tortum f,Gur A,calbay a,Turalioglu Ö,Tekin E A New Vital Sign in Determining the Triage Category in Emergency Department Presentations: End-Tidal Carbon Dioxide. . 2023; 689 - 697. 10.58600/eurjther1819
Vancouver	tortum f,Gur A,calbay a,Turalioglu Ö,Tekin E A New Vital Sign in Determining the Triage Category in Emergency Department Presentations: End-Tidal Carbon Dioxide. . 2023; 689 - 697. 10.58600/eurjther1819
IEEE	tortum f,Gur A,calbay a,Turalioglu Ö,Tekin E "A New Vital Sign in Determining the Triage Category in Emergency Department Presentations: End-Tidal Carbon Dioxide." , ss.689 - 697, 2023. 10.58600/eurjther1819
ISNAD	tortum, fatma vd. "A New Vital Sign in Determining the Triage Category in Emergency Department Presentations: End-Tidal Carbon Dioxide". (2023), 689-697. https://doi.org/10.58600/eurjther1819

APA	tortum f, Gur A, calbay a, Turalioglu Ö, Tekin E (2023). A New Vital Sign in Determining the Triage Category in Emergency Department Presentations: End-Tidal Carbon Dioxide. European Journal of Therapeutics, 29(4), 689 - 697. 10.58600/eurjther1819
Chicago	tortum fatma,Gur Ali,calbay ayca,Turalioglu Ömer,Tekin Erdal A New Vital Sign in Determining the Triage Category in Emergency Department Presentations: End-Tidal Carbon Dioxide. European Journal of Therapeutics 29, no.4 (2023): 689 - 697. 10.58600/eurjther1819
MLA	tortum fatma,Gur Ali,calbay ayca,Turalioglu Ömer,Tekin Erdal A New Vital Sign in Determining the Triage Category in Emergency Department Presentations: End-Tidal Carbon Dioxide. European Journal of Therapeutics, vol.29, no.4, 2023, ss.689 - 697. 10.58600/eurjther1819
AMA	tortum f,Gur A,calbay a,Turalioglu Ö,Tekin E A New Vital Sign in Determining the Triage Category in Emergency Department Presentations: End-Tidal Carbon Dioxide. European Journal of Therapeutics. 2023; 29(4): 689 - 697. 10.58600/eurjther1819
Vancouver	tortum f,Gur A,calbay a,Turalioglu Ö,Tekin E A New Vital Sign in Determining the Triage Category in Emergency Department Presentations: End-Tidal Carbon Dioxide. European Journal of Therapeutics. 2023; 29(4): 689 - 697. 10.58600/eurjther1819
IEEE	tortum f,Gur A,calbay a,Turalioglu Ö,Tekin E "A New Vital Sign in Determining the Triage Category in Emergency Department Presentations: End-Tidal Carbon Dioxide." European Journal of Therapeutics, 29, ss.689 - 697, 2023. 10.58600/eurjther1819
ISNAD	tortum, fatma vd. "A New Vital Sign in Determining the Triage Category in Emergency Department Presentations: End-Tidal Carbon Dioxide". European Journal of Therapeutics 29/4 (2023), 689-697. https://doi.org/10.58600/eurjther1819