Emergencias
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Observational Study
[Elevated troponin I level in patients discharged home directly from the emergency department: prognostic value for 1-year mortality].
To study the prognostic role of elevated troponin I levels in patients discharged home directly from a hospital emergency department. ⋯ A raised troponin I level is an independent predictor of 1-year mortality in patients for whom this test is ordered at least once and who are discharged home directly from a hospital emergency service.
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Comparative Study Observational Study
[Comparison of dressings and devices to secure peripheral venous catheters in the emergency department: suitability according to patient profile].
To identify the most suitably designed dressings and devices to secure peripheral venous catheters (PVCs) in different types of patients. To evaluate the traction force the dressings could withstand and times they are able to keep the PVC in place in the emergency department. ⋯ Design C was able to withstand greater forces in the traction tests. Extra surgical tape significantly improved resistance to traction when a stopcock was used. Using a Steri-strip with the Tegaderm device increased resistance to traction, although the improvement was less than that obtained with the Omnifix. The Tegaderm plus Omnifix design was significantly more resistant to traction than the Tegaderm by itself at only a slightly higher cost; the combination design, therefore, may be more recommendable. However, our results for resistance, cost, and application time showed that the Omnifix (desing B) is the best choice for securing a PVC.
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Observational Study
[Factors related to lack of autonomous mobility during out-of-hospital emergency care].
To explore the frequency of lack of autonomous mobility and factors related to it in patients requiring prehospital emergency services. ⋯ The profile we identified for patients and situations in which patients cannot move autonomously during prehospital emergency care can be used to plan preventive strategies to ensure patient safety.