Emergencias
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Observational Study
Biological markers and follow-up after discharge home of patients with COVID-19 pneumonia.
The time lapse between onset of symptoms and a call to an emergency dispatch center (pain-to-call time) is a critical prognostic factor in patients with chest pain. It is therefore important to identify factors related to delays in calling for help. ⋯ Pain-to-call delays were longer in women and older patients, especially at night. These age and gender differences identify groups that would benefit most from health education interventions.
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To identify predictors of primary angioplasty delay in patients with ST-elevation myocardial infarction (STEMI) transported from out-of-hospital sites or from hospitals without percutaneous coronary intervention (PCI) suites. ⋯ Patients with STEMI who required transport to a hospital with a PCI suite experienced primary angioplasty delays. Delays were related to logistical and clinical factors as well as to infarction characteristics.
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To study the effect of high-risk criteria on 30-day outcomes in frail older patients with acute heart failure (AHF) discharged from an emergency department (ED) or an ED's observation and short-stay areas. ⋯ Risk factors are common in frail elderly patients with AHF discharged home from hospital ED areas. Their presence is associated with a worse 30-day prognosis.
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Emergency call dispatch centers have changed greatly over the years leading up to the management and coordination centers we have today. This paper describes how those changes unfolded and the Spanish and European Union (EU) legislation that promoted them. We also describe case volume and response times for the single EU emergency number (112). Conclusions suggest that the Spanish model meets the requirements and challenges set forth in the Universal Service Directive of the European Electronic Communications Code (EECC) and the cross-border cooperation process.