{"title":"Suicide attempts among adolescents seen in an emergency department.","authors":"Josep Guil Sánchez","doi":"10.55633/s3me/059.2024","DOIUrl":"https://doi.org/10.55633/s3me/059.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"36 6","pages":"474-476"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142981047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matías F Martínez, Luis Herrada, Carolina Gutiérrez-Cáceres, Sandra Espinoza-Muñoz, Daniel Palma, Marcela Jirón
{"title":"Authors' reply.","authors":"Matías F Martínez, Luis Herrada, Carolina Gutiérrez-Cáceres, Sandra Espinoza-Muñoz, Daniel Palma, Marcela Jirón","doi":"10.55633/s3me/070.2024","DOIUrl":"10.55633/s3me/070.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"36 6","pages":"478-479"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pedro Martín-Barrajón Morán, Beatriz Alba Carmona, Ricardo Delgado Sánchez
{"title":"Suicide crisis interventions in emergency medical services.","authors":"Pedro Martín-Barrajón Morán, Beatriz Alba Carmona, Ricardo Delgado Sánchez","doi":"10.55633/s3me/054.2024","DOIUrl":"https://doi.org/10.55633/s3me/054.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"36 6","pages":"470-473"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142981050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Another goal satisfactorily accomplished by the Spanish Investigators in Emergency Situations Team (SIESTA): studies from the Emergency Department and Elder Needs (EDEN) project.","authors":"Òscar Miró, Juan González Del Castillo","doi":"10.55633/s3me/104.2024","DOIUrl":"https://doi.org/10.55633/s3me/104.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"36 6","pages":"479-480"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Information and consent in HIV screening.","authors":"Miguel Ángel Ramiro Avilés","doi":"10.55633/s3me/064.2024","DOIUrl":"https://doi.org/10.55633/s3me/064.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"36 6","pages":"466-469"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142981034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patricia Torrella Esteban, Carlos Rodríguez Rojas, Sofía Wikström Fernández, Andrés Murillo Herrera, Pilar Garrido Orta, Esther Montoro Jorquera, Pablo Cerezuela-Fuentes, Luis García de Guadiana-Romualdo
Objective: To analyze the usefulness of mean mid-regional pro-adrenomedullin (MR-proADM) level to stratify risk in emergency department patients with solid tumors attended for febrile neutropenia after chemotherapy. To compare risk prediction with MR-proADM to that of conventional biomarkers and scores on the Multinational Association for Supportive Care in Cancer (MASCC) score.
Methods: Prospective observational cohort study enrolling patients with solid tumors who developed febrile neutropenia after chemotherapy. We collected demographic and tumor variables, the suspected focus of infection, and other variables necessary for calculating the MASCC score. The following biomarkers were measured: C-reactive protein (CRP), procalcitonin, and MR-proADM. The main outcome was the development of serious complications that were not present when febrile neutropenia was detected.
Results: A total of 173 episodes were studied. The median patient age was 70 years, and 60.7% were women. Serious complications developed in 55 patients (31.8%). The strongest predictor was MR-proADM, with an area under the receiver operating characteristic curve of 0.90 (95% CI, 0.85-0.95), significantly greater than the areas for procalcitonin (0.83; 95% CI, 0.76-0.90), CRP (0.79; 95% CI, 0.71-0.86), or the MASCC score (0.74, 95% CI, 0.65-0.82). Yield was not improved by combining MR-proADM with other biomarkers or the MASCC score.
Conclusions: Risk stratification in cancer patients with febrile neutropenia is essential for decision-making in the ED. MR-proADM was the best predictor of serious complications in these patients, and combining it with any of the other variables did not improve prediction.
{"title":"Usefulness of mid-regional pro-adrenomedullin for stratifying risk in emergency department patients with solid tumors attended for febrile neutropenia secondary to chemotherapy.","authors":"Patricia Torrella Esteban, Carlos Rodríguez Rojas, Sofía Wikström Fernández, Andrés Murillo Herrera, Pilar Garrido Orta, Esther Montoro Jorquera, Pablo Cerezuela-Fuentes, Luis García de Guadiana-Romualdo","doi":"10.55633/s3me/095.2024","DOIUrl":"https://doi.org/10.55633/s3me/095.2024","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the usefulness of mean mid-regional pro-adrenomedullin (MR-proADM) level to stratify risk in emergency department patients with solid tumors attended for febrile neutropenia after chemotherapy. To compare risk prediction with MR-proADM to that of conventional biomarkers and scores on the Multinational Association for Supportive Care in Cancer (MASCC) score.</p><p><strong>Methods: </strong>Prospective observational cohort study enrolling patients with solid tumors who developed febrile neutropenia after chemotherapy. We collected demographic and tumor variables, the suspected focus of infection, and other variables necessary for calculating the MASCC score. The following biomarkers were measured: C-reactive protein (CRP), procalcitonin, and MR-proADM. The main outcome was the development of serious complications that were not present when febrile neutropenia was detected.</p><p><strong>Results: </strong>A total of 173 episodes were studied. The median patient age was 70 years, and 60.7% were women. Serious complications developed in 55 patients (31.8%). The strongest predictor was MR-proADM, with an area under the receiver operating characteristic curve of 0.90 (95% CI, 0.85-0.95), significantly greater than the areas for procalcitonin (0.83; 95% CI, 0.76-0.90), CRP (0.79; 95% CI, 0.71-0.86), or the MASCC score (0.74, 95% CI, 0.65-0.82). Yield was not improved by combining MR-proADM with other biomarkers or the MASCC score.</p><p><strong>Conclusions: </strong>Risk stratification in cancer patients with febrile neutropenia is essential for decision-making in the ED. MR-proADM was the best predictor of serious complications in these patients, and combining it with any of the other variables did not improve prediction.</p>","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"36 6","pages":"417-424"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143056168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Emergencias - our journal is a cornerstone of scientific support for our new emergency medicine specialists.","authors":"Òscar Miró","doi":"10.55633/s3me/078.2024","DOIUrl":"10.55633/s3me/078.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"36 5","pages":"329-333"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Expected impact on Spanish hospitals as residency training in emergency medicine starts.","authors":"Pascual Piñera Salmerón","doi":"10.55633/s3me/077.2024","DOIUrl":"10.55633/s3me/077.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"36 5","pages":"334-336"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Next stop: specialization in emergency nursing.","authors":"Francisco Javier Morillo Rodríguez","doi":"10.55633/s3me/072.2024","DOIUrl":"10.55633/s3me/072.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"36 5","pages":"340-341"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Berta Sabariego Puigvila, Rosana Muñoz Bermudez, Alma Palomino, Pablo Navarro, Oriol Pallàs, August Supervía
{"title":"Predictors of poor outcome in intoxicated patients treated in an emergency department.","authors":"Berta Sabariego Puigvila, Rosana Muñoz Bermudez, Alma Palomino, Pablo Navarro, Oriol Pallàs, August Supervía","doi":"10.55633/s3me/067.2024","DOIUrl":"10.55633/s3me/067.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"36 5","pages":"395-398"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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