Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias最新文献

{"title":"Intubating in the prehospital setting: keys to making the best decision.","authors":"Cesáreo Álvarez Rodríguez","doi":"10.55633/s3me/030.2025","DOIUrl":"https://doi.org/10.55633/s3me/030.2025","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 3","pages":"161-162"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328206","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}

{"title":"Long-term analysis of the first fall and subsequent falls in the FALL-ER registry.","authors":"Victoria Torres-Machado, Lidia Fuentes, Concepción Martínez-Muñoz, Ana García-Martínez, Pierre Malchair, Javier Jacob","doi":"10.55633/s3me/038.2025","DOIUrl":"https://doi.org/10.55633/s3me/038.2025","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 3","pages":"233-234"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328208","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}

{"title":"Factors influencing low-acuity emergency department visits by older patients in Catalonia (Spain).","authors":"Toni Mora, Beatriz G López-Valcárcel, Carmen Cabezas-Peña","doi":"10.55633/s3me/064.2025","DOIUrl":"https://doi.org/10.55633/s3me/064.2025","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to identify the factors influencing low-acuity emergency department (ED) visits among older adults, focusing on chronic diseases, wealth, health care system access, and demographic characteristics.</p><p><strong>Methods: </strong>Using longitudinal data from the Catalan public health system (2014-2020), we analyzed a cohort of individuals older than 65 years to analyze associations among sociodemographic characteristics, health care system access, and low-acuity ED visits. Low-acuity visits were defined by specific ICD-10 diagnoses selected based on aliterature review. Econometric models, including Poisson and Negative Binomial regressions were used to control for time-related factors (eg, holidays, weekends) and health care supply-side variables (eg, access to primary care).</p><p><strong>Results: </strong>Chronic diseases were not significantly associated with higher rates of low-acuity ED visits, suggesting that older adults with chronic conditions don't necessarily rely on EDs for their care. Individuals with higher incomes were less likely to use EDs. Nationality (which may reflect cultural factors, among others) also influenced the number of ED visits, as did hospital complexity. More complex hospitals recorded higher rates of low-acuity visits, leading to increased costs. Periods of peak influx for low-acuity visits were identified, suggesting that extended primary care hours could reduce pressure on EDs.</p><p><strong>Conclusions: </strong>The study highlights the role of health care access, income, and demographic factors in the use of lowacuity EDs among older adults. Strategies to optimize primary care access and redirect non-urgent cases to lower-cost centers could help reduce ED saturation and improve resource allocation, especially during periods of high demand.</p>","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 4","pages":"259-266"},"PeriodicalIF":6.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983771","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}

{"title":"Clinical-epidemiological aspects, hospitalization, and reconsultations in older patients with atrial fibrillation in emergency departments in Spain (EDEN-35 study): sex-disaggregated analysis.","authors":"Blanca Coll-Vinent, Natalia Miota Hernández, Naïla Canadell Marco, Carla Boixeda, Javier Jacob Rodríguez, Aitor Alquézar-Arbé, Cesáreo Fernández Alonso, Guillermo Burillo-Putze, Francisco Javier Montero-Pérez, Juan González Del Castillo, Òscar Miró","doi":"10.55633/s3me/035.2025","DOIUrl":"10.55633/s3me/035.2025","url":null,"abstract":"<p><strong>Objective: </strong>To assess, from a sex/gender perspective, the incidence bof atrial fibrillation (AF) in older patients in Spanish hospital emergency departments (EDs), their clinical characteristics, need for hospitalization, short-term follow-up consultations, long-term readmissions and mortality, and associated factors.</p><p><strong>Methods: </strong>We included all patients aged $ 65 years diagnosed with AF in 52 Spanish EDs over a 1-week period. The outcome variables were the need for hospitalization, all-cause follow-up consultations within 30 days following discharge, and long-term readmissions and mortality. A total of 29 sociodemographic and clinical variables associated with these outcomes were analyzed using adjusted models, both overall and sex-disaggregated.</p><p><strong>Results: </strong>A total of 676 patients with AF were identified, 55% of whom were women (annual incidence rate: 15.5 per 1,000 inhabitants aged $ 65 years (95%CI, 15.5-15.7; no differences were reported between sexes). Women were older. Overall comorbidity was high and more common in men. Hospitalization was required in 45.5% of cases, more frequently in men (51.1% vs 41.3%; p = .013 in the multivariable analysis). Within the first 30 days, 22.7% of patients had a follow-up consultation, with no differences between sexes. After a median follow-up of 1,186 days, a total of 346 patients (52.7%) were admitted at least once and 224 (34.1%) died with no significant sex differences in either event. Most factors associated with the 4 outcome variables varied by sex.</p><p><strong>Conclusions: </strong>AF is a common diagnosis among older patients attending EDs, with equal incidence rates in men and women. Sex differences were found in hospitalization, but not early reconsultation, or long-term admission, or mortality, although the associated factors did vary by sex.</p>","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 3","pages":"203-214"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328108","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}

{"title":"Health professionals face up to climate change: from commitment to action.","authors":"Valle Coronado-Vázquez, Juan Gómez-Salgado","doi":"10.55633/s3me/087.2024","DOIUrl":"https://doi.org/10.55633/s3me/087.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 3","pages":"226-227"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328116","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}

{"title":"Hemoglobin/RDW ratio: a new parameter providing prognostic information in patients with acute heart failure.","authors":"Julia Pérez Prada, Ángeles Fernández Rodríguez, Javier Jacob, Elena Salazar, Pere Llorens, Pablo Herrero Puente","doi":"10.55633/s3me/036.2025","DOIUrl":"https://doi.org/10.55633/s3me/036.2025","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 3","pages":"232-233"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328117","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}

{"title":"Stress in novice emergency department nurses: an invisible and underestimated challenge.","authors":"Ángela Narbona-Gálvez, Juan Gómez-Salgado, Regina Allande-Cussó","doi":"10.55633/s3me/004.2025","DOIUrl":"https://doi.org/10.55633/s3me/004.2025","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 4","pages":"299-300"},"PeriodicalIF":6.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983724","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}

{"title":"Environmental pollution and respiratory decompensations: a silent threat emerging in new scenarios.","authors":"Miguel Benito-Lozano","doi":"10.55633/s3me/067.2025","DOIUrl":"https://doi.org/10.55633/s3me/067.2025","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 4","pages":"249-250"},"PeriodicalIF":6.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983746","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}

{"title":"Are the elderly truly responsible for the saturation of emergency services?","authors":"María Fernández","doi":"10.55633/s3me/066.2025","DOIUrl":"https://doi.org/10.55633/s3me/066.2025","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 4","pages":"247-248"},"PeriodicalIF":6.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983756","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}

{"title":"Authors reply.","authors":"José Pedro Cidade, Catarina Conceição, Jorge Nunes, Ana Lufinha","doi":"10.55633/s3me/070.2025","DOIUrl":"https://doi.org/10.55633/s3me/070.2025","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 4","pages":"319-320"},"PeriodicalIF":6.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983763","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}