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

{"title":"Diagnostic performance of telephone triage for nontraumatic chest pain in the emergency coordination center: a population-based study in Andalusia.","authors":"Carlos Romero-Olóriz, María José Luque-Hernández, Cristina López-López, Auxiliadora Caballero-García, Juan Antonio Péculo Carrasco, Miguel Ángel Armengol de La Hoz","doi":"10.55633/s3me/101.2025","DOIUrl":"https://doi.org/10.55633/s3me/101.2025","url":null,"abstract":"<p><strong>Objective: </strong>To assess the diagnostic performance of the Emergency Coordination Center (CCUE) in identifying priority one or emergent cases among calls reporting nontraumatic chest pain.</p><p><strong>Methods: </strong>This retrospective diagnostic performance study (2020-2024) analyzed a total of 248,116 calls categorized as nontraumatic chest pain, of which 97,905 included a clinical diagnosis. The assigned priority level was compared with the clinical diagnosis established by the out-of-hospital medical team, which served as the reference standard. Diagnostic performance metrics were calculated according to sociodemographic, territorial, and methodological variables. Uni- and multivariate analyses were conducted to identify factors associated with under- and overtriage.</p><p><strong>Results: </strong>Undertriage occurred in 7.1% of cases and overtriage in 77.4%. Overall accuracy rate was 48.1%; sensitivity rate, 84.7%; and specificity rate, 40.6%. The positive predictive value was 22.6%, and the negative predictive value was 92.9%. Structured triage (GTTA23) showed lower sensitivity (78.9% vs 91.0%; P .001) but higher specificity (44.2% vs 31.6%; P .001), with a trend toward lower undertriage (6.6% vs 10.7%; P = .180) and higher overtriage (82.6% vs 61.8%; P .001) vs direct assignment. Interprovincial differences were low to moderate. In multivariate analysis, undertriage was associated with older age, home care, and nighttime calls, while female sex was protective. Overtriage was more likely among women, in public settings, and when coordination time was shorter.</p><p><strong>Conclusions: </strong>The diagnostic performance of the CCUE for nontraumatic chest pain shows adequate sensitivity but low specificity, with acceptable undertriage and high overtriage. Structured triage improves the balance between safety and efficacy, although differences persist according to sex, age, and care setting.</p>","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 6","pages":"433-441"},"PeriodicalIF":6.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146032134","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":"Simulation of an AI-assisted workflow for emergency department triage: a comparative efficiency study.","authors":"Alejandro Martín-Quirós, Milagros Jaen Cañadas, Paula Miralles Atencia, Víctor Gómez Carrillo, Laura Ávila Huertas, Francisco Miralles Linares","doi":"10.55633/s3me/086.2025","DOIUrl":"https://doi.org/10.55633/s3me/086.2025","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 6","pages":"476-478"},"PeriodicalIF":6.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146032161","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":"The role of artificial intelligence in interpreting radiological images in emergency departments.","authors":"Raúl López Izquierdo","doi":"10.55633/s3me/090.2025","DOIUrl":"https://doi.org/10.55633/s3me/090.2025","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 6","pages":"403-404"},"PeriodicalIF":6.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146032095","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":"Home hospitalization from the emergency department: benefitis and remaining challenges.","authors":"José Manuel Fandiño Orgeira","doi":"10.55633/s3me/103.2025","DOIUrl":"https://doi.org/10.55633/s3me/103.2025","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 6","pages":"401-402"},"PeriodicalIF":6.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146032176","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 and epidemiological characteristics of patients with intentional self-poisoning.","authors":"Rafael Perelló, Cristobal Montilla, Sara Anaya, August Supervía, Alejandra Losada, Jordi Puiguriguer, Bartolomé Verd, Xavier Durán, Marta Torrens, Gabriel Vallecillo","doi":"10.55633/s3me/085.2025","DOIUrl":"https://doi.org/10.55633/s3me/085.2025","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 6","pages":"478-480"},"PeriodicalIF":6.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146032158","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":"The difficult art of telephone triage: a middle ground between safety and efficacy.","authors":"Beatriz López Barbeito","doi":"10.55633/s3me/100.2025","DOIUrl":"https://doi.org/10.55633/s3me/100.2025","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 6","pages":"409-410"},"PeriodicalIF":6.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146032182","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":"Crowding, boarding, outlying, and other risky practices best avoided.","authors":"Josep M Mòdol Deltell, Javier Santesmases Ejarque","doi":"10.55633/s3me/079.2025","DOIUrl":"10.55633/s3me/079.2025","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 5","pages":"332-334"},"PeriodicalIF":6.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145440388","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":"A la sombra de la urgencia.","authors":"F Javier Montero-Pérez","doi":"10.55633/s3me/083.2025","DOIUrl":"https://doi.org/10.55633/s3me/083.2025","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 5","pages":"389-390"},"PeriodicalIF":6.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145440229","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":"Semisynthetic cannabinoids: the intoxication ahead.","authors":"Miguel Galicia Paredes","doi":"10.55633/s3me/012.2025","DOIUrl":"https://doi.org/10.55633/s3me/012.2025","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 5","pages":"387-388"},"PeriodicalIF":6.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145440297","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":"The importance of measuring the intensity of care provided by emergency nursing.","authors":"Montserrat Amigó Tadín","doi":"10.55633/s3me/075.2025","DOIUrl":"https://doi.org/10.55633/s3me/075.2025","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 5","pages":"321-322"},"PeriodicalIF":6.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145440315","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}