An Sist Sanit Navar
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An Sist Sanit Navar · May 2006
[Clinical profile and impact of the unscheduled return to Emergency Department by elders].
The characteristics of patients aged 65 years and over that return to the Emergency Department (ED) have not been sufficiently analysed. The aim of this study is to determine the differentiating elements of the elderly that return to ED and evaluate the impact on them of such a return. ⋯ There are differences between the elderly patients that return and those who do not, and also with respect to young adults. The impact of return on this group of patients is reflected in the high rates of admission to hospital. An adaptation of resources to the special needs of this type of user in ED would be advisable.
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An Sist Sanit Navar · Jan 2006
Case Reports[Pulmonary alveolar proteinosis and crazy paving pattern in high resolution CT].
We present a case of pulmonary alveolar proteinosis in a 27 year old male, in which high resolution computerised tomography shows a typical crazy paving pattern. This test led to a specific differential diagnosis, in spite of the lack of specificity in the clinical presentation. The bronchoalveolar wash was not conclusive and the definitive diagnosis was made with a transbronchial biopsy. We review the most characteristic aspects of this rare disease and of the crazy paving pattern in high resolution CT.
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An Sist Sanit Navar · May 2005
Comparative Study[Prognostic value of the reception, attendance and classification of patients in the emergency department of a tertiary hospital].
The objective of this investigation is to study the usefulness, validity and reproducibility of the reception, attendance and classification of emergency cases employed by nurses in the emergency department of a tertiary hospital (Hospital de Navarra, Pamplona, Spain) (RACHN). ⋯ The RACHN triage system depends primarily on the protocol established by the nurse that carries out triage. We have found a good degree of concordance between triage carried out by the nurse using the RACHN and that determined by the doctor. We believe the discrepancy can be reduced by establishing a five level scale of severity and by carrying out periodic reviews of the RACHN.