Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias最新文献_第5页

Prognostic value of metabolic parameters measured by first responders attending patients with severe trauma: associations with the New Injury Severity Score and mortality. 严重创伤患者急救人员测量的代谢参数的预后价值：与新伤严重程度评分和死亡率的关联。

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2023-04-01

Ervigio Corral Torres, Alberto Hernández-Tejedor, Pablo Millán Estañ, Marcos Valiente Fernández, María Bringas Bollada, Dolores Pérez Díaz, Fernando Monforte-Escobar, Javier Vejo Gutiérrez, Lidia Orejón García, Ana Delgado Pascual, Cristina Rey Valcárcel, Carmen Camacho Leis

{"title":"Prognostic value of metabolic parameters measured by first responders attending patients with severe trauma: associations with the New Injury Severity Score and mortality.","authors":"Ervigio Corral Torres, Alberto Hernández-Tejedor, Pablo Millán Estañ, Marcos Valiente Fernández, María Bringas Bollada, Dolores Pérez Díaz, Fernando Monforte-Escobar, Javier Vejo Gutiérrez, Lidia Orejón García, Ana Delgado Pascual, Cristina Rey Valcárcel, Carmen Camacho Leis","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: Patients with severe or potentially severe trauma must be identified early, a challenge in prehospital settings. This study aimed to analyze the possible diagnostic and prognostic usefulness of analytical markers recorded in the early moments of care.Material and methods: Observational study of information extracted from the prospective multicenter Code Trauma database for 2016-2019, excluding data for isolated head injuries. Using the New Injury Severity Score (NISS), we classified cases into 4 levels of severity. NISS and mortality were considered the dependent variables in inferential analyses. We calculated the areas under receiver operating characteristic curves, identified optimal cutoff points (Youden index), and calculated positive (PPV) and negative predictive values..Results: Of the 1039 trauma patients in the registry, 709 were included in the study. Their mean (SD) age was 40.4 (17.3) years, and 77.3% were men. Motorcycle accidents were the most common causes of trauma (in 21%), and mortality was 12.1%. Lactate concentration, pH, PCO2, hemoglobin concentration, hematocrit, and blood sugar were significantly associated with severity and mortality. The PPVs corresponding to pH for the 4 NISS score groups (34-41, 42-49, 50-59, and $ 60) and mortality, respectively, were 61.2, 64.1, 70.7, 62.2, and 66.6. The PPVs of traditionally used clinical variables were lower.Conclusion: Patients with more severe trauma had lower pH values and higher PCO2, lactate, and base excess values. PCO2, pH, and blood sugar findings were the best predictors of severity. Metabolic variables are better predictors than traditionally recorded hemodynamic variables.","PeriodicalId":11644,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"35 2","pages":"90-96"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9462055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pre- and postpandemic emergency services: similarities and differences. 流行前和流行后的应急服务：异同。

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2023-04-01

Xavier Jiménez-Fàbrega, Javier Jacob

引用次数: 0

Non-steroidal anti-inflammatory drugs for acute gout. 治疗急性痛风的非甾体抗炎药。

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2023-04-01

Caroline Mpg van Durme, Mihir D Wechalekar, Robert Bm Landewé, Jordi Pardo Pardo, Sheila Cyril, Désirée van der Heijde, Rachelle Buchbinder

引用次数: 0

Latest report from the ALTAMIRA study of emergency management of vein thrombosis: our departments' strengths and weaknesses. 静脉血栓紧急处理 ALTAMIRA 研究的最新报告：我们部门的优势与不足。

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2023-04-01

Joan Fité Matamoros

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Biomechanical analysis of movements during removal of helmets from motorcycle riders: a comparative study of the efficacy of 2 techniques. 对摩托车手摘除头盔时动作的生物力学分析：两种技术功效的比较研究。

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2023-04-01

Ana Nicolás Carrillo, Javier Ruiz Casquet, Raquel Gordillo Martín, Francisco Moya Escudero, Laura Juguera Rodríguez, María Isabel Hontoria Hernández, Inmaculada Nicolás Carrillo, Manuel Pardo Ríos

引用次数: 0

Importance of metabolic parameters as prognostic markers in prehospital care. 代谢参数作为院前护理预后标志的重要性。

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2023-04-01

Manuel Luis Avellanas Chavala

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Importance of CT-perfusion in the diagnosis of nonconvulsive status epilepticus in the emergency department: a case report. CT灌注在急诊科诊断非惊厥性癫痫持续状态中的重要性：一例报告。

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2023-04-01

Mario Hernández-Holgado, Pablo Mayo, Beatriz Parejo, María Romeral, Mercedes Vivar-Vela, Irene García-Morales

引用次数: 0

Diagnosis of apparent death and resuscitation techniques in 18th century Spain: a historical analysis. 18 世纪西班牙的表观死亡诊断和复苏技术：历史分析。

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2023-04-01

Rafael Carrasco-Moreno, José Luis Duro-Torrijos

引用次数: 0

Spontaneous rectus sheath hematoma - a life-threatening emergency: case series. 自发性直肠鞘血肿--危及生命的急症：病例系列。

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2023-02-01

Cristina Pantoja Peralta

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External validation of the Glasgow Coma Scale-Pupils in patients with severe head injury. 严重颅脑损伤患者格拉斯哥昏迷量表-瞳孔外部验证。

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2023-02-01

Jesús Abelardo Barea-Mendoza, Juan Antonio Llompart-Pou, Jon Pérez-Bárcena, Manuel Quintana-Díaz, Lluís Serviá-Goixart, Francisco Guerrero-López, Javier González-Robledo, Ismael Molina-Díaz, Juncal Sánchez Arguiano, Mario Chico-Fernández

{"title":"External validation of the Glasgow Coma Scale-Pupils in patients with severe head injury.","authors":"Jesús Abelardo Barea-Mendoza, Juan Antonio Llompart-Pou, Jon Pérez-Bárcena, Manuel Quintana-Díaz, Lluís Serviá-Goixart, Francisco Guerrero-López, Javier González-Robledo, Ismael Molina-Díaz, Juncal Sánchez Arguiano, Mario Chico-Fernández","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: To compare the ability of the Glasgow Coma Scale (GCS) score, the GCS Pupils (GCS-P) score, and the Pupil Reactivity Score (PRS) to predict mortality in patients with severe head injury.Material and methods: Retrospective analysis of all patients with severe head injury and initial GCS scores of 8 or lower on initial evaluation for whom records included pupil dilation information and clinical course after admission to intensive care units of participating hospitals. We assessed the ability of each of the 3 scores (GCS, GCS-P, and PRS) to predict mortality using discrimination analysis. Discrimination was estimated by calculating the areas under the receiver operating characteristic curves (AUC) and 95% CIs.Results: A total of 1551 patients with severe head injury and pupil dilation records were studied. The mean age was 50 years, 1190 (76.7%) were males, and 592 (38.2%) died. No pupil dilation was observed in 905 patients (58.3%), 362 (23.3%) had unilateral mydriasis, and 284 (18.3%) had bilateral mydriasis. The GCS-P score was significantly better at predicting mortality, with an AUC of 0.77 (95% CI, 0.74-0.79), versus 0.69 (95% CI, 0.67-0.72) for the GCS, and 0.75 (95% CI, 0.72-0.77) for the PRS. As the GCS-P score decreased, mortality increased.Conclusion: The GCS-P was more useful than the GCS for predicting death after severe head injury.","PeriodicalId":11644,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"35 1","pages":"39-43"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9117186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0