Emergencias
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Multicenter Study
Impact of specialized training for emergency department nurses screening or undetected HIV infection: the "Urgències VIHgila" project experience.
To evaluate the impact of specialized training for nurses on selective screening for undetected HIV infection in the emergency department. ⋯ Training nurses to screen for undetected HIV infection in the emergency department increased the number of patients tested, according to the pre-post and case-control comparisons.
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Letter Multicenter Study Observational Study
Appropriate use of venous thromboembolism prophylaxis in Spanish emergency departments: the PROTESU II study.
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Multicenter Study
Impact of an emergency department nurse training intervention on the adequacy of thromboprophylaxis for venous thromboembolism: the PROTESU III study.
Objectives. To assess the impact of training for emergency department (ED) nurses on adequate thromboprophylaxis for patients admitted to hospital from the ED for medical conditions. Methods. ⋯ In phase 3, 166 patients (54.1%, 95% CI, 48.3%-59.7%) received adequate prophylaxis (difference, -3.3% (95% CI, -11.0% to 4.4%; P = .405). Conclusions. A training intervention for ED nurses, implemented as an isolated strategy, had no impact on the adequacy of thromboprophylaxis in patients admitted from the ED for medical conditions.
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Multicenter Study
Clinical features and predictors of delayed neurological syndrome in carbon monoxide poisoning: the AMICO study.
To identify predictors for developing delayed neurological syndrome (DNS) after an initial episode of carbon monoxide (CO) poisoning in the interest of detecting patients most likely to develop DNS so that they can be followed. ⋯ The initial Glasgow Coma Scale score seems to be a clinical predictor of DNS after CO poisoning. We consider it important to establish follow-up protocols for patients with CO poisoning treated in hospital EDs.
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Multicenter Study Observational Study
Long-term risk of death in patients with infection attended by prehospital emergency services.
To develop and validate a risk model for 1-year mortality based on variables available from early prehospital emergency attendance of patients with infection. ⋯ The model showed excellent ability to predict 1-year mortality based on epidemiological, analytical, and clinical variables, identifying patients at high risk of death soon after their first contact with the health care system.