Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias最新文献_第3页

RUN-AIT protocol: results of the implementation of a multidisciplinary model in the management of transient ischemic attack. RUN-AIT协议：在短暂性脑缺血发作管理中实施多学科模型的结果。

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2025-06-01 DOI: 10.55633/s3me/032.2025

Emilio Montero-Ramírez, Soledad Pérez-Sánchez, Reyes De Torres-Chacón, Teresa Busquier-Cerdán, Carmen Navarro-Bustos, Joan Montaner

引用次数: 0

Characteristics and interventions in critical patients in spanish paediatric emergency departments: a prospective multicenter study. 西班牙儿科急诊科危重患者的特点和干预措施：一项前瞻性多中心研究。

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2025-06-01 DOI: 10.55633/s3me/009.2025

Yolanda Ballestero Díez, María Teresa Leonardo Cabello, Sara Anderez Catalán, Nicolás Martínez Miñambres, Leyre Nuim Irujo, Santiago Mintegi Raso

{"title":"Characteristics and interventions in critical patients in spanish paediatric emergency departments: a prospective multicenter study.","authors":"Yolanda Ballestero Díez, María Teresa Leonardo Cabello, Sara Anderez Catalán, Nicolás Martínez Miñambres, Leyre Nuim Irujo, Santiago Mintegi Raso","doi":"10.55633/s3me/009.2025","DOIUrl":"10.55633/s3me/009.2025","url":null,"abstract":"Objective: To describe the clinical characteristics and interventions performed on critically ill patients admitted to pediatric emergency departments (PED) in Spain.Methods: Study based on a prospective multicenter registry of 19 PED included in the critical patient working group of the Spanish Society of Pediatric Emergencies. We included critical patients under 18 years of age admitted to those PEDs on the 4th, 14th, and 24th of each month between February 2020 and January 2022 (2 years). Critical patient was defined as one who met at least one of the following criteria: admission to a pediatric intensive care unit, stabilization procedures of the airway or circulatory system in the PED.Results: During the study period, 116,138 episodes were registered in the PEDs, and 255 (0.2%) were critically ill patients (median age 15 months; medical conditions 232, 91.0%). Of these, 145 (56.9%) required airway stabilization and 19 (7.5%) circulatory procedures. Eighty-four (32.9%) received prehospital care, 9 requiring airway stabilization and 6 circulatory procedures (5 cardiac massage). In the PEDs, 233 patients (91.4%) required interventions, of which 15 (5.9%) were airway stabilization, 1 (0.4%) circulatory and 8 (3.1%) both. Ten patients died (3.9%).Conclusions: Critically ill patients are infrequent in Spanish PEDs. The high rate of procedures performed emphasizes the importance of adequate training of healthcare pre-hospital and in-hospital professionals.","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 3","pages":"215-219"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328106","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

Prehospital intubation as a prognostic factor related to survival in polytrauma patients in Navarre: a retrospective cohort study. 院前插管作为纳瓦拉多发创伤患者生存相关的预后因素：一项回顾性队列研究

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2025-06-01 DOI: 10.55633/s3me/031.2025

Daniel Zulet Murillo, Marta Ferraz Torres, Mariano Fortún Moral, Tomás Belzunegui Otano, Ibai Tamayo Rodríguez, Fernando Rosell Ortiz

{"title":"Prehospital intubation as a prognostic factor related to survival in polytrauma patients in Navarre: a retrospective cohort study.","authors":"Daniel Zulet Murillo, Marta Ferraz Torres, Mariano Fortún Moral, Tomás Belzunegui Otano, Ibai Tamayo Rodríguez, Fernando Rosell Ortiz","doi":"10.55633/s3me/031.2025","DOIUrl":"10.55633/s3me/031.2025","url":null,"abstract":"Objective: To study factors associated with prehospital orotracheal intubation and the association between intubation and survival in polytrauma patients.Methods: Retrospective observational cohort study. Cases were entered into the Major Trauma Registry of the Spanish autonomous community of Navarre between January 1, 2010, and December 31, 2019. We analyzed associations between clinical and demographic variables and the performance of prehospital intubation and survival. Multivariate logistic regression was used with mortality adjusted by inverse probability of treatment to control forconfounding factors.Results: Of the 1909 patients attended, responders performed prehospital orotracheal intubations in 212 patients (11.1%). Intubation was associated with more severe trauma (Injury Severity Score, 35.9 vs 25.6 for patients not intubated and New Injury Severity Score [NISS], 43.8 vs 32.3) (P .001, both scores). Survival was lower in patients who were intubated before adjustment for other factors; however, after adjustment, intubation was not significantly associated with survival. Odds ratios (OR) showed that the factors most strongly associated with poor survival were advanced age , base excess, and 2 trauma scales, as follows: age OR, 1.06 (95%CI, 1.04-1.09); base excess OR, 0.92 (95% CI, 0.86-0.98); Revised Trauma Score (RTS) OR, 0.52 (95% CI, 0.39-0.67); and NISS OR, 1.04 (95% CI, 1.02-1.06).Conclusions: Prehospital orotracheal intubation is associated with greater injury severity but not with survival. Predictors of mortality were advanced age, base excess, and trauma severity (RTS and NISS scores).","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 3","pages":"170-176"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328210","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

Usefulness of the mSOFA scale for the prognostic assessment of patients diagnosed with sepsis in a hospital emergency department. mSOFA量表对医院急诊科诊断为败血症患者的预后评估的有效性

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2025-06-01 DOI: 10.55633/s3me/040.2025

Raúl López Izquierdo, Carlos Del Pozo Vegas, Antonio Del Rey Vieria, Inmaculada García Rupérez, Ancor Sanz García, Francisco Martín Rodríguez

引用次数: 0

Noninvasive multimodal monitoring of intracranial pressure at high altitude with transcranial color-coded duplex sonography of the middle cerebral artery. 经颅大脑中动脉彩色编码双超无创多模态监测高原颅内压。

IF 6.3

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2025-06-01 DOI: 10.55633/s3me/029.2025

Adrián Ávila-Hilari, Fausto Maldonado Coronel, Manuel Luis Avellanas-Chavala

引用次数: 0

REPOCUR: thyrty-day risk model in adult patients with acute exacerbation of chronic obstructive pulmonary disease (COPD) discharged from the emergency department. 从急诊科出院的慢性阻塞性肺疾病（COPD）急性加重的成人患者的30天风险模型

IF 6.3

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2025-06-01 DOI: 10.55633/s3me/051.2025

Raúl Alonso Avilés, Carlos Del Pozo Vegas, Raúl López Izquierdo, José Eugenio Lozano Alonso, Marina Jimeno Asensio, Ramón Rodríguez Borrego, Carmen Peñalver Barrios

{"title":"REPOCUR: thyrty-day risk model in adult patients with acute exacerbation of chronic obstructive pulmonary disease (COPD) discharged from the emergency department.","authors":"Raúl Alonso Avilés, Carlos Del Pozo Vegas, Raúl López Izquierdo, José Eugenio Lozano Alonso, Marina Jimeno Asensio, Ramón Rodríguez Borrego, Carmen Peñalver Barrios","doi":"10.55633/s3me/051.2025","DOIUrl":"10.55633/s3me/051.2025","url":null,"abstract":"Objective: Design a risk model to predict adverse outcome (AO) 30 days after discharge in adult patients treated for acute exacerbation (AE) of chronic obstructive pulmonary disease (COPD) in emergency departments (EDs).Methods: PREURG was a prospective, observational, multi-purpose, multicenter cohort registry. Phone calls were made as part of a 30-day follow-up. The main variable was the presence of any AO (recurrence of COPD AE, ED revisit, hospitalization, institutionalization, or death) 30 days after being discharge from the ED.Results: The study included a total of 931 patients with COPD AE (23.4% women and 76.6% men) discharged from the ED with follow-up data; 322 (34.6%) had an AO 30 days after being discharge from the ED. The REPOCUR model included the variable sex (OR for men of 1.50 [95%CI, 1.06-2.15]), severe COPD AE type (OR, 3.15 [95%CI, 2.02-5.04]), $ 2 COPD AE/year (OR, 1.64 [95%CI, 1.20-2.24]), and $ 4 ED visits/year (OR, 2.15 [95%CI, 1.52-3.04]). Each item is worth 1 point. The risk of experiencing an AO at 30 days with a score of 1 is 22.5%; 35.0% with a score of 2; 50.0% with a score of 3; and 65.1% with a score of 4. The area under the curve is 0.67 (95%CI, 0.64-0.71).Conclusions: The REPOCUR model could be a useful prognostic tool to identify adult patients with COPD AE and a high risk of exhibing AO at 30 days after being discharged from the emergency department.","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 4","pages":"251-258"},"PeriodicalIF":6.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983789","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

Older adults and low-severity emergencies: oversue of hospital emergency services? 老年人和低严重的紧急情况：医院急救服务的过度？

IF 6.3

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2025-06-01 DOI: 10.55633/s3me/065.2025

Mireia Puig-Campmany, Josep Ris-Romeu

引用次数: 0

Gender-based screening bias in HIV. 艾滋病毒基于性别的筛查偏见。

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2025-06-01 DOI: 10.55633/s3me/039.2025

Neus Robert Boter, Jordi Llaneras Artigas, Andrés Martínez Arias, Connie Leey, Ignacio Ferro, Josep Mª Guardiola Tey

引用次数: 0

Study of initial natriuresis in patients with acute heart failure presenting to hospital emergency departments. 急诊科急性心力衰竭患者初始尿钠的研究。

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2025-06-01 DOI: 10.55633/s3me/037.2025

Antoni Haro, Irene Cabello, Nieves López-Delmas, Lidia Fuentes, Pierre Malchair, Javier Jacob

引用次数: 0

Emergency departments in critical situation: towards a framework for structural identification and action. 危急情况下的紧急部门：建立结构识别和行动框架。

IF 6.3

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Pub Date : 2025-06-01 DOI: 10.55633/s3me/049.2025

César Carballo Cardona

引用次数: 0