Maternal fetal triage index vs. emergency severity index: increasing clinical safety by identifying and prioritising acutely unwell pregnant women

Lynsey Nisbet, Alan Walker, Jessica Cottam, Mariam Beena K. Thomas, Lauren Williams, Sinu Pappan, J.H. Anjali, Blessy Sujith, Sharmila Lohana, Sherin Mathew

Research output: Contribution to conferencePoster

Abstract

Method: A blind study comparing both triage tools using convenience sampling of 100 participants.

Results: We wished to show that while the two sets of data have different distributions, the MFTI ratings are numerically larger than the ESI ratings, and therefore the ESI over-triages in comparison to the MFTI. To do this, we considered the data as continuous and performed a paired t-test. The average score from MFTI was 3.45, whilst the average score from ESI was 3.09. We create a null hypothesis that the mean score for MFTI is the same as the mean score for ESI, with the alternative hypothesis that the two means are significantly different. The p-value (significance) is very small (p < 0.001) and hence we have enough evidence to reject the null hypothesis at the 99% confidence interval. The MFTI score is numerically higher than the ESI score by on average 0.36.It was also our hypothesis that the ESI index under-triages complicated cases. In order to investigate this, we considered only the patients which were indexed 1 or 2 using the MFTI index. Comparison of the two sets of tests using the Friedman test shows that the null hypothesis that the two distributions are the same at the 99% confidence is rejected. The average score from MFTI when only complicated cases are considered was 1.91, whilst the average score from ESI when only complicated cases are considered was 2.61. We create a null hypothesis that the mean score for MFTI is the same as the mean score for ESI, with the alternative hypothesis that the two means are significantly different. We see from Figure 8 that the p-value (significance) is very small (p < 0.001) and hence we have enough evidence to reject the null hypothesis at the 99% confidence interval. The MFTI level is numerically lower than the ESI level by on average 0.696. Hence, we can conclude that the ESI is under-triaging complicated cases.

Conclusion: Based on statistical analysis it has been inferred that the ESI is over triaging normal labour and normal complaints of pregnancy but is under triaging more complicated cases in pregnancy therefore in an obstetrics setting MFTI would be a more appropriate triage tool at identifying and prioritising acutely unwell pregnant women.
Original languageEnglish
Publication statusPublished - 28 Jun 2019
EventInternational Council of Nurses Congress 2019 - 10 Bayfront Avenue, Singapore, Singapore
Duration: 27 Jun 20191 Jul 2019
https://www.icn.ch/events/icn-congress-2019-singapore (Conference website.)

Conference

ConferenceInternational Council of Nurses Congress 2019
Abbreviated titleICN Congress 2019
Country/TerritorySingapore
CitySingapore
Period27/06/191/07/19
Internet address

Fingerprint

Dive into the research topics of 'Maternal fetal triage index vs. emergency severity index: increasing clinical safety by identifying and prioritising acutely unwell pregnant women'. Together they form a unique fingerprint.

Cite this