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1. Overnight stay in Spanish emergency departments and mortality in older patients

Author

Miró, Òscar, Aguiló, Sira, Alquézar-Arbé, Aitor, Fernández, Cesáreo, Burillo, Guillermo, Martínez, Sergio Guzmán, Larrull, María Esther Martínez, Periago, Andrea B. Bravo, Molinas, Claudia Lorena Amarilla, Falcón, Carolina Rangel, Dacosta, Paz Balado, Flores, Rudiger Carlos Chávez, Calzada, Jorge Navarro, Blesa, Eva María Fragero, Martín, Manuel Ángel Palomero, Requena, Ángela Cobos, Fuentes, Lidia, Cortizo, Isabel Lobo, Garcinuño, Pablo González, García, María Bóveda, Del Valle, Pedro Rivas, Campos, Raquel Benavent, Jiménez, Verónica Castro, Cuñado, Vanesa Abad, Gutiérrez, Olga Trejo, del Mar Sousa Reviriego, María, Roussel, Melanie, and del Castillo, Juan González

Published
2024
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2. Use of resources in elderly patients consulting the emergency department: analysis of the Emergency Department and Elder Needs Cohort (EDEN-21)

Author

Fuentes, Elena, Jacob, Javier, del Castillo, Juan González, Montero-Pérez, Francisco Javier, Alquezar-Arbé, Aitor, García-Lamberechts, Eric Jorge, Aguiló, Sira, Fernández-Alonso, Cesáreo, Burillo-Putze, Guillermo, Piñera, Pascual, Llauger, Lluís, Vázquez-Rey, Verónica, Carrasco-Fernández, Elena, Juárez, Ricardo, Blanco-Hoffman, María José, de las Nieves Rodríguez, Eva, Rios-Gallardo, Rafaela, Berenguer-Diez, María Amparo, Guiu, Sandra, López-Laguna, Nieves, Delgado-Sardina, Violeta, Diego-Robledo, Francisco Javier, Ezponda, Patxi, Martínez-Lorenzo, Andrea, Ortega-Liarte, Juan Vicente, García-Rupérez, Inmaculada, Borne-Jerez, Setefilla, Gil-Rodrigo, Adriana, Llorens, Pere, and Miró, Òscar

Published
2024
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3. Hyperactive delirium during emergency department stay: analysis of risk factors and association with short-term outcomes

Author

Miró, Òscar, Osorio, Gina, Alquézar-Arbé, Aitor, Aguiló, Sira, Fernández, Cesáreo, Burillo, Guillermo, Jacob, Javier, Llorens, Pere, Llauger, Lluís, Peláez González, Ángel, Figuera Castro, Edmundo Ramón, Juarez González, Ricardo, Blanco Hoffman, María José, Fernandez Salgado, Fátima, Pablos Pizarro, Teresa, Berenguer Díez, María Amparo, Truyol Más, Marina, López-Laguna, Nieves, Garcia Acosta, Jacinto, Fernandez Domato, Carmen, Diego Robledo, Francisco Javier, Ezponda, Patxi, Martinez Lorenzo, Andrea, Ortega Liarte, Juan Vicente, García Rupérez, Inmaculada, Borne Jerez, Setefilla, Corugedo Ovies, Claudia, Gallardo Sánchez, Blanca Andrea, and Del Castillo, Juan González

Published
2024
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4. Predictive usefulness of qSOFA, NEWS and GYM scores in the elderly patient: EDEN-5 study

Author

García-Lamberechts, Eric Jorge, Fuentes Ferrer, Manuel, Fernández-Alonso, Cesáreo, Burillo-Putze, Guillermo, Aguiló, Sira, Alquezar-Arbé, Aitor, Montero-Pérez, Francisco Javier, Jacob, Javier, Piñera Salmerón, Pascual, Salido Mota, Manuel, Marchena, Maria José, Martínez Alonso, Alba, Chacón García, Ana, Güemes de la Iglesia, Cristina, Troiano Ungerer, Osvaldo Jorge, Eiroa-Hernández, Patricia, Parra-Esquivel, Patricia, Lázaro Aragüés, Paula, Gantes Nieto, Patricia, Cuerpo Cardeñosa, Sandra, Chacón García, Cristina, Serrano Lázaro, Leticia, Caballero Martínez, María, Guillen, Lara, Muñoz Martos, Rocío, González del Castillo, Juan, and Miró, Òscar

Published
2024
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5. Utilidad predictiva de mortalidad de las escalas qSOFA, NEWS y GYM en el paciente anciano con infección en urgencias: estudio EDEN-5

Author

García-Lamberechts, Eric Jorge, Fuentes Ferrer, Manuel, Fernández-Alonso, Cesáreo, Burillo-Putze, Guillermo, Aguiló, Sira, Alquezar-Arbé, Aitor, Montero-Pérez, Francisco Javier, Jacob, Javier, Piñera Salmerón, Pascual, Salido Mota, Manuel, Marchena, Maria José, Martínez Alonso, Alba, Chacón García, Ana, Güemes de la Iglesia, Cristina, Troiano Ungerer, Osvaldo Jorge, Eiroa-Hernández, Patricia, Parra-Esquivel, Patricia, Lázaro Aragüés, Paula, Gantes Nieto, Patricia, Cuerpo Cardeñosa, Sandra, Chacón García, Cristina, Serrano Lázaro, Leticia, Caballero Martínez, María, Guillen, Lara, Muñoz Martos, Rocío, González del Castillo, Juan, and Miró, Òscar

Published
2024
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6. Epidemiological and clinical management aspects of pneumonias diagnosed in the emergency department in elderly patients in Spain: Results of the EDEN-29 study

Author

Cuerpo, Sandra, Aguiló, Sira, Poblete-Palacios, María Florencia, Burillo-Putze, Guillermo, Alquézar-Arbé, Aitor, Jacob, Javier, Fernández, Cesáreo, Llorens, Pere, Montero-Pérez, Francisco Javier, Iglesias-Frax, Cristina, Quero-Motto, Eva, Escudero-Sánchez, Carmen, Poch-Ferrer, Eduard Anton, Hong-Cho, Jeong-Uh, Casado-Ramón, Beatriz, Gayoso-Martín, Sara, Sánchez-Sindín, Goretti, Fernández-Álvarez, María Esther, Puiggali-Ballard, Margarita, Trejo, Olga, Llauger, Lluís, Garrido-Acosta, Lucía, Calle-Fernández, Sara, Molina, Laura, Martínez-Juan, María, Gómez-García, Gema, Rivas Del Valle, Pedro, López-Grima, María Luisa, Rull-Bertrán, Pere, González del Castillo, Juan, and Miró, Òscar

Published
2024
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7. Aspectos epidemiológicos y de manejo clínico relativos a las neumonías diagnosticadas en urgencias en pacientes mayores en España: resultados del estudio EDEN-29

Author

Cuerpo, Sandra, Aguiló, Sira, Poblete-Palacios, María Florencia, Burillo-Putze, Guillermo, Alquézar-Arbé, Aitor, Jacob, Javier, Fernández, Cesáreo, Llorens, Pere, Montero-Pérez, Francisco Javier, Iglesias-Frax, Cristina, Quero-Motto, Eva, Escudero-Sánchez, Carmen, Poch-Ferrer, Eduard Anton, Hong-Cho, Jeong-Uh, Casado-Ramón, Beatriz, Gayoso-Martín, Sara, Sánchez-Sindín, Goretti, Fernández-Álvarez, María Esther, Puiggali-Ballard, Margarita, Trejo, Olga, Llauger, Lluís, Garrido-Acosta, Lucía, Calle-Fernández, Sara, Molina, Laura, Martínez-Juan, María, Gómez-García, Gema, Rivas Del Valle, Pedro, López-Grima, María Luisa, Rull-Bertrán, Pere, González del Castillo, Juan, and Miró, Òscar

Published
2024
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8. Influence of type of household on prognosis at one year in patients ≥65 years attending hospital emergency departments in Spain. The EDEN-6 study

Author

Alquézar-Arbé, Aitor, Osorio, Gina I., Jacob, Javier, García-Lamberechts, Eric Jorge, Piñera Salmerón, Pascual, Llorens, Pere, Burillo-Putze, Guillermo, Requena, Angela Cobos, Gil, Adriana, Fernández, Cesáreo, Aguiló, Sira, Jiménez, Sònia, Escudero Blázquez, Beatriz, Rosendo Mesino, Diana, Mojarro, Enrique Martín, Vaswani-Bulchand, Aarati, Rodríguez-Cabrera, Montserrat, Alarcón Martínez, Pedro, Gioya, Gema Dominguez, Alemany González, Francesc Xavier, González Tejera, Matilde, Bóveda García, María, Espinosa Fernández, Begoña, Llopis, Ferran, Suero Méndez, Coral, González del Castillo, Juan, and Miró, Òscar

Published
2023
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9. Estudio EDEN-12: factores relacionados con el ingreso en unidades de cuidados intensivos de pacientes mayores de 65 años hospitalizados desde urgencias

Author

Burillo-Putze, Guillermo, Parra-Esquivel, Patricia, Aguiló, Sira, Jiménez, Sònia, Jacob, Javier, Piñera Salmerón, Pascual, Llorens, Pere, García-Lamberechts, Eric Jorge, Montero-Pérez, Francisco Javier, Muñoz-Triano, Esperanza, Gil-Rodrigo, Adriana, Fernández-Alonso, Cesáreo, Alquezar-Arbé, Aitor, Salido Mota, Manuel, Gil Hernández, Rodrigo Javier, Pedraza García, Jorge, Cobos Requena, Angela, Gargallo Garcia, Esther, de Diego Arnaiz, Monica, Iglesias Vela, Marta, Pérez-Costa, Rafael Antonio, Pérez Peñalva, Sara del Mar, Valle Borrego, Beatriz, Quero Motto, Eva, Morales Franco, Belén, Adroher Muñoz, Maria, González del Castillo, Juan, and Miró, Òscar

Published
2023
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10. Study EDEN-12: Analysis of access to intensive care units of patients older than 65 years requiring emergency hospitalization

Author

Burillo-Putze, Guillermo, Parra-Esquivel, Patricia, Aguiló, Sira, Jiménez, Sònia, Jacob, Javier, Piñera Salmerón, Pascual, Llorens, Pere, García-Lamberechts, Eric Jorge, Montero-Pérez, Francisco Javier, Muñoz-Triano, Esperanza, Gil-Rodrigo, Adriana, Fernández-Alonso, Cesáreo, Alquezar-Arbé, Aitor, Salido Mota, Manuel, Gil Hernández, Rodrigo Javier, Pedraza García, Jorge, Cobos Requena, Angela, Gargallo Garcia, Esther, de Diego Arnaiz, Monica, Iglesias Vela, Marta, Pérez-Costa, Rafael Antonio, Pérez Peñalva, Sara del Mar, Valle Borrego, Beatriz, Quero Motto, Eva, Morales Franco, Belén, Adroher Muñoz, Maria, González del Castillo, Juan, and Miró, Òscar

Published
2023
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12. Factors associated with late presentation to the emergency department in patients complaining of chest pain

Author

Miró, Òscar, Troester, Valentina, García-Martínez, Ana, Martínez-Nadal, Gemma, Coll-Vinent, Blanca, Lopez-Ayala, Pedro, Gil, Víctor, Aguiló, Sira, Galicia, Miguel, Jiménez, Sònia, Moll, Conxi, Sánchez, Carolina, Cardozo, Carlos, López-Sobrino, Teresa, Strebel, Ivo, Boeddinghaus, Jasper, Nestelberger, Thomas, Bragulat, Ernest, Sánchez, Miquel, Müller, Christian, and López-Barbeito, Beatriz

Published
2022
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13. Tachypnea in response to hypoxemia decreases with age in older patients.

Author

Cuerpo, Sandra, Aguiló, Sira, Alquézar‐Arbé, Aitor, Fernández, Cesáreo, Burillo, Guillermo, Jacob, Javier, Montero‐Pérez, Francisco Javier, García‐Lamberechts, Eric Jorge, Piñera, Pascual, Blázquez, Beatriz Escudero, Iglesia, Cristina Güemes, Quesada, Sílvia Flores, Vaswani‐Bulchand, Aarati, Rodríguez‐Cabrera, Montserrat, Aragüés, Paula Lázaro, Díaz‐Guerra, María Luisa Pérez, González, Francesc Xavier Alemany, Alcaraz, Ana Puche, Collado, Jésica Mansilla, and Torres, Gema Jara

Abstract

Aim Methods Results Conclusion To investigate if tachypneic response to hypoxia is decreased in older patients.We included all patients ≥65 years of age attending 52 Spanish emergency departments (EDs) for whom peripheral arterial oxygen saturation (SatO2) measured by pulsioxymetry and respiratory rate (RR) were registered at ED arrival. We assessed the relationship between SatO2 and RR in different models, and with the best‐fitting model, we independently analyzed this relationship in four subgroups according to patient age (65–69, 70–79, 80–89, and ≥90 years). Five sensitivity analyses using different subsets of patients were carried out to check for the consistency of the results.We included 7126 patients, with medians for SatO2 and RR of 97% (interquartile range [IQR]: 94–98) and 15 bpm (IQR: 15–16), respectively. We found significant associations (P < 0.001) between SatO2 and RR in every model tested (P < 0.001 for all), with the quadratic model obtaining the best fit (R2: 0.098) over those obtained with linear (R2: 0.096) and logarithmic (R2: 0.092) models. The same was observed in sensitivity analyses, with R2 for quadratic models ranging from 0.069 in patients with low comorbidity and 0.102 in patients breathing room air. The mean RR for 100% SatO2 was 15 bpm and increased as SatO2 decreased, although with a progressive slowing of the slope, with a mean RR of 27 at 50% SatO2. We detected a decreased RR response to increasing hypoxemia according to age and, while the RR curve was higher and with a progressively steepening slope in the 972 patients aged 65–69 (mean RR of 42 bpm with 50% SatO2), a progressive slowing of slope was observed in the 2693 patients aged 70–79 (mean RR of 28 with 50% SatO2), the 2582 aged 80–89 (mean RR of 25) and the 879 aged ≥90 (mean RR of 23). Sensitivity analyses provided very similar results.Tachypneic response to hypoxemia in older patients decreases as age advances, regardless of the reason leading to hypoxemia. Geriatr Gerontol Int 2024; ••: ••–••. [ABSTRACT FROM AUTHOR]

Published
2024
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14. Plasma sodium concentration in older patients as an indicator of severity in emergencies: Results from the Emergency Department and Elder Needs-16 study

Author

Llorens, Pere, primary, Miró, Òscar, additional, Veguillas Benito, Mónica, additional, Fernández, Cesáreo, additional, Jacob, Javier, additional, Burillo-Putze, Guillermo, additional, Alquézar, Aitor, additional, Aguiló, Sira, additional, Puiggali Ballard, Margarita, additional, Bretones Baena, Sierra, additional, Hong Cho, Jeong-Uh, additional, San Julián Romero, Melisa, additional, Rodríguez Palma, María Eugenia, additional, Álvarez Madrigal, Alberto, additional, Rodríguez Romero, María, additional, Lozano López, María Isabel, additional, González González, Rebeca, additional, Carrión Fernández, Marina, additional, Morales Franco, Belén, additional, Poch Ferrer, Eduard Antón, additional, González Guillén, Violeta, additional, Gayoso Martín, Sara, additional, Sánchez Sindín, Goretti, additional, Prieto Zapico, Azucena, additional, Ponte Márquez, Paola, additional, Espinosa, Begoña, additional, and González del Castillo, Juan, additional

Published
2024
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15. Impact of the COVID-19 pandemic on demand for emergency department care for older patients: the EDEN-7 COVID cohort study

Author

Montero-Pérez, F. Javier, primary, Cobos Requena, Ángela María, additional, González del Castillo, Juan, additional, Jacob, Javier, additional, García-Lamberechts, Eric Jorge, additional, Piñera Salmerón, Pascual, additional, Alquézar-Arbé, Aitor, additional, Aguiló, Sira, additional, Fernández Alonso, Cesáreo, additional, Burillo-Putze, Guillermo, additional, Calderón Caro, María, additional, Díaz Salado, Ángel Iván, additional, Martín Mojarro, Enrique, additional, Eiroa-Hernández, Patricia, additional, Parra-Esquivel, Patricia, additional, López Pérez, Juan José, additional, Ruiz Grinspan, Martín, additional, Osorio Quispe, Ivet Gina, additional, González Tejera, Matilde, additional, Serrano Lázaro, Leticia, additional, Espinosa Fernández, Begoña, additional, Fuentes, Lidia, additional, Suero Méndez, Coral, additional, Toro-Gallardo, María del Valle, additional, Beddar Chaib, Fahd, additional, Pedraza Ramírez, Paula, additional, and Miró, Òscar, additional

Published
2024
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16. The likelihood of admission to an intensive care bed dramatically decreased in elderly patients during the first wave of the COVID‐19 pandemic in Spain.

Author

Miró, Òscar, Burillo, Guillermo, López‐Ayala, Pedro, Aguiló, Sira, Fernández, Cesáreo, Alquézar, Aitor, and González del Castillo, Juan

Subjects
EMERGENCY room visits, OLDER patients, MECHANICAL ventilators, MEDICAL triage, WESTERN countries
Abstract

Background: During the first wave of the COVID‐19 pandemic, the availability of mechanical ventilators was very limited and ad hoc recommendations establishing age to be used for patient triage for having access to intensive care beds (ICBs) were proposed. No reports have evaluated how this policy impacted ICB admission in Western countries. Aims: We analyzed the age‐related probability of ICB admission during first COVID‐19 pandemic wave. Materials and Methods: We included all patients ≥65 years attended in 42 Spanish emergency departments (EDs) covering around 22% of the Spanish population during 1‐week of the first wave of the COVID‐19 pandemic (9128 ED visits) and compared the probability of ICB admission respect to patients coming to these EDs 1‐week of 1‐year earlier (24,128 ED visits). Results: We found that compared with patients aged 65, the probability of ICB admission was significantly reduced from 79 years and up during the pandemic period (odds ratio [OR] = 0.60 for patients aged 79, 95% confidence interval [CI] = 0.39–0.94), while a significant reduction of ICB admission probabilities was found from 88 years and up during the pre‐COVID‐19 period (OR = 0.66 for patients aged 88, 95% CI = 0.45–0.95) (p < 0.001 for interaction). Similar results were found when analyses were limited to hospitalized or deceased patients and also after adjustment using sex and several baseline status covariates. Conclusion: There was a real limitation in clinical practice of ICB admission based on age during the first wave of the COVID‐19 pandemic. [ABSTRACT FROM AUTHOR]

Published
2024
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17. Evolución clínica de los pacientes mayores diagnosticados de síncope en servicios de urgencias en España: resultados del estudio EDEN-17.

Author

Moyano García, Rocío, Piñera-Salmerón, Pascual, Jacob, Javier, González del Castillo, Juan, Montero-Pérez, Francisco Javier, Alquézar-Arbé, Aitor, García-Lamberechts, Eric Jorge, Aguiló, Sira, Fernández-Alonso, Cesáreo, Burillo-Putze, Guillermo, Gil-Rodrigo, Adriana, Llorens, Pere, Salido Mota, Manuel, Beddar Chaib, Fahd, Pedraza García, Jorge, Bretones Baena, Sierra, Micheloud Giménez, Dariela Edith, López Díez, María Pilar, Moreno Martín, Miguel, and Rodríguez Romero, María

Published
2024
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18. Identification of Senior At Risk scale predicts 30-day mortality among older patients with acute heart failure

Author

Martín-Sánchez, F.J., Llopis García, G., González-Colaço Harmand, M., Fernandez Pérez, C., González del Castillo, J., Llorens, P., Herrero, P., Jacob, J., Gil, V., Domínguez-Rodriguez, A., Rossello, X., Miró, O., Adrada, Esther Rodríguez, Santos, María Carmen, Salgado, Lucía, Brizzi, Berenice Nayla, Docavo, María Luisa, Cadenas, María Suárez, Xipell, Carolina, Sánchez, Carolina, Aguiló, Sira, Gaytan, Josep María, Jerez, Alba, Pérez-Durá, María José, Gil, Pablo Berrocal, López-Grima, María Luisa, Valero, Amparo, Aguirre, Alfons, Pedragosa, Maria Àngels, Piñera, Pascual, Aragues, Paula Lázaro, Nicolás, José Andrés Sánchez, Rizzi, Miguel Alberto, Mateo, Sergio Herrera, Alquezar, Aitor, Roset, Alex, Ferrer, Carles, Llopis, Ferrán, Pérez, José María Álvarez, Diez, María Pilar López, Richard, Fernando, Fernández-Cañadas, José María, Carratalá, José Manuel, Javaloyes, Patricia, Andueza, Juan Antonio, Fernández, José Antonio Sevillano, Romero, Rodolfo, Loranc, Marta Merlo, Rodríguez, Virginia Álvarez, Lorca, María Teresa, Calderón, Luis, Ferrer, Ester Soy, Garrido, José Manuel, and Mojarro, Enrique Martín

Published
2020
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19. Overnight Stay in Spanish Emergency Departments and Mortality in Older Patients

Author

Miró, Òscar, primary, Aguiló, Sira, additional, Alquézar-Arbé, Aitor, additional, Fernandez, Cesáreo, additional, Burillo, Guillermo, additional, Martínez, Sergio Guzmán, additional, Larrull, Maria Esther Martínez, additional, Periago, Andrea B. Bravo, additional, Molinas, Claudia Lorena Amarilla, additional, Falcon, Carolina Rangel, additional, Dacosta, Paz Balado, additional, Flores, Rudiger Carlos Chávez, additional, Calzada, Jorge Navarro, additional, Blesa, Eva Maria Fragero, additional, Martín, Manuel Ángel Palomero, additional, Requena, Ángela Cobos, additional, Fuentes, Lidia, additional, Cortizo, Isabel Lobo, additional, Garcinuño, Pablo Gonzalez, additional, García, María Bóveda, additional, Valle, Pedro Rivas Del, additional, Campos, Raquel Benavent, additional, Jiménez, Verónica Castro, additional, Cuñado, Vanesa Abad, additional, Gutiérrez, Olga Trejo, additional, Reviriego, María del Mar Sousa, additional, Roussel, Melanie, additional, and Castillo, Juan González Del, additional

Published
2024
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20. Epidemiological aspects, clinical management and short-term outcomes in elderly patients diagnosed with acute heart failure in the emergency department in Spain: Results of the EDEN-34 study

Author

Miró, Òscar, primary, Llorens, Pere, additional, Aguiló, Sira, additional, Alquézar-Arbé, Aitor, additional, Fernández, Cesáreo, additional, Burillo-Putze, Guillermo, additional, Marcos, Naila Canadell, additional, Marañón, Anette Arce, additional, Oms, Gemma Sánchez, additional, and del Castillo, Juan González, additional

Published
2024
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21. Short-term prognosis of polypharmacy in elderly patients treated in emergency departments: results from the EDEN project

Author

Ruiz Ramos, Jesus, primary, Alquézar-Arbé, Aitor, additional, Juanes Borrego, Ana, additional, Burillo Putze, Guillermo, additional, Aguiló, Sira, additional, Jacob, Javier, additional, Fernández, Cesáreo, additional, Llorens, Pere, additional, Quero Espinosa, Francisco de Borja, additional, Gordo Remartinez, Susana, additional, Hernando González, Rocio, additional, Moreno Martín, Miguel, additional, Sánchez Aroca, Sara, additional, Sara Knabe, Alicia, additional, González González, Rebeca, additional, Carrión Fernández, Marina, additional, Artieda Larrañaga, Alberto, additional, Adroher Muñoz, Maria, additional, Hong Cho, Jeong-Uh, additional, Escolar Martínez Berganza, María Teresa, additional, Gayoso Martín, Sara, additional, Sánchez Sindín, Goretti, additional, Silva Penas, Martina, additional, Gómez y Gómez, Bárbara, additional, Arenos Sambro, Roser, additional, González del Castillo, Juan, additional, and Miró, Òscar, additional

Published
2024
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22. Aspectos epidemiológicos y de manejo clínico relativos a las neumonías diagnosticadas en urgencias en pacientes mayores en España: resultados del estudio EDEN-29

Author

Cuerpo, Sandra, primary, Aguiló, Sira, additional, Poblete-Palacios, María Florencia, additional, Burillo-Putze, Guillermo, additional, Alquézar-Arbé, Aitor, additional, Jacob, Javier, additional, Fernández, Cesáreo, additional, Llorens, Pere, additional, Montero-Pérez, Francisco Javier, additional, Iglesias-Frax, Cristina, additional, Quero-Motto, Eva, additional, Escudero-Sánchez, Carmen, additional, Poch-Ferrer, Eduard Anton, additional, Hong-Cho, Jeong-Uh, additional, Casado-Ramón, Beatriz, additional, Gayoso-Martín, Sara, additional, Sánchez-Sindín, Goretti, additional, Fernández-Álvarez, María Esther, additional, Puiggali-Ballard, Margarita, additional, Trejo, Olga, additional, Llauger, Lluís, additional, Garrido-Acosta, Lucía, additional, Calle-Fernández, Sara, additional, Molina, Laura, additional, Martínez-Juan, María, additional, Gómez-García, Gema, additional, Rivas Del Valle, Pedro, additional, López-Grima, María Luisa, additional, Rull-Bertrán, Pere, additional, González del Castillo, Juan, additional, and Miró, Òscar, additional

Published
2023
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23. Effect of risk of malnutrition on 30-day mortality among older patients with acute heart failure in Emergency Departments

Author

Martín-Sánchez, Francisco Javier, Cuesta Triana, Federico, Rossello, Xavier, Pardo García, Rebeca, Llopis García, Guillermo, Caimari, Francisca, Vidán, María Teresa, Ruiz Artacho, Pedro, González del Castillo, Juan, Llorens, Pere, Herrero, Pablo, Jacob, Javier, Gil, Víctor, Fernández Pérez, Cristina, Gil, Pedro, Bueno, Héctor, Miró, Òscar, Matía Martín, Pilar, Rodríguez Adrada, Esther, Santos, María Carmen, Salgado, Lucía, Brizzi, Berenice Nayla, Docavo, María Luisa, del Mar Suárez-Cadenas, María, Xipell, Carolina, Sánchez, Carolina, Aguiló, Sira, Gaytan, Josep María, Jerez, Alba, Pérez-Durá, María José, Berrocal Gil, Pablo, López-Grima, María Luisa, Valero, Amparo, Aguirre, Alfons, Pedragosa, Maria Àngels, Piñera, Pascual, LázaroAragues, Paula, Sánchez Nicolás, José Andrés, Rizzi, Miguel Alberto, Herrera Mateo, Sergio, Alquezar, Aitor, Roset, Alex, Ferrer, Carles, Llopis, Ferrán, Álvarez Pérez, José María, López Diez, María Pilar, Richard, Fernando, Fernández-Cañadas, José María, Carratalá, José Manuel, Javaloyes, Patricia, Andueza, Juan Antonio, Sevillano Fernández, José Antonio, Romero, Rodolfo, Merlo Loranca, Marta, Álvarez Rodríguez, Virginia, Lorca, María Teresa, Calderón, Luis, Soy Ferrer, Ester, Manuel Garrido, José, and Martín Mojarro, Enrique

Published
2019
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24. Impact of First Wave of COVID-19 Pandemic on Mortality at Emergency Department in Older Patients with COVID and Non-COVID Diagnoses.

Author

Fernández Alonso, Cesáreo, Fuentes Ferrer, Manuel, Llorens, Pere, Burillo, Guillermo, Alquézar-Arbé, Aitor, Jacob, Javier, Montero-Pérez, F. Javier, Aguiló, Sira, Abad Cuñado, Vanesa, Amer Al Arud, Lilia, Escudero Sánchez, Carmen, Poch Ferret, Eduard Anton, Hong Cho, Jeong-Uh, Escolar Martínez-Berganza, María Teresa, Gayoso Martín, Sara, Sánchez Sindín, Goretti, Prieto Zapico, Azucena, Petrus Rivas, María Carmen, Doi Grande, Adriana Laura, and Llauger, Lluís

Subjects
COVID-19 pandemic, OLDER patients, COVID-19, HOSPITAL emergency services, CONFIDENCE intervals
Abstract

Introduction: Mortality in emergency departments (EDs) is not well known. This study aimed to assess the impact of the first-wave pandemic on deaths accounted in the ED of older patients with COVID and non-COVID diseases. Methods: We used data from the Emergency Department and Elderly Needs (EDEN) cohort (pre-COVID period) and from the EDEN-COVID cohort (COVID period) that included all patients ≥65 years seen in 52 Spanish EDs from April 1 to 7, 2019, and March 30 to April 5, 2020, respectively. We recorded patient characteristics and final destination at ED. We compared older patients in the pre-COVID period, with older patients with non-COVID and with COVID-19. ED-mortality (before discharge or hospitalization) is the prior outcome and is expressed as an adjusted odds ratio (aOR) with 95% interval confidence. Results: We included 23,338 older patients from the pre-COVID period (aged 78.3 [8.1] years), 6,715 patients with non-COVID conditions (aged 78.9 [8.2] years) and 3,055 with COVID (aged 78.3 [8.3] years) from the COVID period. Compared to the older patients, pre-COVID period, patients with non-COVID and with COVID-19 were more often male, referred by a doctor and by ambulance, with more comorbidity and disability, dementia, nursing home, and more risk according to qSOFA, respectively (p < 0.001). Compared to the pre-COVID period, patients with non-COVID and with COVID-19 were more often to be hospitalized from ED (24.8% vs. 44.3% vs. 79.1%) and were more often to die in ED (0.6% vs. 1.2% vs. 2.2%), respectively (p < 0.001). Compared to the pre-COVID period, aOR for age, sex, comorbidity and disability, ED mortality in elderly patients cared in ED during the COVID period was 2.31 (95% confidence interval [CI]: 1.76–3.06), and 3.75 (95% CI: 2.77–5.07) for patients with COVID. By adding the variable qSOFA to the model, such OR were 1.59 (95% CI: 1.11–2.30) and 2.16 (95% CI: 1.47–3.17), respectively. Conclusions: During the early first pandemic wave of COVID-19, more complex and life-threatening older with COVID and non-COVID diseases were seen compared to the pre-COVID period. In addition, the need for hospitalization and the ED mortality doubled in non-COVID and tripled in COVID diagnosis. This increase in ED mortality is not only explained by the complexity or severity of the elderly patients but also because of the system's overload. [ABSTRACT FROM AUTHOR]

Published
2024
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25. Sex- and age-related patterns in the use of analgesics in older patients in the emergency department.

Author

Miró, Òscar, Osorio, Gina I., Alquézar-Arbé, Aitor, Aguiló, Sira, Fernández, Cesáreo, Burillo, Guillermo, Jacob, Javier, Montero-Pérez, F. Javier, García-Lamberechts, E. Jorge, Piñera, Pascual, Rodríguez Valles, Celia, Carrasco Fernández, Elena, Molina, Laura, Ruescas, Esther, Fernández Salgado, Fátima, Fernández-Simón Almela, Amparo, de Juan Gómez, María Ángeles, Guiu Martí, Sandra, López-Laguna, Nieves, and García Acosta, Jacinto

Published
2024
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26. Older Adult Patients in the Emergency Department: Which Patients should be Selected for a Different Approach?

Author

Larrea Aguirre, Nere, García Gutiérrez, Susana, Miro, Oscar, Aguiló, Sira, Jacob, Javier, Alquézar-Arbé, Aitor, Burillo, Guillermo, Fernandez, Cesáreo, Llorens, Pere, Roza Alonso, Cesar, Tavasci Lopez, Ivana, Cañete, Mónica, Ruiz Asensio, Pedro, Paderne Díaz, Beatriz, Pablos Pizarro, Teresa, del Rio Navarro, Rigoberto Jesús, Perelló Viola, Núria, Hernández-Castells, Lourdes, Cortés Soler, Alejandro, and Sánchez Fernández-Linares, Elena

Subjects
OLDER patients, EMERGENCY medicine, PATIENT reported outcome measures, COMORBIDITY, PATIENT readmissions, FRAIL elderly
Abstract

Background: While multidimensional and interdisciplinary assessment of older adult patients improves their short-term outcomes after evaluation in the emergency department (ED), this assessment is time-consuming and ill-suited for the busy environment. Thus, identifying patients who will benefit from this strategy is challenging. Therefore, this study aimed to identify older adult patients suitable for a different ED approach as well as independent variables associated with poor short-term clinical outcomes. Methods: We included all patients =65 years attending 52 EDs in Spain over 7 days. Sociodemographic, comorbidity, and baseline functional status data were collected. The outcomes were 30-day mortality, re-presentation, hospital readmission, and the composite of all outcomes. Results: During the study among 96,014 patients evaluated in the ED, we included 23,338 patients =65 years--mean age, 78.4±8.1 years; 12,626 (54.1%) women. During follow-up, 5,776 patients (24.75%) had poor outcomes after evaluation in the ED: 1,140 (4.88%) died, 4,640 (20.51) returned to the ED, and 1,739 (7.69%) were readmitted 30 days after discharge following the index visit. A model including male sex, age =75 years, arrival by ambulance, Charlson Comorbidity Index =3, and functional impairment had a C-index of 0.81 (95% confidence interval, 0.80-0.82) for 30-day mortality. Conclusion: Male sex, age =75 years, arrival by ambulance, functional impairment, or severe comorbidity are features of patients who could benefit from approaches in the ED different from the common triage to improve the poor short-term outcomes of this population. [ABSTRACT FROM AUTHOR]

Published
2024
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27. Sex- and age-related patterns in the use of analgesics in older patients in the emergency department

Author

Miró, Òscar, primary, Osorio, Gina I., additional, Alquézar-Arbé, Aitor, additional, Aguiló, Sira, additional, Fernández, Cesáreo, additional, Burillo, Guillermo, additional, Jacob, Javier, additional, Montero-Pérez, F. Javier, additional, García-Lamberechts, E. Jorge, additional, Piñera, Pascual, additional, Rodríguez Valles, Celia, additional, Carrasco Fernández, Elena, additional, Molina, Laura, additional, Ruescas, Esther, additional, Fernández Salgado, Fátima, additional, Fernández-Simón Almela, Amparo, additional, de Juan Gómez, María Ángeles, additional, Guiu Martí, Sandra, additional, López-Laguna, Nieves, additional, García Acosta, Jacinto, additional, Maza Vera, María Teresa, additional, García García, Ángel, additional, Ezponda, Patxi, additional, Martínez Lorenzo, Andrea, additional, Ortega Liarte, Juan Vicente, additional, Sánchez Ramón, Susana, additional, Ruiz Ramos, Jesús, additional, and González del Castillo, Juan, additional

Published
2023
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28. Utilidad predictiva de mortalidad de las escalas qSOFA, NEWS y GYM en el paciente anciano con infección en urgencias: estudio EDEN-5

Author

García-Lamberechts, Eric Jorge, primary, Fuentes Ferrer, Manuel, additional, Fernández-Alonso, Cesáreo, additional, Burillo-Putze, Guillermo, additional, Aguiló, Sira, additional, Alquezar-Arbé, Aitor, additional, Montero-Pérez, Francisco Javier, additional, Jacob, Javier, additional, Piñera Salmerón, Pascual, additional, Salido Mota, Manuel, additional, Marchena, Maria José, additional, Martínez Alonso, Alba, additional, Chacón García, Ana, additional, Güemes de la Iglesia, Cristina, additional, Troiano Ungerer, Osvaldo Jorge, additional, Eiroa-Hernández, Patricia, additional, Parra-Esquivel, Patricia, additional, Lázaro Aragüés, Paula, additional, Gantes Nieto, Patricia, additional, Cuerpo Cardeñosa, Sandra, additional, Chacón García, Cristina, additional, Serrano Lázaro, Leticia, additional, Caballero Martínez, María, additional, Guillen, Lara, additional, Muñoz Martos, Rocío, additional, González del Castillo, Juan, additional, and Miró, Òscar, additional

Published
2023
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29. Influence of previous coronary artery bypass grafting in the difficulty of acute coronary syndrome diagnosis

Author

Miró, Òscar, Martínez-Nadal, Gemma, Koechlin, Luca, Coll-Vinent, Blanca, Gil, Víctor, Aguiló, Sira, Galicia, Miguel, García-Martínez, Ana, Ortega, Mar, Strebel, Ivo, Ayala, Pedro López, Gualandro, Danielle M., Boeddinghaus, Jasper, Nestelberger, Thomas, Bragulat, Ernest, Sánchez, Miquel, Müller, Christian, and López-Barbeito, Beatriz

Published
2020
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30. Impact of Frailty and Disability on 30-Day Mortality in Older Patients With Acute Heart Failure

Author

Pérez-Durá, María José, Gil, Pablo Berrocal, Miró, Óscar, Espinosa, Víctor Gil, Sánchez, Carolina, Aguiló, Sira, Vall, Maria Àngels Pedragosa, Aguirre, Alfons, Piñera, Pascual, Aragues, Paula Lázaro, Bordigoni, Miguel Alberto Rizzi, Alquezar, Aitor, Richard, Fernando, Jacob, Javier, Ferrer, Carles, Llopis, Ferrán, Sánchez, F. Javier Martín, del Castillo, Juan González, Rodríguez-Adrada, Esther, García, Guillermo Llopis, Salgado, Lucía, Mandly, Eduardo Anguita, Ortega, Julián Sanz, de los Ángeles Cuadrado Cenzual, María, de Heredia, Maria Dolores Inés Ortega, Soriano, Pere Llorens, Fernández-Cañadas, José María, Carratalá, José Manuel, Javaloyes, Patricia, Puente, Pablo Herrero, García, Iván Rancaño, Coya, María Fernández, Fernández, José Antonio Sevillano, Andueza, Juan, Pareja, Rodofo Romero, del Arco, Carmen, Martín, Alfonso, Torres, Raquel, Miranda, Belén Rodríguez, Martín, Vanesa Sendín, Guillén, Carlos Bibiano, Puig, Rodrigo Pacheco, Martín-Sánchez, Francisco Javier, Vidan, Maria Teresa, Llopis García, Guillermo, González del Castillo, Juan, Rizzi, Miguel Alberto, Lázaro Aragues, Paula, Llorens, Pere, Herrero, Pablo, Gil, Víctor, Fernández, Cristina, Bueno, Héctor, and Miró, Òscar

Published
2017
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31. Influencia de la renta económica en la mortalidad intrahospitalaria de las personas mayores durante la primera ola de la pandemia por COVID-19: resultados del estudio EDEN-33.

Author

Artajona, Lourdes, García-Martínez, Ana, Aguiló, Sira, Burillo-Putze, Guillermo, Alquézar-Arbé, Aitor, Fernández, Cesáreo, Fernández-Simón, Amparo, Cardona, María Fernández, Maza Vera, María Teresa, Iglesias Vela, Marta, Trenc Español, Patricia, Salido Mota, Manuel, García García, Ángel, Lucena Aguilera, Carmen, Llopis, Ferran, Herrero, Pablo, Doi Grande, Adriana Laura, Serrano Lázaro, Leticia, Chacon García, Ana, and Noceda Bermejo, José J.

Published
2023

32. Factores relacionados con la práctica de sondaje vesical en urgencias en pacientes ancianos y su relación con el pronóstico: resultados del estudio EDEN-30.

Author

Eiroa-Hernández, Patricia, Matos, Sebastián, Aguiló, Sira, Alquézar-Arbé, Aitor, Jacob, Javier, Fernández, Cesáreo, Llorens, Pere, Moreno Ruíz, Sandra, Cuevas Jiménez, Lidia, Vaswani-Bulchand, Aarati, Rodríguez-Cabrera, Montserrat, Suárez Pineda, Maribel Coromoto, Alegre Fresno, Sara, Osorio, Ivet Gina, Puche Alcaraz, Ana María, Mansilla Collado, Jésica, Veguillas Benito, Mónica, Chamorro, Francisco, Álvarez Rocío, Lorenzo, and Toro Gallardo, Valle

Published
2023

33. Short-term outcomes of heart failure patients with reduced and preserved ejection fraction after acute decompensation according to the final destination after emergency department care

Author

Miró, Òscar, Gil, V.íctor, Martín-Sánchez, Francisco Javier, Jacob, Javier, Herrero, Pablo, Alquézar, Aitor, Llauger, Lluís, Aguiló, Sira, Martínez, Gemma, Ríos, José, Domínguez-Rodríguez, Alberto, Harjola, Veli-Pekka, Müller, Christian, Parissis, John, Peacock, W. Frank, Llorens, Pere, and The Research Group on Acute Heart Failure of the Spanish Society of Emergency Medicine (ICA-SEMES Research Group) Researchers

Published
2018
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34. Sex differences in mortality of older adults with falls after emergency department consultation: FALL‐ER registry

Author

Miró, Òscar, primary, Gil‐Rodrigo, Adriana, additional, García‐Martínez, Ana, additional, Aguiló, Sira, additional, Alemany, Xavier, additional, Nickel, Christian H., additional, Jacob, Javier, additional, Llorens, Pere, additional, Herrero, Pablo, additional, Torres‐Machado, Victoria, additional, Cenjor, Raquel, additional, Coll‐Vinent, Blanca, additional, Martínez‐Nadal, Gemma, additional, del Nogal, Montserrat Lázaro, additional, Peacock, Frank, additional, and Martín‐Sánchez, Francisco Javier, additional

Published
2023
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36. Impacto de la dependencia funcional de los pacientes mayores atendidos en los servicios de Urgencias españoles durante la primera ola pandémica de la COVID-19 sobre la mortalidad a 30, 180 y 365 días en función del diagnóstico (COVID versus no COVID)

Author

Fernández Alonso, Cesáreo, Fuentes Ferrer, Manuel Enrique, García Lamberechts, Enric Jorge, Aguiló, Sira, Jiménez Hernández, Sonia, Jacob Rodríguez, Javier, Piñera Salmerón, Pascual, Gil Rodrigo, Adriana, Llorens Soriano, Pere, Burillo Putze, Guillermo, Montero Pérez, Francisco Javier, Alquezar, Aitor, Ríos Gallardo, Rafaela, Berenguer Díez, María Amparo, Truyol Más, Marina, López Laguna, María de las Nieves, Cortés Soler, Alejandro, González Nespereira, Emma, García García, Ángel, Ezponda, Patxi, Martínez Lorenzo, Andrea, Ortega Liarte, Juan Vicente, Santos Martín, José María, Herrero Puente, Pablo, Melcon Villalibre, Alejandro, González del Castillo, Juan, Miró Andreu, Óscar, Fernández Alonso, Cesáreo, Fuentes Ferrer, Manuel Enrique, García Lamberechts, Enric Jorge, Aguiló, Sira, Jiménez Hernández, Sonia, Jacob Rodríguez, Javier, Piñera Salmerón, Pascual, Gil Rodrigo, Adriana, Llorens Soriano, Pere, Burillo Putze, Guillermo, Montero Pérez, Francisco Javier, Alquezar, Aitor, Ríos Gallardo, Rafaela, Berenguer Díez, María Amparo, Truyol Más, Marina, López Laguna, María de las Nieves, Cortés Soler, Alejandro, González Nespereira, Emma, García García, Ángel, Ezponda, Patxi, Martínez Lorenzo, Andrea, Ortega Liarte, Juan Vicente, Santos Martín, José María, Herrero Puente, Pablo, Melcon Villalibre, Alejandro, González del Castillo, Juan, and Miró Andreu, Óscar

Abstract

FUNDAMENTOS // La valoración funcional forma parte de la valoración geriátrica. No se conoce bien cómo se realiza en los servicios de Urgencias hospitalarios (SUH) y menos aún su valor pronóstico. El objetivo de este trabajo fue investigar si la dependencia funcional basal para realizar las actividades básicas de la vida diaria (ABVD) era un factor pronóstico independiente de muerte tras la visita índice al SUH durante la primera ola pandémica de la COVID-19 y si tuvo un impacto diferente en pacientes con y sin diagnóstico de COVID-19. MÉTODOS // Se realizó un estudio observacional retrospectivo de la cohorte EDEN-Covid (Emergency Department and Elder Needs during COVID) formada por todos los pacientes de edad mayor o igual a 65 años atendidos en 52 SUH españoles, seleccionados por oportunidad durante siete días consecutivos (del 30 de marzo al 5 de abril de 2020). Se analizaron variables demográficas, clínicas, funcionales, mentales y sociales. La dependencia se categorizó con el índice de Barthel (IB) en independiente (IB=100), dependencia leve-moderada (100>IB>60) y dependencia grave-total (IB<60), y se evaluó su asociación cruda y ajustada con la mortalidad a 30, 180 y 365 días mediante modelos de riesgos proporcionales de COX. RESULTADOS // De 9.770 pacientes incluidos con una media de edad de 79 años, un 51% eran hombres, 6.305 (64,53%) eran independientes, 2.340 (24%) tenían dependencia leve-moderada y 1.125 (11,5%) dependencia grave-total. El número de fallecidos a 30 días en estos tres grupos fue 500 (7,9%), 521 (22,3%) y 378 (33,6%), respectivamente; a 180 días fue 757 (12%), 725 (30,9%) y 526 (46,8%); y a 365 días 954 (15,1%), 891 (38,1%) y 611 (54,3%). En relación a los pacientes independientes, los riesgos (hazard ratio) ajustados de fallecer a 30 días, asociados a dependencia leve-moderada y grave-total, fueron 1,91 (IC 95%: 1,66-2,19) y 2,51 (2,11-2,98); a 180 días fueron de 1,88 (1,68-2,11) y 2,64 (2,28-3,05); y a 365 días fueron 1,82 (1,64-2,02) y 2, BACKGROUND // Functional assessment is part of geriatric assessment. How it is performed in hospital Emergency Departments (ED) is poorly understood, let alone its prognostic value. The aim of this paper was to investigate whether baseline disability to perform basic activities of daily living (BADL) was an independent prognostic factor for death after the index visit to the ED during the first wave of the COVID-19 pandemic and whether it had a different impact on patients with and without diagnosis of COVID-19. METHODS // A retrospective observational study of the EDEN-Covid (Emergency Department and Elder Needs during COVID) cohort was carried out, consisting of all patients aged ≥65 years seen in 52 Spanish EDs selected by chance during 7 consecutive days (30/3/2020 to 5/4/2020). Demographic, clinical, functional, mental and social variables were analyzed. Dependence was categorized with the Barthel index (BI) as independent (BI=100), mild-moderate dependence (100>BI>60) and severe-total dependence (BI<60), and their crude and adjusted association was evaluated with mortality at 30, 180 and 365 days using COX proportional hazards models. RESULTS // Of 9,770 enrolled patients with a mean age of 79 years, 51% were men, 6,305 (64.53%) were independent, 2,340 (24%) had mild-moderate dependence, and 1,125 (11.5%) severe-total dependence. The number of deaths at 30 days in these three groups was 500 (7.9%), 521 (22.3%) and 378 (33.6%), respectively; at 180 days it was 757 (12%), 725 (30.9%) and 526 (46.8%); and at 365 days 954 (15.1%), 891 (38.1%) and 611 (54.3%). In relation to independent patients, the adjusted risks (hazard ratio) of dying within 30 days associated with mild-moderate and severe-total dependency were 1.91 (95% CI: 1.66-2.19) and 2.51. (2.11-2.98); at 180 days they were 1.88 (1.68-2.11) and 2.64 (2.28-3.05); and at 365 days they were 1.82 (1.64-2.02) and 2.47 (2.17-2.82). This negative impact of dependency on mortality was greater in patients diagnose

Published
2023

38. Estudio EDEN-7: impacto de la pandemia COVID-19 sobre la demanda asistencial de personas mayores en los servicios de urgencias españoles.

Author

Montero-Pérez, F. Javier, Cobos Requena, Ángela María, González del Castillo, Juan, Jacob, Javier, García-Lamberechts, Eric Jorge, Piñera Salmerón, Pascual, Alquézar-Arbé, Aitor, Aguiló, Sira, Fernández Alonso, Cesáreo, Burillo-Putze, Guillermo, Calderón Caro, María, Díaz Salado, Ángel Iván, Mojarro, Enrique Martín, Eiroa-Hernández, Patricia, Parra-Esquivel, Patricia, López Pérez, Juan José, Ruiz Grinspan, Martín, Osorio Quispe, Ivet Gina, González Tejera, Matilde, and Serrano Lázaro, Leticia

Published
2023

39. Estudio EDEN-16: sodio plasmático determinado a la llegada a urgencias como indicador de gravedad en pacientes ancianos.

Author

Llorens, Pere, Miró, Òscar, Veguillas Benito, Mónica, Fernández, Cesáreo, Jacob, Javier, Burillo-Putze, Guillermo, Alquézar, Aitor, Aguiló, Sira, Puiggali Ballard, Margarita, Bretones Baena, Sierra, Jeong-Uh Hong Cho, San Julián Romero, Melisa, Rodríguez Palma, María Eugenia, Álvarez Madrigal, Alberto, Rodríguez Romero, María, Lozano López, María Isabel, González González, Rebeca, Carrión Fernández, Marina, Morales Franco, Belén, and Poch Ferrer, Eduard Antón

Published
2023

41. Sociodemografía, comorbilidad y situación funcional basal de los pacientes mayores atendidos en urgencias durante la pandemia de COVID y su relación con la mortalidad: análisis a partir de la cohorte EDEN-Covid.

Author

del Castillo, Juan González, Jacob, Javier, García-Lamberechts, Eric Jorge, Salmerón, Pascual Piñera, Alquézar-Arbé, Aitor, Llorens, Pere, Jiménez, Sònia, Quero Espinosa, Francisco de Borja, Aguiló, Sira, Gil-Rodrigo, Adriana, Alonso, Cesáreo Fernández, Burillo-Putze, Guillermo, Fernández, Begoña Espinosa, Méndez, Coral Suero, Vela, Marta Iglesias, Motto, Eva Quero, Jeong-Uh Hong Cho, Llopis, Ferran, Marrón, Rafael, and Martín, Sara Gayoso

Published
2022

42. Características sociodemográficas, funcionales y consumo de recursos de la población mayor atendida en los servicios de urgencias españoles: una aproximación desde la cohorte EDEN.

Author

Miró, Òscar, Jacob, Javier, García-Lamberechts, Eric Jorge, Salmerón, Pascual Piñera, Llorens, Pere, Jiménez, Sònia, Burillo-Putze, Guillermo, Montero-Pérez, Francisco Javier, Aguiló, Sira, Gil-Rodrigo, Adriana, Alonso, Cesáreo Fernández, Alquézar-Arbé, Aitor, Parra-Esquivel, Patricia, Fortuny Bayarri, María José, Tejera, Matilde González, Soria, Javier Millán, Cirera, Isabel, Adroher, María, Mojarro, Enrique Martín, and García, Esther Gargallo

Published
2022

44. Impact of diabetes and on-arrival hyperglycemia on short-term outcomes in acute heart failure patients.

Author

Masip, Josep, Povar-Echeverría, Marina, Peacock, William Frank, Jacob, Javier, Gil, Víctor, Herrero, Pablo, Llorens, Pere, Alquézar-Arbé, Aitor, Sánchez, Carolina, Martín-Sánchez, Francisco Javier, Miró, Òscar, On Behalf of the Researchers of the ICA-SEMES and EAHFE Registry, Fuentes, Marta, Gil, Cristina, Alonso, Héctor, Pérez-Llantada, Enrique, García, Guillermo Llopis, Cadenas, Mar Suárez, Escoda, Rosa, and Aguiló, Sira

Abstract

The impact of diabetes mellitus (DM) and hyperglycemia on short-term prognosis in patients with acute heart failure (AHF) remains controversial as most data comes from series of hospitalized patients. Our purpose was to analyze outcomes in a nation-wide registry of AHF patients attended in emergency department (ED). ED AHF patients were prospectively enrolled, with the index event and the vulnerable post-discharge phase outcomes recorded. The influence of presenting hyperglycemia (> 180 mg/dL) and DM treatment on prognosis were also investigated. All results were adjusted (a) for baseline characteristics. Of 9192 enrolled AHF patients, 4544 (49,4%) were diabetic, with 24% of diabetics and 25.1% of non-diabetic (p = 0.247) directly discharged from the ED also included. Diabetics had higher rates of comorbidities, but were slightly younger and had lower in-hospital and 30 day all-cause mortality than non-diabetics (a-OR = 0.827, 95% CI = 0.690–0980; and a-HR = 0.850, 95% CI = 0.814–1.071, respectively). Conversely, hyperglycemia on-arrival was associated with increased in-hospital, and 30 day all-cause mortality, in both DM (a-OR = 1.933, 95% CI = 1.378–2.712, and a-HR = 1.590, 95% CI = 1.304–1.938, respectively) and non-DM patients (a-OR = 1.498, 95% CI = 1.175–1.909, and a-HR = 1.719, 95% CI = 1.306–2.264, respectively). However, during the vulnerable phase, diabetics had worse short-term outcomes, with higher rates of ED-revisit and rehospitalization. These worse outcomes seemed to be unrelated to the severity of DM. In patients with AHF attended in ED, diabetes was associated with lower index event case fatality, but higher rates of rehospitalization and re-consultation in the vulnerable post-discharge period. Conversely, hyperglycemia at hospital arrival was strongly associated with early mortality, regardless of diabetes status. [ABSTRACT FROM AUTHOR]

Published
2022
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46. La escala Identification of Senior at Risk predice la mortalidad a los 30 días en los pacientes mayores con insuficiencia cardiaca aguda

Author

Martín-Sánchez, F.J., primary, Llopis García, G., additional, González-Colaço Harmand, M., additional, Fernandez Pérez, C., additional, González del Castillo, J., additional, Llorens, P., additional, Herrero, P., additional, Jacob, J., additional, Gil, V., additional, Domínguez-Rodriguez, A., additional, Rossello, X., additional, Miró, O., additional, Adrada, Esther Rodríguez, additional, Santos, María Carmen, additional, Salgado, Lucía, additional, Brizzi, Berenice Nayla, additional, Docavo, María Luisa, additional, Cadenas, María Suárez, additional, Xipell, Carolina, additional, Sánchez, Carolina, additional, Aguiló, Sira, additional, Gaytan, Josep María, additional, Jerez, Alba, additional, Pérez-Durá, María José, additional, Gil, Pablo Berrocal, additional, López-Grima, María Luisa, additional, Valero, Amparo, additional, Aguirre, Alfons, additional, Pedragosa, Maria Àngels, additional, Piñera, Pascual, additional, Aragues, Paula Lázaro, additional, Nicolás, José Andrés Sánchez, additional, Rizzi, Miguel Alberto, additional, Mateo, Sergio Herrera, additional, Alquezar, Aitor, additional, Roset, Alex, additional, Ferrer, Carles, additional, Llopis, Ferrán, additional, Pérez, José María Álvarez, additional, Diez, María Pilar López, additional, Richard, Fernando, additional, Fernández-Cañadas, José María, additional, Carratalá, José Manuel, additional, Javaloyes, Patricia, additional, Andueza, Juan Antonio, additional, Fernández, José Antonio Sevillano, additional, Romero, Rodolfo, additional, Loranc, Marta Merlo, additional, Rodríguez, Virginia Álvarez, additional, Lorca, María Teresa, additional, Calderón, Luis, additional, Ferrer, Ester Soy, additional, Garrido, José Manuel, additional, and Mojarro, Enrique Martín, additional

Published
2020
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47. Resultados a 30 días en los pacientes mayores frágiles con insuficiencia cardiaca aguda dados de alta desde urgencias o sus unidades vinculadas que cumplen los criterios de alto riesgo del estudio DEED FRAIL-AHF.

Author

Martín-Sánchez, Francisco Javier, Parra Esquivel, Patricia, Llopis García, Guillermo, González del Castillo, Juan, Rodríguez Adrada, Esther, Espinosa, Begoña, López Díez, María Pilar, Romero Pareja, Rodolfo, Rizzi Bordigoni, Miguel Alberto, Pérez-Durá, María José, Bibiano, Carlos, Ferrer, Carles, Aguiló, Sira, Mojarro, Enrique Martín, Aguirre, Alfons, Piñera, Pascual, López-Picado, Amanda, Llorens, Pere, Jacob, Javier, and Gil, Víctor

Published
2021

48. Perfil de los pacientes ancianos atendidos en urgencias por caídas (Registro FALL-ER): magnitud del problema y posibilidades de mejora en los servicios de urgencias hospitalarios

Author

Miró i Andreu, Òscar, Brizzi, Berenice Nayla, Aguiló, Sira, Alemany, Xavier, Jacob, Javier, Llorens, Pere, Herrero Puente, Pablo, González Ramón, Begoña, Castro Jiménez, Verónica, Torres Machado, Victoria, Cenjor, Raquel, Gil, Adriana, Rico, Verónica, Martínez Nadal, Gemma, Lázaro del Nogal, Montserrat, and Martín Sánchez, Francisco Javier

Subjects
Falls (Accidents), Caigudes (Accidents), Hospital emergency services, Older people, Persones grans, Serveis d'urgències hospitalàries
Abstract

Objetivo. Estudiar el perfil de los pacientes de 65 años o más atendidos por una caída en los servicios de urgencias (SU), las características de las caídas, y el grado y los factores asociados con la realización de recomendaciones para prevenir las caídas (RPC). Método. FALL-ER es un registro de cohortes multipropósito, prospectivo y multicéntrico, con muestreo sistemático, que incluyó todos los pacientes de 65 años o más atendidos por caída en 5 SU durante 52 días en un año. Se recogieron 68 variables independientes. Los pacientes se clasificaron en función de recibir o no RPC (cualquiera de las siguientes: ejercicio, educación sobre prevención de las caídas, derivación a especialista o modificación de fármacos relacionados con las caídas). Resultados. Se analizaron 1.507 (93,6%) del total de 1.610 pacientes. Los pacientes tenían una edad muy avanzada y alto grado de comorbilidad, polifarmacia y síndromes geriátricos previos. La caída suele suceder de día, en domicilio y en la mitad de casos sin testigo. Un 48% refirió miedo a caerse, un 22% presentó deterioro funcional agudo, un 16% ingresó y un 0,6% falleció. Se realizaron RPC en 509 (33,8%) casos. La disminución de la agudeza auditiva, deterioro cognitivo autorreferido, atención médica en el lugar de la caída, miedo a volver a caerse, deterioro funcional agudo y hospitalización se asociaron con mayor probabilidad de RPC, y la disminución de la agudeza visual con menor probabilidad. Conclusiones. Solo tres de cada diez pacientes ancianos atendidos por una caída en urgencias recibe RPC posteriores, aunque existen ciertas características relacionadas con el paciente y la caída que se asocian a una mayor probabilidad de recibirlas.

Published
2018

49. 180-Day functional decline among older patients attending an emergency department after a fall

Author

Miró, Òscar, primary, Brizzi, Berenice N., additional, Aguiló, Sira, additional, Alemany, Xavier, additional, Jacob, Javier, additional, Llorens, Pere, additional, Herrero Puente, Pablo, additional, Torres Machado, Victoria, additional, Cenjor, Raquel, additional, Gil, Adriana, additional, Rico, Verònica, additional, Álvarez Carretero, María, additional, Cuccolini, Lucía, additional, Martínez Nadal, Gemma, additional, Fernández Pérez, Cristina, additional, Lázaro del Nogal, Montserrat, additional, Platts-Mills, Timothy F., additional, and Martín-Sánchez, Francisco Javier, additional

Published
2019
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50. Analysis of How Emergency Physicians’ Decisions to Hospitalize or Discharge Patients With Acute Heart Failure Match the Clinical Risk Categories of the MEESSI-AHF Scale

Author

Miró, Òscar, primary, Rossello, Xavier, additional, Gil, Víctor, additional, Martín-Sánchez, Francisco J., additional, Llorens, Pere, additional, Herrero-Puente, Pablo, additional, Jacob, Javier, additional, Piñera, Pascual, additional, Mojarro, Enrique M., additional, Lucas-Imbernón, Francisco J., additional, Llauger, Lluís, additional, Agüera, Carmen, additional, López-Díez, María P., additional, Valero, Amparo, additional, Bueno, Héctor, additional, Pocock, Stuart J., additional, Gil, Marta Fuentes, additional, Salvo, Eva, additional, Escoda, Rosa, additional, Aguiló, Sira, additional, Xipell, Carolina, additional, Sánchez, Carolina, additional, Gaytan, Josep M., additional, Noval, Antonio, additional, Torres, José M., additional, Aguirre, Alfons, additional, Pedragosa, María Àngels, additional, Torres-Gárate, Raquel, additional, Alonso, María Isabel, additional, Ruiz, Francisco, additional, Franco, José Miguel, additional, Sánchez, Susana, additional, Alquézar, Aitor, additional, Rizzi, Miguel Alberto, additional, Herrera, Sergio, additional, Cabello, Irene, additional, Roset, Álex, additional, Alonso, Héctor, additional, Adrada, Esther Rodríguez, additional, García, Guillermo Llopis, additional, Álvarez Pérez, José María, additional, Mecina, Ana Belén, additional, Álvarez, Joaquín Vázquez, additional, González, Marta Sánchez, additional, Prieto, Belén, additional, García, María García, additional, Marquina, Víctor, additional, Jiménez, Inmaculada, additional, Javaloyes, Patricia, additional, Hernández, Néstor, additional, Brouzet, Benjamin, additional, López, Ana, additional, Andueza, Juan Antonio, additional, Romero, Rodolfo, additional, Calvache, Roberto, additional, Lorca, María Teresa, additional, Calderón, Luis, additional, Arriaga, Beatriz Amores, additional, Sierra, Beatriz, additional, Sánchez Nicolás, José Andrés, additional, Mojarro, Enrique Martín, additional, Bécquer, Lisette Travería, additional, García, Lluís Llauger, additional, La Salle, Gerard Corominas, additional, Urbano, Carmen Agüera, additional, and Ferrer, Ester Soy, additional

Published
2019
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