{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T11:00:38Z","timestamp":1781175638717,"version":"3.54.1"},"reference-count":0,"publisher":"SEMES (Sociedad Espanola de Medicina de Urgencias y Emergencias)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emergencias"],"published-print":{"date-parts":[[2026,6,11]]},"abstract":"<jats:p>Objetivos. Para cumplir el requisito de la gu\u00eda Sepsis-3 de iniciar r\u00e1pidamente el tratamiento, los sistemas de triaje de\nurgencias deben asignar a los pacientes con sospecha de sepsis a las categor\u00edas de triaje de mayor prioridad. El objetivo\nes explorar con qu\u00e9 eficacia el Sistema de Triaje Manchester (MTS) y el \u00cdndice de Gravedad de Emergencias (Emergency\nSeverity Index \u2013ESI\u2013) asignan a estos pacientes las categor\u00edas de urgencia adecuadas y evitan el infratriaje.\nM\u00e9todos. Se realiz\u00f3 un an\u00e1lisis secundario de un estudio observacional prospectivo y multic\u00e9ntrico (LIFE-POC), que incluye a pacientes que se presentaron con sospecha de disfunci\u00f3n org\u00e1nica en una de los tres servicios de urgencias (SU)\nparticipantes (dos utilizaban MTS, uno utilizaba ESI). El resultado principal fue el diagn\u00f3stico de sepsis en las 24 horas\nsiguientes a la presentaci\u00f3n en el SU. Los pacientes diagnosticados de sepsis que fueron asignados a las categor\u00edas de\ntriaje urgente 1, 2 o 3 se clasificaron como triaje preciso. La aprobaci\u00f3n \u00e9tica fue concedida por los comit\u00e9s de los centros de estudio.\nResultados. De los 1.424 pacientes incluidos en la base de datos, 388 fueron diagnosticados de sepsis en las 24 horas\nsiguientes a su atenci\u00f3n en urgencias. El MTS demostr\u00f3 una sensibilidad del 88,2% (infratriaje: 11,8%), mientras que\nel ESI alcanz\u00f3 el 99,0% (Infratriaje 1,0%). Ambas herramientas de triaje mostraron una baja especificidad:17,5%\n(MTS) y 2,7% (ESI). El an\u00e1lisis de regresi\u00f3n log\u00edstica binaria indic\u00f3 que la probabilidad de sepsis aumentaba con las\ncategor\u00edas de triaje de mayor urgencia y disminu\u00eda en las inferiores.\nConclusiones. Tanto ESI como MTS demostraron una alta sensibilidad en la asignaci\u00f3n de pacientes s\u00e9pticos a las categor\u00edas de mayor urgencia, con un mejor rendimiento de ESI. Sin embargo, el MTS mostr\u00f3 una discriminaci\u00f3n superior entre los niveles de urgencia y, por tanto, puede ser m\u00e1s compatible con las limitaciones de recursos que suelen darse en los SU.<\/jats:p>","DOI":"10.55633\/s3me\/074.2026","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T10:38:22Z","timestamp":1781174302000},"source":"Crossref","is-referenced-by-count":0,"title":["Exploring the triage accuracy of the Manchester Triage System and the Emergency Severity Index in emergency department patients with sepsis: A secondary retrospective analysis"],"prefix":"10.55633","author":[{"given":"Philipp","family":"Schondelmaier","sequence":"first","affiliation":[{"name":"Department of Emergency and Acute Medicine, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin, Berl\u00edn, Alemania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Slagman","sequence":"additional","affiliation":[{"name":"Department of Emergency and Acute Medicine, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin, Berl\u00edn, Alemania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"M\u00f6ckel","sequence":"additional","affiliation":[{"name":"Department of Emergency and Acute Medicine, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin, Berl\u00edn, Alemania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antje","family":"Fischer-Rosinsk\u00fd","sequence":"additional","affiliation":[{"name":"Department of Emergency and Acute Medicine, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin, Berl\u00edn, Alemania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konrad","family":"Reinhart","sequence":"additional","affiliation":[{"name":"Department of Emergency and Acute Medicine, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin, Berl\u00edn, Alemania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catalina","family":"De La Cruz Macias","sequence":"additional","affiliation":[{"name":"Department of Emergency and Acute Medicine, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin, Berl\u00edn, Alemania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelika","family":"Stacke","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Jena, Alemania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Winning","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Jena, Alemania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Bauer","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Jena, Alemania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myrto","family":"Bolanaki","sequence":"additional","affiliation":[{"name":"Department of Emergency and Acute Medicine, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin, Berl\u00edn, Alemania."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"33356","published-online":{"date-parts":[[2026,6,11]]},"container-title":["Emergencias"],"original-title":["An\u00e1lisis de la precisi\u00f3n del Sistema de Triaje Manchester y del \u00cdndice de Gravedad de Emergencias en el triaje de pacientes con sepsis atendidos en urgencias"],"deposited":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T10:38:27Z","timestamp":1781174307000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistaemergencias.org\/articulo\/analisis-de-la-precision-del-sistema-de-triaje-manchester-y-del-indice-de-gravedad-de-emergencias-en-el-triaje-de-pacientes-con-sepsis-atendidos-en-urgencias\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,11]]},"references-count":0,"URL":"https:\/\/doi.org\/10.55633\/s3me\/074.2026","relation":{},"ISSN":["1137-6821","2386-5857"],"issn-type":[{"value":"1137-6821","type":"print"},{"value":"2386-5857","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,11]]}}}