Revista Brasileira de Enfermagem ()

Risk classification of children and adolescents: priority of care in the emergency unit

  • Fernanda Jorge Magalhães,
  • Francisca Elisângela Teixeira Lima,
  • Lorena Pinheiro Barbosa,
  • Fernanda Jorge Guimarães,
  • Gilvan Ferreira Felipe,
  • Karla Maria Carneiro Rolim,
  • Essyo Pedro Moreira de Lima

DOI
https://doi.org/10.1590/0034-7167-2019-0679

Abstract

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ABSTRACT Objective: to evaluate the clinical conditions and the risk classification of children and adolescents treated in a hospital emergency, according to the Pediatric Risk Classification Protocol. Method: cross-sectional study, with 200 participants, using an instrument based on the Pediatric Risk Classification Protocol and using odds ratio for the analysis. Results: most participants were male patients in early childhood and who were or weren’t in daycare. As for clinical conditions, most showed changes in vital (24.5%) and respiratory (20.0%) signs, most patients (57.5%) did not present pain; 35.5% were classified as urgent and 45.0% as non-urgent. There was a greater chance of being classified as very urgent (orange) when compared to non-urgent (blue). Conclusion: the protocol used contributed to an effective classification and was considered a valid and reliable health technology for determining the priority of care.

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