title: Short-term predictive capacity of two different triage systems in patients with acute heart failure: TRICA-EAHFE study.
abstract: OBJECTIVE
  To evaluate whether prioritization of patients with acute heart failure (AHF) in the Andorran Triage Model/Spanish Triage System (MAT/SET) and the Manchester Triage System (MTS) also allows the identification of different profiles of outcome and prognosis and determine whether either system has a better predictive capacity of outcomes.
  
  
  METHODS
  Patients with AHF included in the Spanish EAHFE registry from hospitals using the MAT/SET or MTS were selected and divided according to the triage system used. Outcome variables included hospital admission, length of stay, death during admission, 3, 7, and 30-day all-cause mortality, and emergency department (ED) reconsultation at 30 days. The results were compared according to the level of priority and the triage system used.
  
  
  RESULTS
  We included 3837 patients (MAT/SET=2474; MTS=1363) classified as follows: 4.0% level 1; 34.7% level 2; 55.1% level 3; and 6.3% levels 4-5. Both systems associated greater priority with higher rates of admission and mortality; the MTS associated greater priority with greater ED reconsultation and the MAT/SET found greater priority to be associated with less ED reconsultation. The discriminative capacity of the two scales for adverse outcomes was statistically significant, albeit poor, for almost all the outcome events and it was of scarce clinical relevance (Area under the curve of the receiver operating characteristic between 0.458 and 0.661).
  
  
  CONCLUSIONS
  The prediction of the outcome of patients with AHF determined with the MAT/SET or MTS showed scarce differences between the two systems, and their discriminative capacity does not seem to be clinically relevant.
authors.affiliation: aEmergency Department, Hospital Clínic, 'Emergencies: Processes and pathologies' Research Group, IDIBAPS bEmergency Department, Hospital de Terrassa cEmergency Department, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona dEmergency Deparment, Hospital Universitario Central de Asturias, Oviedo eEmergency Department, Hospital Clínico San Carlos fEmergency Department, Health Research Institute, Hospital San Carlos, Universidad Complutense, Madrid gEmergency Department, Hospital General de Alicante, Alicante, Spain.
authors.forename: Òscar
authors.initials: Ò
authors.lastname: Miró
authors.forename: Josep
authors.initials: J
authors.lastname: Tost
authors.forename: Pablo
authors.initials: P
authors.lastname: Herrero
authors.forename: Javier
authors.initials: J
authors.lastname: Jacob
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Martín-Sánchez
authors.forename: Víctor
authors.initials: V
authors.lastname: Gil
authors.forename: Cristina
authors.initials: C
authors.lastname: Fernández-Pérez
authors.forename: Rosa
authors.initials: R
authors.lastname: Escoda
authors.forename: Pere
authors.initials: P
authors.lastname: Llorens
mesh_terms: D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006333:Heart Failure / Q000175:diagnosis* / Q000401:mortality; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D011379:Prognosis; D015203:Reproducibility of Results; D014218:Triage / Q000379:methods*