Emergencias
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Comparative Study
Risk models for predicting in-hospital mortality from COVID-19 pneumonia in the elderly.
To compare the prognostic value of 3 severity scales: the Pneumonia Severity Index (PSI), the CURB-65 pneumonia severity score, and the Severity Community-Acquired Pneumonia (SCAP) score. To build a new predictive model for in-hospital mortality in patients over the age of 75 years admitted with pneumonia due to the coronavirus disease 2019 (COVID-19). ⋯ This study shows that the predictive power of the PSI for mortality is moderate and perceptibly higher than the CURB-65 and SCAP scores. We propose a new predictive model for mortality that offers significantly better performance than any of the 3 scales compared. However, our model must undergo external validation.
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To describe current attitudes toward screening for undiagnosed human immunodeficiency virus (HIV) infection in Spanish hospital emergency departments (EDs). To describe staff willingness to implement screening protocols and the obstacles they foresee. ⋯ There is considerable room for improvement in hospital ED screening for undiagnosed HIV infection. Some measures aimed at better screening would be more acceptable to the surveyed EDs, but there are marked differences in attitudes between autonomous communities.