Evidence map›Paper›PMID 29364364›Full record

ArticleEinstein (Sao Paulo, Brazil)

Emergency Severity Index: accuracy in risk classification.

Joselito Adriano da Silva, Angélica Santos Emi, Eliseth Ribeiro Leão, Maria Carolina Barbosa Teixeira Lopes, Meiry Fernanda Pinto Okuno, Ruth Ester Assayag Batista

Abstract read
In one paragraph

Article in Einstein (Sao Paulo, Brazil). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The effects of applying artificial intelligence to triage in the emergency department: A systematic review of prospective studies.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. A Scoping Review of Emergency Department Discharge Risk Stratification.The western journal of emergency medicine · 2021
    Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Joselito Adriano da SilvaHospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Angélica Santos EmiHospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Eliseth Ribeiro LeãoHospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Maria Carolina Barbosa Teixeira LopesUniversidade Federal de São Paulo, São Paulo, SP, Brazil.
Meiry Fernanda Pinto OkunoUniversidade Federal de São Paulo, São Paulo, SP, Brazil.
Ruth Ester Assayag BatistaUniversidade Federal de São Paulo, São Paulo, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo verify agreement between estimative of predicted resources using the adapted Emergency Severity Index and the real amount of resources used by patients. To analyze the variables number of years since graduation, years of work experience and years of experience in emergency services especially with accurate anticipation of resources need.

methodsThis retrospective analytical study with a quantitative approach included 538 medical records of patients assisted by 11 triage nurses. Data collected were related to assistances carried out from December 2012 to February 2013.

resultsThere was no significant association between the adequacy of the number of resources used, based on Emergency Severity Index score, number of years since graduation, year of work experience or years of experience in emergency services. Kappa agreement coefficient (0.34) showed that agreement was low between predicted and real used number of resources.

conclusionNurses' accuracy index to predict resources for patients care from emergency room using the adapted Emergency Severity Index was lower than results reported in the studies in the literature that used the original scale. There was low agreement of diagnostic exams predicted by nurses and those really performed. There was no association among correct prediction of resources needed, number of years since graduation, years of experience in emergency services and years of work experience in the unit where the study was done.

Indexed as

Severity of Illness IndexAdolescentAdultAgedEmergency Medical ServicesFemaleHealth ResourcesHumansMaleMiddle AgedNursing AssessmentPractice Patterns, Nurses'Reproducibility of ResultsRetrospective StudiesRisk AssessmentTriage

Identifiers

PMID29364364
PMCPMC5875154

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.