Enhancing Disaster Surge Capacity Through Reverse Triage in Addis Ababa Hospitals: a Cross-sectional Study

Abstract

<title>Abstract</title> <bold>Introduction:</bold>During disasters and emergencies, hospitals are pivotal in response efforts, particularly through the early discharge of inpatients who can be safely released to free up capacity. Reverse triage helps hospitals efficiently allocate resources and prioritize patient care based on medical necessity. <bold>Objective</bold>: This study investigates the impact of reverse triage on surge capacity in public hospitals in Addis Ababa, Ethiopia, during disaster scenarios. <bold>Methods:</bold> This cross-sectional study was conducted in three public hospitals using convenience sampling. Data were collected from September 1 to 30, 2023. Descriptive statistics and binomial logistic regression were used to identify factors associated with hospital surge capacity. <bold>Results:</bold> A total of 296 participants were included, with 45.9% aged 13-34 years and 55% female. Of the participants, 69.3% were admitted through the Emergency Department. The Reverse Triage Tool Leuven was used to assess patients for early discharge, with 58.4% (95% CI 52.6% -64.1%) of patients qualifying. The percentages of patients eligible for early discharge were approximately 66.7% (95% CI 54% - 77.8%) at Zewditu Memorial Hospital, 57.6% (95% CI 49.5% - 65.4%) at Tikur Anbessa Specialized Hospital (TASH), and 52.8% (95% CI 40.7% - 64.7%) at St. Paul Hospital Millennial Medical College. <bold>Conclusion:</bold> The study underscores the effectiveness of reverse triage in identifying patients suitable for early discharge during disasters, thereby enhancing surge capacity and resource management in public hospitals.