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

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Progression of emergency obstetric care for unplanned out-of-hospital births: contributions from a 13-year prospective multicenter study in France. 计划外院外分娩的紧急产科护理进展：来自法国一项13年前瞻性多中心研究的贡献
IF 6.3
Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2026-10-01 DOI: 10.55633/s3me/108.2026
Charlène Duchanois, Cédric Laurent, Kévin Duarte, François Javaudin, Philippe Pes, Agnès Ricard-Hibon, Thomas Bizouard, Nicolas Bounaud, Olivier Morel, Tahar Chouihed
{"title":"Progression of emergency obstetric care for unplanned out-of-hospital births: contributions from a 13-year prospective multicenter study in France.","authors":"Charlène Duchanois, Cédric Laurent, Kévin Duarte, François Javaudin, Philippe Pes, Agnès Ricard-Hibon, Thomas Bizouard, Nicolas Bounaud, Olivier Morel, Tahar Chouihed","doi":"10.55633/s3me/108.2026","DOIUrl":"10.55633/s3me/108.2026","url":null,"abstract":"<p><strong>Objective: </strong>To describe temporal trends in prehospital obstetric care for unplanned out-of-hospital births (UOHBs), assess adherence to clinical practice guidelines, and identify areas for improvement in training and health care organization.</p><p><strong>Methods: </strong>We conducted a retrospective analysis using prospectively collected data from the French UOHB registry. A total of 3,473 births attended between October 2011 and June 2024 by 79 Emergency Medical Services centers were included. We analyzed temporal trends in maternal characteristics, modes of delivery, prehospital obstetric and neonatal care, and the main care-related time intervals.</p><p><strong>Results: </strong>Significant increases were observed in the interval from the call to the dispatch center to the arrival of the medical team (P = .01) and in the time from delivery to placental expulsion (P < .01). The use of prophylactic oxytocin for active management of placental delivery increased (P = .01). By contrast, neonatal blood glucose measurement (P = .01) and routine nasopharyngeal suctioning (P < .01) decreased. In neonatal care, in situ temperature measurement decreased (P < .01). The use of caps, polyethylene bags, and blankets decreased, whereas skin-to-skin contact and incubator use during transport increased. The proportion of newborns who received no thermal protection measures increased (P = .045).</p><p><strong>Conclusions: </strong>Periodic dissemination of clinical practice guidelines has been associated with relevant changes in prehospital practice and greater adherence to recommendations. Nevertheless, important challenges remain, including increased response times, the need to consolidate the systematic use of prophylactic oxytocin, and effective prevention of neonatal hypothermia.</p>","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"38 5","pages":"347-358"},"PeriodicalIF":6.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198499","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
Authors' reply. 作者的回答。
IF 6.3
Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2026-10-01 DOI: 10.55633/s3me/099.2026
Alberto Hernández Tejedor
{"title":"Authors' reply.","authors":"Alberto Hernández Tejedor","doi":"10.55633/s3me/099.2026","DOIUrl":"https://doi.org/10.55633/s3me/099.2026","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"38 5","pages":"400"},"PeriodicalIF":6.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198267","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
Impact and evolution of health care delivery following the mass influx across the Ceuta border: analysis of the first seven days. 大规模涌入休达边境后保健服务的影响和演变：前七天的分析。
IF 6.3
Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2026-10-01 DOI: 10.55633/s3me/105.2026
Alejandro Artero-García, Pascual Brieba-Del Río, Juan Gómez-Salgado, Javier Fagundo-Rivera, Ana María Antolí-Jover
{"title":"Impact and evolution of health care delivery following the mass influx across the Ceuta border: analysis of the first seven days.","authors":"Alejandro Artero-García, Pascual Brieba-Del Río, Juan Gómez-Salgado, Javier Fagundo-Rivera, Ana María Antolí-Jover","doi":"10.55633/s3me/105.2026","DOIUrl":"https://doi.org/10.55633/s3me/105.2026","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"38 5","pages":"388-390"},"PeriodicalIF":6.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198507","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
24-hour limit: development of a calculator to estimate mortality attributable to delayed admission from the emergency department in patients older than 75 years. 24小时限制：开发一种计算器来估计75岁以上患者因急诊延迟入院而导致的死亡率。
IF 6.3
Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2026-10-01 DOI: 10.55633/s3me/073.2026
César Carballo Cardona, Guillermo Burillo-Putze, Paloma Gallego Rodríguez
{"title":"24-hour limit: development of a calculator to estimate mortality attributable to delayed admission from the emergency department in patients older than 75 years.","authors":"César Carballo Cardona, Guillermo Burillo-Putze, Paloma Gallego Rodríguez","doi":"10.55633/s3me/073.2026","DOIUrl":"https://doi.org/10.55633/s3me/073.2026","url":null,"abstract":"<p><strong>Objective: </strong>To develop a clinical impact calculator aimed at estimating the number of potentially preventable in-hospital deaths associated with reducing emergency department stays exceeding 24 hours in patients aged 75 years or older.</p><p><strong>Methods: </strong>We developed a conceptual model based on hospital structural and health care delivery data and risk estimates derived from the scientific literature. Exposure was defined as waiting > 24 hours for hospital admission. Impact was estimated by calculating the attributable fraction among exposed individuals, applying different exposurereduction scenarios and performing sensitivity analyses.</p><p><strong>Results: </strong>The calculator enables transformation of relative risks derived from observational studies and meta-analyses into absolute estimates of potentially preventable deaths, expressed as monthly or annual periods. The estimated number of potentially preventable deaths was approximately 124 annual cases in the baseline scenario (RR, 1.3), reaching approximately 239 cases in higher-vulnerability scenarios (RR, 1.8). Although based on aggregated realworld data, these figures should be interpreted as population-level estimates derived from a model and do not constitute causal clinical validation. The model allows estimation of the impact of reducing the proportion of patients remaining in emergency departments for more than 24 hours on in-hospital mortality.</p><p><strong>Conclusions: </strong>Reducing prolonged waiting times for hospital admission from emergency departments could prevent a substantial number of in-hospital deaths among older patients. The developed tool facilitates consideration of the 24-hour limit as a patient safety standard and supports implementation of organizational strategies aimed at minimizing boarding.</p>","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"38 5","pages":"325-329"},"PeriodicalIF":6.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198485","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
Impact of overnight boarding in the emergency department on in-hospital mortality and length of hospital stay among older patients. 急诊科过夜寄宿对老年患者住院死亡率和住院时间的影响
IF 6.3
Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2026-10-01 DOI: 10.55633/s3me/097.2026
Agustín Fernández-Cisnal, Òscar Miró, Carla Boixeda, Christian Luis Di Paolo, Carolina Rangel, Luisa F Villate Robles, Laura Fernández Gutiérrez, Ernest Bragulat
{"title":"Impact of overnight boarding in the emergency department on in-hospital mortality and length of hospital stay among older patients.","authors":"Agustín Fernández-Cisnal, Òscar Miró, Carla Boixeda, Christian Luis Di Paolo, Carolina Rangel, Luisa F Villate Robles, Laura Fernández Gutiérrez, Ernest Bragulat","doi":"10.55633/s3me/097.2026","DOIUrl":"https://doi.org/10.55633/s3me/097.2026","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the association between overnight boarding in the emergency department after the decision to admit and in-hospital mortality and total episode duration among older patients admitted through the emergency department of a minimally overcrowded hospital in Boston (Massachusetts, United States).</p><p><strong>Methods: </strong>A retrospective cohort study was conducted using MIMIC-IV data from 2011 through 2019. Patients aged 65 years or older who were admitted through the emergency department and had a documented admission order were included; patients admitted to intensive care were excluded. Overnight boarding was defined as remaining in the emergency department until 8:00 AM, whereas controls were defined as patients who left the emergency department before midnight. Five sensitivity analyses were performed, with adjustment for age, sex, and comorbidity.</p><p><strong>Conclusions: </strong>In this selected low-risk cohort, overnight boarding was not associated with in-hospital mortality or total episode duration. However, the small number of events and the potential for selection bias preclude ruling out a harmful effect.</p>","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"38 5","pages":"330-338"},"PeriodicalIF":6.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198569","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
Effect of the global blackout in Spain exposure to carbon monoxide in Catalonia. 西班牙全球大停电对加泰罗尼亚一氧化碳暴露的影响。
IF 6.3
Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2026-10-01 DOI: 10.55633/s3me/051.2026
Vicenç Ferrés-Padró, Evangelos Papoutsidakis Kissandrakis, Dolors Ramírez Tarruella
{"title":"Effect of the global blackout in Spain exposure to carbon monoxide in Catalonia.","authors":"Vicenç Ferrés-Padró, Evangelos Papoutsidakis Kissandrakis, Dolors Ramírez Tarruella","doi":"10.55633/s3me/051.2026","DOIUrl":"https://doi.org/10.55633/s3me/051.2026","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"38 5","pages":"386-388"},"PeriodicalIF":6.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198430","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
Respiratory safety of ventilation synchronised with chest compressions: importance of the population evaluated. 同步胸外按压通气的呼吸安全：评估人群的重要性。
IF 6.3
Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2026-10-01 DOI: 10.55633/s3me/100.2026
Léo Pollet, Juliette Coryn, Stefano Malinverni
{"title":"Respiratory safety of ventilation synchronised with chest compressions: importance of the population evaluated.","authors":"Léo Pollet, Juliette Coryn, Stefano Malinverni","doi":"10.55633/s3me/100.2026","DOIUrl":"https://doi.org/10.55633/s3me/100.2026","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"38 5","pages":"399"},"PeriodicalIF":6.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198534","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
Reliability and utility analysis of the obstetric-gynecologic appropriateness of the SET Sistema Estructurado de Triaje® using clinical simulation. 使用临床模拟对SET Sistema Estructurado de Triaje®的妇产科适宜性进行可靠性和效用分析。
IF 6.3
Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2026-10-01 DOI: 10.55633/s3me/068.2026
M ª Pilar Costa-Gil, Mireia Subirana-Casacuberta, Alexandra García-Muriana, Beatriz Fernández-Parralejo, Martina Pérez-Pérez, Ester Risco
{"title":"Reliability and utility analysis of the obstetric-gynecologic appropriateness of the SET Sistema Estructurado de Triaje® using clinical simulation.","authors":"M ª Pilar Costa-Gil, Mireia Subirana-Casacuberta, Alexandra García-Muriana, Beatriz Fernández-Parralejo, Martina Pérez-Pérez, Ester Risco","doi":"10.55633/s3me/068.2026","DOIUrl":"https://doi.org/10.55633/s3me/068.2026","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"38 5","pages":"390-394"},"PeriodicalIF":6.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198491","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
Time spent in the emergency department prior to hospitalization: a wait that kills? 住院前在急诊科度过的时间：致命的等待？
IF 6.3
Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2026-10-01 DOI: 10.55633/s3me/110.2026
Pere Llorens
{"title":"Time spent in the emergency department prior to hospitalization: a wait that kills?","authors":"Pere Llorens","doi":"10.55633/s3me/110.2026","DOIUrl":"https://doi.org/10.55633/s3me/110.2026","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"38 5","pages":"321-322"},"PeriodicalIF":6.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198494","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
Sports betting, online gambling, and suicidal behavior: a relationship to consider in emergency departments. 体育博彩、在线赌博和自杀行为：急诊科要考虑的关系
IF 6.3
Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2026-10-01 DOI: 10.55633/s3me/036.2026
Manuel Isorna Folgar, Francisco Arias Horcajadas
{"title":"Sports betting, online gambling, and suicidal behavior: a relationship to consider in emergency departments.","authors":"Manuel Isorna Folgar, Francisco Arias Horcajadas","doi":"10.55633/s3me/036.2026","DOIUrl":"https://doi.org/10.55633/s3me/036.2026","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"38 5","pages":"381-383"},"PeriodicalIF":6.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198519","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
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