Emergencias
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Multicenter Study Observational Study
Clinical course in older patients diagnosed with syncope treated in Spanish emergency departments: results from the Emergency Department and Elder Needs-17 study.
To study factors associated with hospitalization in an unselected population of patients aged 65 years or older treated for syncope in Spanish hospital emergency departments (EDs). To determine the prevalence of adverse events at 30 days in patients discharged home and the factors associated with such events. ⋯ The majority of patients aged 65 years or older are discharged home from EDs, and 30-day adverse events, while infrequent, are difficult to predict. Hospitalization was related to comorbidity and an absence of cognitive decline.
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Multicenter Study Observational Study
Concordance between risk scales for venous thromboembolism in patients treated in emergency departments.
To evaluate agreement between risk-assessment models for venous thromboembolism (VTE) in patients hospitalized for medical conditions and to analyze variables associated with the decision to prescribe pharmacological thromboprophylaxis in hospital emergency departments (EDs). Conclusions. ⋯ There is disagreement among the recommended models for predicting risk for VTE in patients hospitalized for medical conditions. The basis for emergency physicians' clinical judgment regarding thromboprophylaxis extends beyond risk scales to include multiple risk factors for VTE and bleeding.
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Multicenter Study Observational Study
Identifying risk for status epilepticus with the ADAN scale: a prospective multicenter validation study.
Status epilepticus (SE) is a serious event associated with high mortality. This study aims to validate the recently developed ADAN (Abnormal speech, ocular Deviation, Automatisms, and Number of motor epileptic seizures) scale for detecting high risk for SE. ⋯ The ADAN scale is a prospectively validated, simple clinical tool for identifying patients in the ED who are at high risk for SE.
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Multicenter Study
Prophylaxis of venous thromboembolism in hospitalized patients admitted from Spanish emergency departments: the PROTESU II study.
To estimate the prevalence of inappropriate use of prophylaxis to prevent venous thromboembolism (VTE) in patients with medical diseases admitted to hospital from the emergency department. To explore variables associated with inappropriate thromboprophylaxis. ⋯ The inappropriate use of thromboprophylaxis in Spanish emergency departments is high and associated with certain clinical characteristics.
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Multicenter Study
Restrictive calcium replacement in septic shock: a multicenter before-after intervention study.
To study the impact of a restrictive calcium replacement protocol in comparison with a liberal one in patients with septic shock. ⋯ The implementation of a restrictive calcium replacement protocol in patients with septic shock was not associated with a decrease in 28-day mortality in comparison with use of a liberal protocol. However, we were able to reduce calcium replacement without adverse effects.