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Factors associated with triage assignment of emergency department patients ultimately diagnosed with acute myocardial infarction

Overview of attention for article published in Australian critical care : official journal of the Confederation of Australian Critical Care Nurses., May 2015
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Title
Factors associated with triage assignment of emergency department patients ultimately diagnosed with acute myocardial infarction
Published in
Australian critical care : official journal of the Confederation of Australian Critical Care Nurses., May 2015
DOI 10.1016/j.aucc.2015.05.001
Pubmed ID
Authors

Kimberley Ryan, Jaimi Greenslade, Emily Dalton, Kevin Chu, Anthony F.T. Brown, Louise Cullen

Abstract

The objective of this study was to explore factors associated with the triage category assigned by the triage nurse for patients ultimately diagnosed with acute myocardial infarction. This was a retrospective analysis of 12 months of data, on adult emergency department patients ultimately diagnosed with acute myocardial infarction. Data were obtained from hospital databases and included patient demographics, patient clinical characteristics and nurses' experience. Of the 153 patients, 20% (95% CI: 14-27%) were given a lower urgency triage category than recommended by international guidelines. Compared to patients who were triaged Australasian Triage Category 1 or 2, patients with an Australasian Triage Category 3-5 were older (mean age 76 versus 68 years), more likely to be female (63% versus 32%), more likely to present without chest pain (93% versus 35%) and less likely to have a cardiac history (3.3% versus 17.9%). A slightly higher proportion of patients Australasian Triage Category 3-5 were triaged by an experienced nurse (50%) compared to patients categorised Australasian Triage Category 1-2 (35.2%) but this finding did not reach statistical significance. One in five presentations was given a lower urgency triage category than recommended by international guidelines, potentially leading to delays in medical treatment. The absence of chest pain was the defining characteristic in this group of patients, along with other factors identified by previous research such as being of female sex and elderly.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 65 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Portugal 1 2%
Unknown 64 98%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 12 18%
Student > Master 10 15%
Student > Ph. D. Student 5 8%
Researcher 4 6%
Student > Postgraduate 4 6%
Other 10 15%
Unknown 20 31%
Readers by discipline Count As %
Nursing and Health Professions 23 35%
Medicine and Dentistry 9 14%
Biochemistry, Genetics and Molecular Biology 1 2%
Business, Management and Accounting 1 2%
Computer Science 1 2%
Other 5 8%
Unknown 25 38%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 February 2016.
All research outputs
#16,578,616
of 25,371,288 outputs
Outputs from Australian critical care : official journal of the Confederation of Australian Critical Care Nurses.
#644
of 809 outputs
Outputs of similar age
#157,573
of 281,535 outputs
Outputs of similar age from Australian critical care : official journal of the Confederation of Australian Critical Care Nurses.
#8
of 11 outputs
Altmetric has tracked 25,371,288 research outputs across all sources so far. This one is in the 34th percentile – i.e., 34% of other outputs scored the same or lower than it.
So far Altmetric has tracked 809 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.0. This one is in the 20th percentile – i.e., 20% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 281,535 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 43rd percentile – i.e., 43% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 11 others from the same source and published within six weeks on either side of this one. This one is in the 9th percentile – i.e., 9% of its contemporaries scored the same or lower than it.