Emergencias
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Comparative Study Clinical Trial
[Intervention to reduce the impact of light and noise on sleep in an emergency department observation area].
To study quality of patient rest before and after an intervention to reduce nighttime light and noise in the emergency department observation area of an urban hospital. ⋯ Nighttime rest in emergency department observation areas is affected by ambient light and noise more than by other variables. Reducing light and noise at night can measurably improve patients' rest.
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Observational Study
[Acute complicated and uncomplicated pyelonephritis in the emergency department: process-of-care indicators and outcomes].
To assess process-of-care indicators and outcomes in acute pyelonephritis (APN) in a general hospital emergency department, and compare them between uncomplicaed and complicated APN. ⋯ Complicated APN is diagnosed more often in older patients, and E coli infection causes a smaller proportion of these cases. Hospital LOS is longer in complicated APN and more urine and blood cultures are ordered. Patients with uncomplicated APN are more often discharged from the emergency department, although the number of avoidable hospitalizations seems high based on the rate found in this study.
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To analyze and compare measurements of spine kinematics during prehospital emergency responders' placement of a patient on a spinal backboard or a scoop stretcher. ⋯ Less misalignment occurs during placement on the scoop stretcher than on the spinal backboard.
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Editorial Comment
Acute heart failure in Spain: certainties and uncertainties.