Emergencias
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Multicenter Study Observational Study
Early assessment of patients with COVID-19 and dyspnea using lung ultrasound scoring.
The main objective was to evaluate the precision of the Modified Lung Ultrasound (MLUS score) for predicting the need for respiratory support in the first 48 hours in patients with dyspnea due to the coronavirus disease 2019 (COVID-19). The secondary objectives were 1) to compare the MLUS and National Early Warning Score 2 (NEWS2), as well as the combination of both scores, as predictors of severity according to the World Health Organization (WHO) Ordinal Scale for Clinical Improvement; and 2) to compare severity assessed by ultrasound scoring to severity assessed by lung computed tomography (CT). ⋯ An early lung ultrasound score can predict clinical severity in patients with dyspnea due to COVID-19.
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Multicenter Study
Mortality risk model for patients with suspected COVID-19 based on information available from an emergency dispatch center.
To develop and validate a scale to stratify risk of 2-day mortality based on data collected during calls to an emergency dispatch center from patients with suspected coronavirus disease 2019 (COVID-19). ⋯ This risk scale derived from information available to an emergency dispatch center is applicable to patients with suspected COVID-19. It can stratify patients by risk of early death (within 2 days), possibly helping with decision making regarding whether to transport from home or what means of transport to use, and destination.
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Multicenter Study
Implementation of the Spanish Triage System in the emergency departments of public health service hospitals in Andalusia, Spain.
To describe the process of implementing the Spanish Triage System (SET, in its Spanish abbreviation) in nonspecialist hospital emergency departments (EDs) in the public health service. ⋯ Implementing a structured triage approach like SET is a gradual process. Quality indicators must be followed over time so that the impact of a triage system on ED care processes can be assessed.
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Multicenter Study Observational Study
Risk for early death in acutely ill older adults attended by prehospital emergency medical services.
To develop and validate a prehospital risk model to predict early in-hospital mortality (#48 hours) in patients aged 65 years or older. ⋯ The prehospital POAWS score can be used to stratify risk for death within 48 hours in patients aged 65 years or older.
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Randomized Controlled Trial Multicenter Study
Predicting a diagnosis of acute coronary syndrome during telephone evaluation by an emergency dispatcher: the SCARE predictive scale.
Correctly identifying patients with acute coronary syndrome (ACS) on first contact is essential, yet emergency dispatchers currently lack a risk scale that can help predict an ACS diagnosis. Our main aim was to develop and validate such a risk scale. ⋯ The SCARE scale had good discrimination and calibration properties. The scale should be further validated in an external sample from a multicenter study before it is implemented by emergency dispatch centers.