Emergencias
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Multicenter Study Observational Study
180-day risk of mortality in older patients admitted to short-stay units: the 6-Month Short-Stay Unit (6M UCE) Score.
To develop a multidimensional score to assess risk of death for patients of advanced age 180 days after their admission to short-stay units (SSUs). ⋯ The SSU score could be useful for stratifying risk of death within 6 months of SSU admission of older patients, so that type of care can be tailored to risk.
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Diagnosing or ruling out acute myocardial infarction (AMI) is a challenge faced daily in emergency departments. AMI evaluation usually requires the measurement of the cardiac troponin (cTn) concentration. The use of this biomarker improves AMI diagnosis provided the concentrations are properly interpreted in the context of the patient's condition and according to standard recommendations. ⋯ The authors recommend measuring the cTn concentration if AMI is suspected in emergency patients, whether the newest high-sensitivity cTn assays or the so-called contemporary ones are used. Diagnostic algorithms based on up-to-date evidence are also presented. The consensus statement aims to serve as a clinical practice guideline for using cTn assays to enhance the efficient differential diagnosis of acute coronary syndromes in the emergency department.