Emergencias最新文献

{"title":"Opportunistic screening for hepatitis C virus infection in an emergency department in Almeria, Spain","authors":"Anny Camelo-Castillo, Teresa Maria Jordan Madrid, Teresa Cabezas Fernández, manuel Rodríguez-Maresca, Antonio Duarte Carazo, A. Carrodeguas, Diogo Medina, Federico García, Marta Casado-Martín","doi":"10.55633/s3me/03.2023","DOIUrl":"https://doi.org/10.55633/s3me/03.2023","url":null,"abstract":"Objetivo. Se estima que la prevalencia de infección activa por el virus de la hepatitis C (VHC) en España es de un 0,2%, pero un gran número de personas desconocen su estado de infección. Por ello, se requiere aumentar las estrategias de diagnóstico precoz dirigidas a población vulnerable y con escaso vínculo con el sistema sanitario. El objetivo es evaluar el impacto de un programa de cribado oportunista del VHC en los pacientes atendidos en el servicio de urgencias (SU) de un hospital universitario. Método. Se realizó un cribado oportunista entre agosto de 2021 y abril de 2023 a los pacientes de 18 a 69 años atendidos en el SU que no se habían realizado la prueba del VHC el año anterior, y que requerían un análisis de sangre dentro de la práctica clínica habitual por cualquier motivo. Resultados. Durante el periodo de estudio se atendieron 110.267 pacientes en el SU, fueron candidatos a realizar el cribado 22.712 (20,6%), y finalmente se realizó una serología frente al VHC a 11.368 pacientes (50,1%). Se identificaron 43 casos (0,4% de los test efectuados) de infección activa por VHC (viremia), de los cuales, 24 (56%) desconocían previamente su estado. La media de edad del total de pacientes virémicos fue de 57 (DE: 6 años), 34 (79,1%) eran hombres y 5 (11,6%) tenían nacionalidades distintas a la española. No se identificaron factores de riesgo relacionados con la infección por VHC en 22 (51,2%) de los pacientes, y 41 (95,3%) habían tenido oportunidades de diagnóstico en visitas previas al sistema de salud. De los 18 pacientes analizados mediante elastografía transitoria, 7 (38,8%) presentaban cirrosis en el momento del diagnóstico. Se logró vincular a la atención médica posterior a 33 (77%) de los pacientes con infección activa. Conclusiones. Las tasas de infección activa por VHC detectadas en el programa de cribado fueron más altas que la prevalencia estimada en la población general. El cribado oportunista de VHC en los SU puede ser de utilidad para aumentar el diagnóstico y debe ser considerado como una herramienta para la eliminación de la hepatitis C.","PeriodicalId":49293,"journal":{"name":"Emergencias","volume":"17 5","pages":""},"PeriodicalIF":5.5,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138947532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Don Francisco Solano de Luque y su interpretación del pulso sanguíneo. Diagnóstico orientador en situaciones de urgencia en el siglo XVIII","authors":"María Gloria Martínez-del Río, Rafael Enrique Hidalgo-Fernández, Francisco de Paula Montes-Tubio","doi":"10.55633/s3me/09.2023","DOIUrl":"https://doi.org/10.55633/s3me/09.2023","url":null,"abstract":"","PeriodicalId":49293,"journal":{"name":"Emergencias","volume":"13 9","pages":""},"PeriodicalIF":5.5,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138947643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metabolic values as predictors in prehospital emergency medicine and the early evaluation of trauma","authors":"M. Rief, Michael Eichinger","doi":"10.55633/s3me/018.2023","DOIUrl":"https://doi.org/10.55633/s3me/018.2023","url":null,"abstract":"","PeriodicalId":49293,"journal":{"name":"Emergencias","volume":"7 41","pages":""},"PeriodicalIF":5.5,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138944047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Respuesta de los autores","authors":"S. Sola","doi":"10.55633/s3me/021.2023","DOIUrl":"https://doi.org/10.55633/s3me/021.2023","url":null,"abstract":"","PeriodicalId":49293,"journal":{"name":"Emergencias","volume":"82 4","pages":""},"PeriodicalIF":5.5,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138945367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency crisis resource management: a simulation-based course developed by the Spanish Society of Emergency Medicine (SEMES) for health sciences students","authors":"Silvia Escribano, María Sánchez-Marco, S. Espinosa-Ramírez, Alonso Mateos-Rodríguez, Laura Fernández-Lebrusán, M. Cabañero‐Martínez","doi":"10.55633/s3me/010.2023","DOIUrl":"https://doi.org/10.55633/s3me/010.2023","url":null,"abstract":"Objetivo. Los programas educativos dirigidos a la adquisición de competencias no técnicas, tales como el Crisis Resource Management (CRM), basado en simulación de alta fidelidad, implican un aumento de las competencias del alumno en el manejo de situaciones de crisis. El objetivo del presente trabajo es evaluar la eficacia del programa Emergency CRM (E-CRM) de la Sociedad Española de Medicina de Urgencias y Emergencias, dirigido a estudiantes de último año de los grados de ciencias de la salud. Método. Se llevó a cabo un estudio cuasiexperimental con medidas pre y posintervención, que consistió en un programa de E-CRM con simulación de alta fidelidad, en un único grupo. Participaron un total de 209 estudiantes que completaron dos instrumentos autoadministrados sobre la autoeficacia hacia las competencias no técnicas y la resiliencia. Además, a través de observadores externos se evaluó sus competencias no técnicas con instrumentos de evaluación objetivos. Resultados. El alumnado mejoró las puntuaciones de resiliencia (F = 25,90; p < 0,001) y autoeficacia (F = 68,02; p < 0,001) tras la intervención, con diferencias estadísticamente significativas para la resiliencia en la línea basal en función del grupo de estudios (t = 2,67; p = 0,008). Por otro lado, se encontraron mejoras de las puntuaciones obtenidas tanto para el instrumento Mayo High Performance Teamwork Scale (F = 6,18; p < 0,001; eta2 = 0,20) como para el Ottawa Global Rating Scale Crisis Resource Management (F = 5,58; p < 0,005; eta2 = 0,19). Conclusión. El programa de E-CRM, basado en simulación de alta fidelidad, con un equipo interprofesional coordinado, mejora la autoeficacia en todas las competencias no técnicas medidas y aumenta la resiliencia.","PeriodicalId":49293,"journal":{"name":"Emergencias","volume":"21 7","pages":""},"PeriodicalIF":5.5,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138944618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Indwelling urinary catheters: on associations with prognosis in acute heart failure and confounding factors","authors":"Manuel Martínez-Sellés","doi":"10.55633/s3me/013.2023","DOIUrl":"https://doi.org/10.55633/s3me/013.2023","url":null,"abstract":"","PeriodicalId":49293,"journal":{"name":"Emergencias","volume":"7 5","pages":""},"PeriodicalIF":5.5,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138944914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Availability of antidotes in the primary care emergency centers of Catalonia","authors":"Raquel Aguilar Salmerón, M. Àngels Gispert Ametller, Anna María Jambrina Albiach, Lidia Martínez Sánchez, Edurne Fernández de Gamarra Martínez, Àlex Santomà i Cardús","doi":"10.55633/s3me/07.2023","DOIUrl":"https://doi.org/10.55633/s3me/07.2023","url":null,"abstract":"","PeriodicalId":49293,"journal":{"name":"Emergencias","volume":"40 17","pages":""},"PeriodicalIF":5.5,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138946674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uncertainty-principle–based medicine","authors":"Diego Ángeles Sistac","doi":"10.55633/s3me/011.2023","DOIUrl":"https://doi.org/10.55633/s3me/011.2023","url":null,"abstract":"","PeriodicalId":49293,"journal":{"name":"Emergencias","volume":"77 13","pages":""},"PeriodicalIF":5.5,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138945564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Calcium channel blockers versus other classes of drugs for hypertension: a Cochrane review","authors":"Jiaying Zhu, N. Chen, Muke Zhou, Jian Guo, Cairong Zhu, Ji Zhou, Mengmeng Ma, Li He","doi":"10.55633/s3me/020.2023","DOIUrl":"https://doi.org/10.55633/s3me/020.2023","url":null,"abstract":"","PeriodicalId":49293,"journal":{"name":"Emergencias","volume":"43 37","pages":""},"PeriodicalIF":5.5,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138946663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tribute to the Honorary Presidents of Sociedad Española de Urgencias y Emergencias (SEMES)","authors":"Javier Povar Marco, Manuel José Vá","doi":"10.55633/s3me/017.2023","DOIUrl":"https://doi.org/10.55633/s3me/017.2023","url":null,"abstract":"","PeriodicalId":49293,"journal":{"name":"Emergencias","volume":"15 2","pages":""},"PeriodicalIF":5.5,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138947671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}