Can the manchester triage scale better predict mortality and morbidity when combined with different frailty tests in geriatric population

INTRODUCTION: In our study, we aimed to determine the effect of identifying patients at high risk of frailty by questioning their frailty status during triage in patients aged 65 years and older on the prediction of outcomes.
METHODS: Patients were classified as frail and non-frail according to their score on frailty tests. According to the Manchester Triage System, T2-T3 patients were classified as high priority and T4-T5 patients as low priority. According to the length of stay in the emergency department, patients were divided into two groups as under and over four hours. The endpoint of the patients was hospitalization, treatments and mortality. Patients grouped according to triage priorities and frailty risks with PRISMA-7, ISAR, FRESH tests were statistically analyzed according to separate outcomes and the relationship between them was investigated.
RESULTS: The study was conducted with 331 elderly patients aged between 65 and 99 years with a median age of 75 years. PRISMA-7 test predicts Admission,Mortality,EDLOS in low priority patients(p<0.05), Treatment and mortality is mostly effected by triage scores but admission and EDLOS migth be predicted by frailty tools.
DISCUSSION AND CONCLUSION: It is concluded that the integration of frailty questioning into triage systems will prevent elderly patients presenting with atypical findings and nonspecific complaints from being incorrectly classified as low triage priority.