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  1. Article ; Online: Sumisión química por «ayahuasca».

    Fernández Alonso, Cesáreo / Megía Morales, Carmen / Santiago Sáez, Andrés E

    Medicina clinica

    2020  Volume 157, Issue 10, Page(s) e325–e326

    Title translation Chemical submission by "ayahuasca".
    MeSH term(s) Banisteriopsis ; Humans ; Plant Extracts
    Chemical Substances Plant Extracts
    Language Spanish
    Publishing date 2020-12-27
    Publishing country Spain
    Document type Letter
    ZDB-ID 411607-0
    ISSN 1578-8989 ; 0025-7753
    ISSN (online) 1578-8989
    ISSN 0025-7753
    DOI 10.1016/j.medcli.2020.11.022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  2. Article ; Online: Patient profile and emergency care differences according to type of status epilepticus: data from the ACESUR registry.

    Fernández Alonso, Cesáreo / Alonso Avilés, Raúl / Liñán López, Manuel / González Martínez, Félix / Gros Bañeres, Belén / Fuentes Ferrer, Manuel E

    Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias

    2022  Volume 34, Issue 5, Page(s) 401–403

    Title translation Diferencias en el perfil y en la atención urgente según el tipo de estado epiléptico (registro ACESUR).
    MeSH term(s) Anticonvulsants/therapeutic use ; Emergency Medical Services ; Humans ; Registries ; Status Epilepticus/diagnosis ; Status Epilepticus/epidemiology ; Status Epilepticus/therapy
    Chemical Substances Anticonvulsants
    Language Spanish
    Publishing date 2022-10-11
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 2127173-2
    ISSN 2386-5857 ; 2386-5857
    ISSN (online) 2386-5857
    ISSN 2386-5857
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Sospecha de sumisión química en sujetos mayores atendidos en un servicio de urgencias hospitalario.

    Fernández Alonso, Cesáreo / Lázaro Del Nogal, Montserrat / Quintela Jorge, Óscar / Santiago-Sáez, Andres E

    Revista espanola de geriatria y gerontologia

    2020  Volume 55, Issue 6, Page(s) 354–357

    Abstract: Chemical Submission (CS) is considered a danger to health and a form of violence. There are different forms of proactive CS (involuntary consumption of psychoactive substances) and opportunistic CS (voluntary consumption), with criminal intent, usually ... ...

    Title translation Suspicion of chemical submission in older subjects attending a hospital emergency department.
    Abstract Chemical Submission (CS) is considered a danger to health and a form of violence. There are different forms of proactive CS (involuntary consumption of psychoactive substances) and opportunistic CS (voluntary consumption), with criminal intent, usually theft, submission, or sexual assault. The objective of this work is to describe the characteristics of cases of suspected CS in adults older than 65 years treated in the Emergency Department of the San Carlos Clinical Hospital and the results of the toxicological analysis performed by the INTCF in Madrid (April 1, 2015-2019). There were 12 (8%) cases of suspected CS, with a mean age of 75 (SD 8) years, of which 8 (66.7%) men, with two different profiles, all associated with theft, and in 3 (25%) possible sexual assault. In 9 (75%) cases, benzodiazepines and / or usual drugs were identified. CS is a problem to consider in Emergency Departments and is not exclusive to the young population.
    MeSH term(s) Aged ; Aged, 80 and over ; Benzodiazepines ; Crime ; Drug Overdose/diagnosis ; Emergency Service, Hospital ; Female ; Hospitals ; Humans ; Male ; Sex Offenses
    Chemical Substances Benzodiazepines (12794-10-4)
    Language Spanish
    Publishing date 2020-07-25
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 605609-x
    ISSN 1578-1747 ; 0211-139X
    ISSN (online) 1578-1747
    ISSN 0211-139X
    DOI 10.1016/j.regg.2020.03.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 2677: Show issues Location:
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  4. Article ; Online: Time to toxicologic analysis: a critical factor in emergency department cases of suspected chemical submission.

    Fernández Alonso, Cesáreo / Quintela Jorge, Óscar / Bravo Serrano, Begoña / Santiago-Sáez, Andrés E

    Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias

    2019  Volume 31, Issue 1, Page(s) 65–66

    Title translation La importancia del factor tiempo en el análisis toxicológico de casos de sospecha de sumisión química en un servicio de urgencias hospitalario.
    MeSH term(s) Alcoholic Intoxication/diagnosis ; Delayed Diagnosis/prevention & control ; Delayed Diagnosis/statistics & numerical data ; Drug Overdose/diagnosis ; Early Diagnosis ; Emergency Service, Hospital ; Humans ; Retrospective Studies ; Time Factors
    Language Spanish
    Publishing date 2019-01-17
    Publishing country Spain
    Document type Letter ; Observational Study
    ZDB-ID 2127173-2
    ISSN 2386-5857 ; 1137-6821
    ISSN (online) 2386-5857
    ISSN 1137-6821
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Performance of 3 frailty scales for predicting adverse outcomes at 30 days in older patients discharged from emergency departments.

    Fernández Alonso, Cesáreo / Del Arco Galán, Carmen / Torres Garate, Raquel / Madrigal Valdés, José Fernando / Romero Pareja, Rodolfo / Bibiano Guillén, Carlos / Rodríguez Miranda, Belén / Ruiz Grinspan, Martín S / Gutiérrez Gabriel, Sonia / Del Rey Ubago, Ana / Fuentes Ferrer, Manuel E / Martín-Sánchez, Francisco Javier

    Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias

    2023  Volume 35, Issue 3, Page(s) 196–204

    Abstract: Objectives: To compare the ability of 3 frailty scales (the Clinical Frailty Scale [CFS], the Functional Index - eMergency [FIM], and the Identification of Seniors at Risk [ISAR] scale) to predict adverse outcomes at 30 days in older patients discharged ...

    Title translation Rendimiento de tres escalas de fragilidad para predecir resultados adversos a 30 días en los pacientes mayores dados de alta en los servicios de urgencias.
    Abstract Objectives: To compare the ability of 3 frailty scales (the Clinical Frailty Scale [CFS], the Functional Index - eMergency [FIM], and the Identification of Seniors at Risk [ISAR] scale) to predict adverse outcomes at 30 days in older patients discharged from hospital emergency departments (EDs).
    Material and methods: Secondary analysis of data from the FRAIL-Madrid registry of patients aged 75 years or older who were discharged from Madrid EDs over a period of 3 months in 2018 and 2019. Frailty was defined by a CFS score over 4, a FIM score over 2, or an ISAR score over 3. The outcome variables were revisits to an ED, hospitalization, functional decline, death, and a composite variable of finding any of the previously named variables within 30 days of discharge.
    Results: A total of 619 patients were studied. The mean (SD) age was 84 (7) years, and 59.1% were women. The CFS identified as frail a total of 339 patients (54.8%), the FIM 386 (62.4%), and the ISAR 301 (48.6%). An adverse outcome occurred within 30 days in 226 patients (36.5%): 21.5% revisited, 12.6% were hospitalized, 18.4% experienced functional decline, and 3.6% died. The areas under the receiver operating characteristic curves were as follows: CFS, 0.66 (95% CI, 0.62-0.70; P = .022); FIM, 0.67 (95% CI, 0.62-0.71; P = .021), and ISAR, 0.64 (95% CI, 0.60-0.69; P = .023). Adjusted odds ratios (aOR) showed that frailty was an independent risk factor for presenting any of the named adverse outcomes: aOR for CFS >4, 3.18 (95% CI, 2.02-5.01), P .001; aOR for FIM > 2, 3.49 (95% CI, 2.15-5.66), P .001; and aOR for ISAR >3, 2.46 (95% CI, 1.60-3.79), P .001.
    Conclusion: All 3 scales studied - the CFS, the FIM and the ISAR - are useful for identifying frail older patients at high risk of developing an adverse outcome (death, functional decline, hospitalization, or revisiting the ED) within 30 days after discharge.
    MeSH term(s) Aged ; Humans ; Female ; Male ; Patient Discharge ; Frailty/diagnosis ; Frailty/epidemiology ; Geriatric Assessment ; Risk Assessment ; Emergency Service, Hospital
    Language English
    Publishing date 2023-06-23
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 2127173-2
    ISSN 2386-5857 ; 2386-5857
    ISSN (online) 2386-5857
    ISSN 2386-5857
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  6. Article ; Online: Podemos llamar hiperfrecuentadores a los pacientes con mayor número de atenciones en urgencias y atención primaria.

    Fernández Alonso, Cesáreo / Aguilar Mulet, Juan Mariano / Rivas García, Arístides / González Armengol, Juan Jorge

    Atencion primaria

    2018  Volume 51, Issue 1, Page(s) 50–51

    Title translation We can call hiper frequent users to the patients with the highest number of attention in emergencies and primary care.
    MeSH term(s) Attention ; Emergencies ; Emergency Service, Hospital ; Humans ; Primary Health Care
    Language Spanish
    Publishing date 2018-10-02
    Publishing country Spain
    Document type Letter ; Comment
    ZDB-ID 1200787-0
    ISSN 1578-1275 ; 0212-6567
    ISSN (online) 1578-1275
    ISSN 0212-6567
    DOI 10.1016/j.aprim.2018.05.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4054: Show issues Location:
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  7. Article ; Online: Identificación de la droga de abuso flakka (α-PVP) como sospecha de sumisión química no probada en Urgencias de un hospital terciario.

    Fernández Alonso, Cesáreo / Quintela Jorge, Oscar / Santiago Sáez, Andrés Sebastián

    Medicina clinica

    2016  Volume 147, Issue 5, Page(s) 227–228

    Title translation Identification of the drug of abuse flakka (α-PVP) as suspicion of chemical submission in the Emergency Department of a tertiary hospital.
    MeSH term(s) Emergency Service, Hospital ; Humans ; Male ; Middle Aged ; Pentanones/poisoning ; Pyrrolidines/poisoning ; Spain ; Street Drugs/poisoning ; Tertiary Care Centers ; Theft ; Violence
    Chemical Substances Pentanones ; Pyrrolidines ; Street Drugs ; 1-phenyl-2-(1-pyrrolidinyl)-1-pentanone (767K3AWA4R)
    Language Spanish
    Publishing date 2016-05-17
    Publishing country Spain
    Document type Case Reports ; Letter
    ZDB-ID 411607-0
    ISSN 1578-8989 ; 0025-7753
    ISSN (online) 1578-8989
    ISSN 0025-7753
    DOI 10.1016/j.medcli.2016.03.028
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ua VI Zs.279: Show issues Location:
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  8. Article ; Online: Control farmacológico del cuadro confusional agudo (SCA) en servicios de urgencias hospitalarios españoles.

    Fernández Alonso, Cesáreo / Hormigo Sánchez, Ana Isabel / Bermejo Boixareu, Cristina / Jiménez Díaz, Gregorio

    Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias

    2017  Volume 29, Issue 6, Page(s) 427–428

    Title translation Pharmacologic monitoring of acute confusional state in Spanish hospital emergency departments.
    Language Spanish
    Publishing date 2017-11-29
    Publishing country Spain
    Document type Letter ; Comment
    ZDB-ID 2127173-2
    ISSN 2386-5857 ; 1137-6821
    ISSN (online) 2386-5857
    ISSN 1137-6821
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  9. Article ; Online: Acute intoxication by new recreational drugs in probable cases of opportunistic and/or mixed chemical submission and chemsex in emergency department patients infected with human immunodeficiency virus.

    Fernández Alonso, Cesáreo / Quintela Jorge, Óscar / Ayuso Tejedor, Sara / Santiago-Sáez, Andrés E / González Armengol, Juan J

    Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias

    2019  Volume 31, Issue 4, Page(s) 289–290

    Title translation Intoxicación aguda por nuevas drogas de abuso en probables casos de sumisión química oportunista o mixta y chemsex en pacientes con VIH atendidos en urgencias.
    MeSH term(s) Adult ; Humans ; Illicit Drugs/blood ; Illicit Drugs/urine ; Male ; Psychoses, Substance-Induced/blood ; Psychoses, Substance-Induced/etiology ; Psychoses, Substance-Induced/psychology ; Psychoses, Substance-Induced/urine ; Sex Offenses/psychology
    Chemical Substances Illicit Drugs
    Language Spanish
    Publishing date 2019-07-26
    Publishing country Spain
    Document type Case Reports ; Journal Article
    ZDB-ID 2127173-2
    ISSN 2386-5857 ; 1137-6821
    ISSN (online) 2386-5857
    ISSN 1137-6821
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Adults discharged after an epileptic seizure: a model of 30-day risk for adverse outcomes.

    Alonso Avilés, Raúl / Fernández Alonso, Cesáreo / Liñán López, Manuel / González Martínez, Félix / Fuentes Ferrer, Manuel E / Gros Bañeres, Belén

    Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias

    2019  Volume 31, Issue 4, Page(s) 245–251

    Abstract: Objectives: To develop a risk model to predict adverse outcomes within 30 days of discharge in adults attended by hospital emergency departments for an epileptic seizure.: Methods: ACESUR (Acute Epileptic Seizures in the Emergency Department) is a ... ...

    Title translation Modelo de riesgo a 30 días en los pacientes adultos con crisis epiléptica dados de alta de urgencias (RACESUR).
    Abstract Objectives: To develop a risk model to predict adverse outcomes within 30 days of discharge in adults attended by hospital emergency departments for an epileptic seizure.
    Methods: ACESUR (Acute Epileptic Seizures in the Emergency Department) is a prospective multicenter, multipurpose registry of cases obtained by systematic sampling. We made follow-up telephone calls to registered patients 30 days after discharge. Clinical variables for the index visit were extracted from the register and variables at 30 days were collected by telephone. The main outcome variable was the occurrence of any adverse outcome (seizure recurrence, emergency department revisit, hospitalization, or death) within 30 days of discharge.
    Results: Of the patients from the ACESUR registry discharged from 18 hospitals, we included 489 (74%) with complete follow-up information. The median (interquartile range) age was de 48 (34-66) years. One hundred forty-four patients (29.4%) experienced an adverse outcome within 30 days of discharge. Factors included in the ACESUR risk model were generalized nonconvulsive tonic-clonic epileptic seizure as the reason for the index visit (odds ratio [OR], 2.42; 95% CI, 1.49-3.90; P<.001), ongoing use of 3 or more medications (OR, 1.98; 95% CI, 1.28-3.07; P=.002), and an emergency visit for any reason in the 6 months prior to the index event (OR, 2.34; 95% CI, 1.47-3.70; P<.001). Each factor contributed 1 point to the risk score. A score of 3 was associated with a 62.2% risk of an adverse outcome within 30 days, a score of 2 was associated with a 38.5% risk, a score of 1 with a 25.9% risk, and a score of 0 with a 10.9% risk. The area under the curve receiver operating characteristic curve was 0.72 (95% CI, 0.675-0.772; P=.025).
    Conclusion: The ACESUR risk model may provide a useful score for identifying patients at high risk of an adverse outcome within 30 days of emergency department discharge after an epileptic seizure.
    MeSH term(s) Adult ; Aged ; Emergency Service, Hospital/statistics & numerical data ; Humans ; Middle Aged ; Models, Statistical ; Patient Discharge/statistics & numerical data ; Patient Readmission ; Prospective Studies ; Recurrence ; Registries ; Risk ; Seizures/mortality ; Time Factors
    Language Spanish
    Publishing date 2019-07-26
    Publishing country Spain
    Document type Journal Article ; Multicenter Study ; Observational Study
    ZDB-ID 2127173-2
    ISSN 2386-5857 ; 1137-6821
    ISSN (online) 2386-5857
    ISSN 1137-6821
    Database MEDical Literature Analysis and Retrieval System OnLINE

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