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

{"title":"Authors' reply.","authors":"Santiago Nogué-Xarau, Montserrat Amigó-Tadin, José Ríos-Guillermo","doi":"10.55633/s3me/085.2024","DOIUrl":"https://doi.org/10.55633/s3me/085.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 1","pages":"79-80"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082821","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":"Alkalosis during emergency department evaluation of acute heart failure: Is there an association with mortality?","authors":"Òscar Miró, María José Fortuny, Begoña Espinosa, Aitor Alquézar-Arbé, Javier Jacob, Joan Carles Trullàs, Oriol Aguiló, Víctor Gil, Andrea Bellido, Pere Llorens","doi":"10.55633/s3me/003.2025","DOIUrl":"10.55633/s3me/003.2025","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the possible association between a finding of plasma alkalosis in patients diagnosed with acute heart failure (AHF) in the emergency department (ED) and in-hospital mortality.</p><p><strong>Methods: </strong>Cases of AHF were identified in the registry for Epidemiology of Acute Heart Failure in Emergency Departments (EAHFE), which comprises entries for 24 248 episodes diagnosed in 53 Spanish EDs. Studied cases were those with registered plasma pH levels determined by analysis of acid-base equilibrium in the ED. Patients in the alkalosis group (AG) had a plasma pH greater than 7.45. Controls cases had a pH between 7.35 and 7.45. We gathered epidemiologic and comorbidity data, chronic medications, baseline status variables, and characteristics related to the decompensation episode and its severity. The outcome measure was in-hospital mortality from any cause. Logistic regression was used to analyze crude and adjusted associations between alkalosis and mortality, expressed as odds ratios (ORs) and 95% CIs.</p><p><strong>Results: </strong>A total of 2522 AG cases and 8526 controls were studied. Betwee-group differences included age (AG patients were older), number of comorbidities and chronic medications (notably, more loop diuretics in AG patients), and multiple variables related to the AHF episode. In-hospital all-cause mortality was similar (AG, 7.5%; controls, 7.0%): crude and adjusted ORs, 1.062 (95% CI, 0.896-1.259) and 1.023 (95% CI, 0.854-1.225), respectively. In the AG, 676 patients had probable metabolic alkalosis (PCO2 > 40 mmHg) and 937 had probable respiratory alkalosis (PCO2 35 mmHg). Inhospital mortality was 9.3% in the probable metabolic alkalosis subgroup and 6.7% in the probable respiratory alkalosis subgroup: crude and adjusted ORs, 1.258 (95% CI, 0.942-1.681) and 0.919 (95% CI, 0.695-1.215), respectively.</p><p><strong>Conclusions: </strong>This retrospective analysis of cases in the EAHFE registry found no association between alkalosis and higher in-hospital mortality after AHF. Nor were significant associations found when we analyzed mortality related to probable metabolic vs respiratory alkalosis.</p>","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 1","pages":"23-30"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082746","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":"Don't go to the ER, Don Quixote!","authors":"Antonio Juan Pastor","doi":"10.55633/s3me/107.2024","DOIUrl":"https://doi.org/10.55633/s3me/107.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 1","pages":"67-68"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082890","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":"Nitric oxide for pain management in renal colic: the before-after NEPHROPAIN study.","authors":"François Saget, Etienne Paulhet, Yanis Berkane, Cédric Gangloff, Alexandre Tanneau, Louis Soulat","doi":"10.55633/s3me/102.2024","DOIUrl":"https://doi.org/10.55633/s3me/102.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 1","pages":"71-73"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082921","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":"Care of hospital emergency department patients with suspected chemical submission and toxicology results.","authors":"Enrique Torres Rodríguez, Alberto Iglesias Sigüenza, Elena Méndez","doi":"10.55633/s3me/097.2024","DOIUrl":"https://doi.org/10.55633/s3me/097.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 1","pages":"77-78"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082826","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":"Inclusion of formal debriefing after mass casualty incidents: the Valencia Debriefing Model.","authors":"Manuel Pons Claramonte, Germán Mauricio Azcárraga Hurtado, María Asunción Pérez Martínez, Pere Herrera de Pablo","doi":"10.55633/s3me/088.2024","DOIUrl":"https://doi.org/10.55633/s3me/088.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 1","pages":"61-63"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082916","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":"Recomendaciones de derecho penal sanitario para facultativos en los casos de fallecimientos posteriores al alta de urgencias.","authors":"Christian Conal Fuertes","doi":"10.55633/s3me/069.2024","DOIUrl":"10.55633/s3me/069.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 1","pages":"76-77"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082959","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":"Relationship between the Charlson index and emergency department revisits for exacerbation of chronic obstructive pulmonary disease.","authors":"María García Palacios, César Cinesi Gómez, Pascual Piñera Salmerón","doi":"10.55633/s3me/090.2024","DOIUrl":"https://doi.org/10.55633/s3me/090.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 1","pages":"76"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082960","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":"Multicenter study of adolescent suicide attempts by poisoning: social, epidemiological, and clinical characteristics.","authors":"Lorena Algarrada Vico, Lidia Martínez-Sánchez, Irene Baena Olomí, Consuelo Benito Caldés, Ana Rodríguez Varela, Victoria López-Corominas, Jara Gaitero Tristán, Liliana Mangione Cardarella, Ana Peñalba Cítores, Jose Ángel Muñoz Bernal, Beatriz Azkunaga Santibáñez, Francisco Javier Humayor Yáñez, María Dolores Rodríguez Mesa, Nuria Clerigué Arrieta, Helvia Benito Pastor, Begoña De Miguel Lavisier, Neus Pociello Almiñana, Anna Pizà Oliveras, Pablo Gómez Garrido, Teresa Núñez Rebollo, Paula Vázquez López","doi":"10.55633/s3me/061.2024","DOIUrl":"10.55633/s3me/061.2024","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the social, epidemiological, and clinical characteristics of patients brought to Spanish pediatric emergency departments (EDs) after suicide attempts by poisoning. A secondary objective was to identify risk factors for moderate-severe poisoning.</p><p><strong>Methods: </strong>Prospective multicenter cohort study. We included patients under the age of 18 years who were brought to 20 Spanish pediatric EDs after attempting suicide between January 2021 and June 2022. Case histories were reviewed and the patients were interviewed. A Poisoning Severity Score of 2 or more was classified as moderate-severe.</p><p><strong>Results: </strong>A total of 592 episodes were studied; 541 of the patients (91.4%) were girls. The median (P25-P75) age was 14.6 years (13.6-15.7 years). A psychiatric diagnosis had been made in 417 (70.4%), 334 (56.4%) had attempted suicide previously, and 409 (69.1%) had been victims of bullying. Medications were ingested by 584 (98.6%). The most often used were benzodiazepines (used by 222; 37.5%) and paracetamol (by 187; 31.6%). Fifty-three poisonings were classified as moderate-severe. A mental health evaluation was carried out in 585 cases (98.8%). Odds ratios (ORs) indicated that higher risk of moderate-severe poisoning was associated with having an adjustment disorder (OR, 3.2; P25-P75, 1.1-9.0; P = .027), using opioids (OR, 6.4; P25-P75, 1.2-35.4; P = .032), and taking of antidiabetic drugs (OR, 27.6; P25-P75, 1.2-634.9; P = .038). Being a victim of bullying (OR, 0.4; P25-P75, 0.2-0.8; P = .013] and using nonsteroidal anti-inflammatory drugs (OR, 0.3; P25-P75, 0.1-0.8; P = .020) decreased risk.</p><p><strong>Conclusions: </strong>Pediatric ED visits for suicide attempts by poisoning occur mainly in adolescent girls, and a majority have a medical history of a psychiatric diagnosis, prior suicide attempts, or self-harm behaviors. They have also often experienced bullying. Characteristics that distinguish patients with moderate-severe poisoning are the presence of an adjustment disorder and the use of opioids and antidiabetic drugs, which confer risk for greater severity.</p>","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"36 6","pages":"438-446"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142981035","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":"Emergency department revisits after discharge and the clinical pharmacist's role: controversy and coincidence.","authors":"Carlos Del Pozo Vegas, Raúl López-Izquierdo, Antonio Dueñas-Ruiz","doi":"10.55633/s3me/081.2024","DOIUrl":"https://doi.org/10.55633/s3me/081.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"36 6","pages":"478"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980966","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}