LIVIVO - Search results -

Search results

Result 1 - 10 of total 27

Search options

Article ; Online: Emergency department visits and HIV screening, clinical or universal scenarios?

Jacob, Javier / Puig Campmany, Mireia / Gené, Emili / Villamor, Alberto

Enfermedades infecciosas y microbiologia clinica (English ed.)

2024 Volume 42, Issue 2, Page(s) 116

MeSH term(s)	Humans ; Emergency Room Visits ; HIV Infections/diagnosis ; HIV Infections/epidemiology ; HIV Infections/prevention & control
Language	English
Publishing date	2024-01-03
Publishing country	Spain
Document type	Letter
ISSN	2529-993X
ISSN (online)	2529-993X
DOI	10.1016/j.eimce.2023.10.002
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article: Triage tools: a cautious (and critical) view towards their use in old patients.

Puig-Campmany, Mireia / Blázquez-Andión, Marta / Ris-Romeu, Josep

European geriatric medicine

2021 Volume 13, Issue 2, Page(s) 319–322

MeSH term(s)	Humans ; Triage
Language	English
Publishing date	2021-10-05
Publishing country	Switzerland
Document type	Editorial ; Comment
ZDB-ID	2556794-9
ISSN	1878-7657 ; 1878-7649
ISSN (online)	1878-7657
ISSN	1878-7649
DOI	10.1007/s41999-021-00572-7
Database	MEDical Literature Analysis and Retrieval System OnLINE

Full text online

Accessible to users with ZB MED library card

Order via subito

Details ▾
- Full text online
- Order with fees

Article ; Online: Medical education, specialty training, and emergency medicine: when the whole is more than the sum of its parts.

Puig Campmany, Mireia / Montiel-Dacosta, Josep Anton / Higa-Sansone, Jorge Leopoldo / Ris Romeu, Josep

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias

2022 Volume 34, Issue 4, Page(s) 310–313

Title translation	Docencia médica, formación especializada y Medicina de Urgencias y Emergencias (MUE): cuando el todo es más que la suma de las partes.
MeSH term(s)	Education, Medical ; Emergency Medicine/education ; Humans
Language	Spanish
Publishing date	2022-07-14
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

Order via subito

Article ; Online: Healthcare risk stratification model for emergency departments based on drugs, income and comorbidities: the DICER-score.

Ruiz-Ramos, Jesús / Vela, Emili / Monterde, David / Blazquez-Andion, Marta / Puig-Campmany, Mireia / Piera-Jiménez, Jordi / Carot, Gerard / Juanes-Borrego, Ana María

BMC emergency medicine

2024 Volume 24, Issue 1, Page(s) 23

Abstract: Background: During the last decade, the progressive increase in age and associated chronic comorbidities and polypharmacy. However, assessments of the risk of emergency department (ED) revisiting published to date often neglect patients' pharmacotherapy ...

Abstract	Background: During the last decade, the progressive increase in age and associated chronic comorbidities and polypharmacy. However, assessments of the risk of emergency department (ED) revisiting published to date often neglect patients' pharmacotherapy plans, thus overseeing the Drug-related problems (DRP) risks associated with the therapy burden. The aim of this study is to develop a predictive model for ED revisit, hospital admission, and mortality based on patient's characteristics and pharmacotherapy. Methods: Retrospective cohort study including adult patients visited in the ED (triage 1, 2, or 3) of multiple hospitals in Catalonia (Spain) during 2019. The primary endpoint was a composite of ED visits, hospital admission, or mortality 30 days after ED discharge. The study population was randomly split into a model development (60%) and validation (40%) datasets. The model included age, sex, income level, comorbidity burden, measured with the Adjusted Morbidity Groups (GMA), and number of medications. Forty-four medication groups, associated with medication-related health problems, were assessed using ATC codes. To assess the performance of the different variables, logistic regression was used to build multivariate models for ED revisits. The models were created using a "stepwise-forward" approach based on the Bayesian Information Criterion (BIC). Area under the curve of the receiving operating characteristics (AUCROC) curve for the primary endpoint was calculated. Results: 851.649 patients were included; 134.560 (15.8%) revisited the ED within 30 days from discharge, 15.2% were hospitalized and 9.1% died within 30 days from discharge. Four factors (sex, age, GMA, and income level) and 30 ATC groups were identified as risk factors and combined into a final score. The model showed an AUCROC values of 0.720 (95%CI:0.718-0.721) in the development cohort and 0.719 (95%CI.0.717-0.721) in the validation cohort. Three risk categories were generated, with the following scores and estimated risks: low risk: 18.3%; intermediate risk: 40.0%; and high risk: 62.6%. Conclusion: The DICER score allows identifying patients at high risk for ED revisit within 30 days based on sociodemographic, clinical, and pharmacotherapeutic characteristics, being a valuable tool to prioritize interventions on discharge.
MeSH term(s)	Adult ; Humans ; Retrospective Studies ; Bayes Theorem ; Comorbidity ; Emergency Service, Hospital ; Risk Assessment ; Delivery of Health Care
Language	English
Publishing date	2024-02-14
Publishing country	England
Document type	Journal Article
ZDB-ID	2050431-7
ISSN	1471-227X ; 1471-227X
ISSN (online)	1471-227X
ISSN	1471-227X
DOI	10.1186/s12873-024-00946-7
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

Article ; Online: Older patients with non-ST-segment elevation myocardial infarction in the emergency department: What approach is best?

Puig Campmany, Mireia / Álvarez Albarrán, María Teresa

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias

2019 Volume 31, Issue 3, Page(s) 151–153

Title translation	Ancianos con síndrome coronario agudo sin elevación del ST en urgencias: ¿cuál es la mejor estrategia de manejo?
MeSH term(s)	Emergency Service, Hospital ; Humans ; Non-ST Elevated Myocardial Infarction
Language	Spanish
Publishing date	2019-06-17
Publishing country	Spain
Document type	Editorial ; Comment
ZDB-ID	2127173-2
ISSN	2386-5857 ; 2386-5857
ISSN (online)	2386-5857
ISSN	2386-5857
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

Article: Anticholinergic burden and revisit risk in frail patients with pharmacological sleepiness.

Ruiz-Ramos, Jesus / López-Vinardell, Laia / Higa-Sansone, Leopoldo / Torrecilla-Vall-LLossera, Berta / Puig-Campmany, Mireia / Mangues-Bafalluy, Maria Antònia / Juanes-Borrego, Ana

European journal of hospital pharmacy : science and practice

2024 Volume 31, Issue 3, Page(s) 197–200

Abstract: Objective: Drug-induced sleepiness is a frequent cause of emergency department (ED) visits for frail patients. The aim of this study was to assess the impact of anticholinergic burden on 90-day revisitation risk for frail patients who visit the ED due ... ...

Abstract	Objective: Drug-induced sleepiness is a frequent cause of emergency department (ED) visits for frail patients. The aim of this study was to assess the impact of anticholinergic burden on 90-day revisitation risk for frail patients who visit the ED due to drug-induced sleepiness. Methods: This was a retrospective study in which patients treated at a fragility care area of an ED who sought consultation for drug-associated sleepiness from June 2020 to June 2021 were included. To evaluate the 90-day revisitation risk factors, a multivariate analysis was performed, including those factors with a p<0.200 from a previous univariate model. A Cox regression model was performed to assess the impact of a high burden on the time until 90-day ED revisitation. Results: One hundred and forty-eight patients were included (mean age 80.7±12.3 years). The median number of drugs that patients were currently on at emergency admission was eight (range 2-19), while at hospital discharge it was nine (range 2-20), with the median number of central nervous system (CNS) depressant drugs on admission being three (range 1-6). Thirty-five (23.6%) patients revisited the ED 90 days after discharge for sleepiness or agitation. In the multivariate model, a significant association was observed between a high anticholinergic burden during treatment at discharge (OR 3.74, 95% CI 1.36 to 9.71), chronic kidney disease (OR 2.87, 95% CI 1.19 to 6.81), and the risk of 90-day revisitation. Patients with high anticholinergic burden had a shorter time to revisit than those with medium or low anticholinergic burden (HR 1.96, 95% CI 1.05 to 3.99). Conclusions: Patients with pharmacological sleepiness and a high anticholinergic burden in their chronic treatment carry a greater risk of revisitation to EDs, and should be considered candidates for specific interventions after visiting these units.
MeSH term(s)	Humans ; Retrospective Studies ; Male ; Female ; Cholinergic Antagonists/adverse effects ; Aged ; Aged, 80 and over ; Emergency Service, Hospital/trends ; Risk Factors ; Frail Elderly ; Sleepiness
Chemical Substances	Cholinergic Antagonists
Language	English
Publishing date	2024-04-23
Publishing country	England
Document type	Journal Article
ZDB-ID	2650179-X
ISSN	2047-9964 ; 2047-9956
ISSN (online)	2047-9964
ISSN	2047-9956
DOI	10.1136/ejhpharm-2022-003424
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

Article ; Online: Learn, unlearn, and learn again: the secret to changing how elderly patients are attended in the emergency department.

Puig Campmany, Mireia / Blázquez Andión, Marta / Ris Romeu, Josep

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias

2020 Volume 32, Issue 2, Page(s) 122–130

Abstract: The demographic shift toward ever greater numbers of older patients with multiple conditions and functional dependency has increased pressure on emergency departments (EDs). The traditional approach to emergency treatment does not resolve problems in ... ...

Title translation	Aprender, desaprender y reaprender para asistir ancianos en urgencias: el secreto del cambio.
Abstract	The demographic shift toward ever greater numbers of older patients with multiple conditions and functional dependency has increased pressure on emergency departments (EDs). The traditional approach to emergency treatment does not resolve problems in this population, creates risk, leads to high admission rates, and collapses the ED itself. Medical associations recommend that multidisciplinary teams incorporate geriatric assessment strategies and procure safe care enviroments. Implementing such recommendations will require profound changes in ED processes and staff and in connections between the ED and the community the patient is discharged to. This paper describes the processes we used in our tertiary-care hospital to achieve the necessary level of change. Our aims were to ensure that the ED staff provides correct diagnoses and treatments for elderly patients; bases decisions on the patients’ clinical, social and functional needs and the preferences of both patient and family; and arranges for the most appropriate treatment environment in each case. All these changes were essential for properly addressing new care demands while achieving optimal patient outcomes and contributing to better ED and hospital performance.
MeSH term(s)	Aged ; Emergency Service, Hospital ; Geriatric Assessment ; Humans ; Patient Discharge
Language	Spanish
Publishing date	2020-03-02
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

Order via subito

Article: Cefepime Dosing Requirements in Elderly Patients Attended in the Emergency Rooms.

Ruiz-Ramos, Jesus / Herrera-Mateo, Sergio / López-Vinardell, Laia / Juanes-Borrego, Ana / Puig-Campmany, Mireia / Mangues-Bafalluy, Maria Antonia

Dose-response : a publication of International Hormesis Society

2022 Volume 20, Issue 1, Page(s) 15593258221078393

Abstract: Objective: This study aimed to assess the probability of reaching an adequate pharmacokinetic/pharmacodynamic (pK/pD) index for different cefepime dosages in frail patients with bacteremia treated in the emergency room.: Methods: Simulation study ... ...

Abstract	Objective: This study aimed to assess the probability of reaching an adequate pharmacokinetic/pharmacodynamic (pK/pD) index for different cefepime dosages in frail patients with bacteremia treated in the emergency room. Methods: Simulation study based on Gram-negative bacterial strains that cause bacteremia. The probability of reaching a time above the minimum inhibitory concentration (MIC) at 50% and 100% dosing intervals (fT > 50 and fT > 80% MIC) was assessed for two different renal clearance intervals. Results: One hundred twenty nine strains were collected, the predominant species being Conclusions: Standard cefepime dosing can reach an adequate PK/PD index in frail patients. Nevertheless, a high dose or extended infusion is necessary to reach an fT > 80% MIC in patients with a ClCr > 60 mL/min.
Language	English
Publishing date	2022-02-25
Publishing country	United States
Document type	Journal Article
ZDB-ID	2440820-7
ISSN	1559-3258
ISSN	1559-3258
DOI	10.1177/15593258221078393
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

Article ; Online: [Translated article] Usefulness of ICD-10 diagnostic triggers to identify adverse drug events in emergency care.

Ruiz Ramos, Jesús / Santos Puig, Marc / López Vinardell, Laia / Pedemonte I Pons, María / Gil Carbo, Eduard / Puig Campmany, Mireia / Mangues-Bafalluy, María Antonia / Juanes Borrego, Ana

Farmacia hospitalaria : organo oficial de expresion cientifica de la Sociedad Espanola de Farmacia Hospitalaria

2023 Volume 47, Issue 2, Page(s) T75–T79

Abstract: Objectives: To assess the usefulness of a tool based on ICD-10 diagnostic codes to identify patients who consult an emergency department for adverse drug events (ADE).: Methods: Prospective observational study, in which patients discharged from an ... ...

Abstract	Objectives: To assess the usefulness of a tool based on ICD-10 diagnostic codes to identify patients who consult an emergency department for adverse drug events (ADE). Methods: Prospective observational study, in which patients discharged from an emergency department during May to August 2022 with a diagnosis coded with one of the 27 ICD-10 diagnoses considered as triggers were included. ADE confirmation was carried out by analyzing drugs prescribed prior to admission, and through a discussion among experts and a phone interview with patients after hospital discharge. Results: 1143 patients with trigger diagnoses were evaluated, of which 310 (27.1%) corresponded to patients whose emergency visit was attributed to an ADE. A 58.4% of ADE consultations were found with three diagnostic codes: K59.0-Constipation (n = 87; 28.1%), I16.9-Hypertensive Crisis (n = 72; 23.2%) and I95.1-Orthostatic hypotension (n = 22; 7.1%). The diagnoses with the highest degree of association with consultations attributed to ADE were E16.2-Hypoglycemia, unspecified (73.7%) and E11.65-Type 2 diabetes mellitus with hyperglycemia (71.4%), while diagnoses D62-Acute posthemorrhagic anemia and I74.3-Embolism and thrombosis of arteries of the lower limbs were not attributed to any case of ADE. Conclusions: The ICD-10 codes associated with trigger diagnoses are a useful tool to identify patients who consult the emergency services with ADE and could be used to apply secondary prevention programs to avoid new consultations to the health care system.
MeSH term(s)	Humans ; International Classification of Diseases ; Diabetes Mellitus, Type 2 ; Drug-Related Side Effects and Adverse Reactions/diagnosis ; Hospitalization ; Emergency Service, Hospital
Language	Spanish
Publishing date	2023-03-16
Publishing country	Spain
Document type	Observational Study ; Journal Article
ZDB-ID	1122680-8
ISSN	2171-8695 ; 1130-6343
ISSN (online)	2171-8695
ISSN	1130-6343
DOI	10.1016/j.farma.2023.02.004
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Zs.A 3450: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (2.OG)
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article ; Online: Frailty and mortality: Utility of Frail-VIG index in ED short-stay units for older adults.

Blázquez-Andión, Marta / Montiel-Dacosta, Josep Anton / Rizzi-Bordigoni, Miguel / Acosta-Mejuto, Belen / Moliné-Pareja, Antoni / Ris-Romeu, Josep / Puig-Campmany, Mireia

Archives of gerontology and geriatrics

2023 Volume 115, Page(s) 105208

Abstract: Background: Frailty assessment allows the identification of patients at risk of death. The aim here was to study the ability of Frail-VIG Index (FI-VIG) in order to discriminate frailty groups of older adults and garner its correlation with mortality in ...

Abstract	Background: Frailty assessment allows the identification of patients at risk of death. The aim here was to study the ability of Frail-VIG Index (FI-VIG) in order to discriminate frailty groups of older adults and garner its correlation with mortality in an Emergency-Department Short-Stay Unit (ED-SSU). Methods: Our observational, single-center, prospective study consecutively included patients over 65-years-old admitted between March 1, 2021, and April 30, 2021. Results: 302 patients were included (56 % women), mean age 83 ± 8 years, and 39.1 % of them had a functional disability whilst 16.5 % of them had dementia. A total of 174 patients (58 %) met the frailty criteria (FI-VIG ≥ 0.2): 111 (63.8 %) had mild frailty (FI-VIG 0.2-0.36), 52 (29.9 %) had moderate frailty (FI-VIG 0.36-0.55), and 11 (6.3 %) had advanced frailty (FI-VIG > 0.55). Mortality at 30 days, 6 months, and 1 year was analyzed: no frailty was 6.3 %, 10.8 %, and 12.5 %, respectively; mild frailty was 10.8 %, 22.5 %, and 22.5 %, respectively; moderate frailty was 25 %, 34.6 %, and 42.3 %, respectively; advanced frailty was 36.4 %, 54.5 %, and 3.6 %, respectively. This shows the significant differences between the groups (1-year mortality p < 0.001). Mild frailty vs. non-frail HR was 2.47 (95 %CI 1.12-5.46), moderate frailty vs. non-frail HR was 6.93 (95 %CI 3.16-15.23), and advanced frailty vs. non-frail HR was 11.29 (95 %CI 3.54-36.03). The mean test time was 7 min. Conclusions: There was a strong correlation between frailty degree and mortality at 1, 6, and 12 months. FI-VIG is fast and easy-to-use in this setting. It is routine implementation in ED-SSUs could enable early risk stratification.
MeSH term(s)	Humans ; Female ; Aged ; Aged, 80 and over ; Male ; Frailty/diagnosis ; Frail Elderly ; Prospective Studies ; Hospitalization ; Geriatric Assessment
Language	English
Publishing date	2023-09-24
Publishing country	Netherlands
Document type	Observational Study ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	603162-6
ISSN	1872-6976 ; 0167-4943
ISSN (online)	1872-6976
ISSN	0167-4943
DOI	10.1016/j.archger.2023.105208
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Zs.A 1729: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (1.OG)
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

To top

More links

Kategorien

Order via subito

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Order via subito

More links

Kategorien

Order via subito

More links

Kategorien

Order via subito

More links

Kategorien

Order via subito

More links

Kategorien

Order via subito

More links

Kategorien

Order via subito

More links

Kategorien

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito