1.The Value of Transcranial Doppler Sonography in Hyperperfusion Syndrome after Carotid Artery Stenting: A Nationwide Prospective Study
Francisco MONICHE ; Irene ESCUDERO-MARTÍNEZ ; Fernando MANCHA ; Alejandro TOMASELLO ; Marc RIBÓ ; Fernando DELGADO-ACOSTA ; Juán José OCHOA ; Joaquín GIL ; Rosario GIL ; Montserrat GONZÁLEZ-DELGADO ; Eduardo MURIAS ; Alain LUNA ; Alberto GIL ; Sonia MOSTEIRO ; María Dolores FERNÁNDEZ-COUTO ; Luis Fernández de ALARCÓN ; José M. RAMÍREZ-MORENO ; Joaquín ZAMARRO ; Guillermo PARRILLA ; José L. CANIEGO ; Gustavo ZAPATA-WAINBERG ; Andrés GONZÁLEZ-MANDLY ; José A. de las HERAS ; Luis LÓPEZ-MESONERO ; Joaquín ORTEGA ; Juan F. ARENILLAS ; Ernesto GARCÍA ; Pedro P. ALCÁZAR ; Elena ZAPATA-ARRIAZA ; Asier de ALBÓNIGA-CHINDURZA ; Juan Antonio CABEZAS ; Pilar ALGABA ; Aurelio CAYUELA ; Joan MONTANER ; Alejandro González GARCÍA
Journal of Stroke 2020;22(2):254-257
2.Sex Differences by Hospital-Level in Performance and Outcomes of Endovascular Treatment for Acute Ischemic Stroke
Soledad PÉREZ-SÁNCHEZ ; Ana BARRAGÁN-PRIETO ; Joaquín ORTEGA-QUINTANILLA ; Ana DOMÍNGUEZ-MAYORAL ; Miguel Ángel GAMERO-GARCÍA ; Elena ZAPATA-ARRIAZA ; Reyes de TORRES-CHACÓN ; Asier de ALBÓNIGA-CHINDURZA ; Montserrat ZAPATA-HIDALGO ; Francisco MONICHE ; Irene ESCUDERO-MARTÍNEZ ; Pablo BAENA ; Juan Antonio CABEZAS ; Juan Miguel OROPESA-RUIZ ; Gema SANZ-FERNÁNDEZ ; Alejandro GONZÁLEZ ; Joan MONTANER
Journal of Stroke 2020;22(2):258-261
3.Clinical Outcomes of Mechanical Thrombectomy in Stroke Tandem Lesions According to Intracranial Occlusion Location
Elena ZAPATA-ARRIAZA ; Asier de ALBÓNIGA-CHINDURZA ; Joaquin ORTEGA-QUINTANILLA ; Irene ESCUDERO-MARTÍNEZ ; Francisco MONICHE ; Manuel MEDINA-RODRÍGUEZ ; Blanca PARDO-GALIANA ; Juan Antonio Cabezas RODRÍGUEZ ; Lucía Lebrato HERNÁNDEZ ; Leire AINZ ; Soledad PÉREZ-SÁNCHEZ ; Ana DOMÍNGUEZ-MAYORAL ; Ana BARRAGÁN ; Aurelio CAYUELA ; Joan MONTANER ; Alejandro González GARCÍA
Journal of Stroke 2021;23(1):124-127
4.Older Adult Patients in the Emergency Department: Which Patients should be Selected for a Different Approach?
Nere Larrea AGUIRRE ; Susana García GUTIÉRREZ ; Oscar MIRO ; Sira AGUILÓ ; Javier JACOB ; Aitor ALQUÉZAR-ARBÉ ; Guillermo BURILLO ; Cesáreo FERNANDEZ ; Pere LLORENS ; Cesar Roza ALONSO ; Ivana Tavasci LOPEZ ; Mónica CAÑETE ; Pedro Ruiz ASENSIO ; Beatriz Paderne DÍAZ ; Teresa Pablos PIZARRO ; Rigoberto Jesús del Rio NAVARRO ; Núria Perelló VIOLA ; Lourdes HERNÁNDEZ-CASTELLS ; Alejandro Cortés SOLER ; Elena SÁNCHEZ FERNÁNDEZ-LINARES ; Jesús Ángel Sánchez SERRANO ; Patxi EZPONDA ; Andrea Martínez LORENZO ; Juan Vicente Ortega LIARTE ; Susana Sánchez RAMÓN ; Asumpta Ruiz ARANDA ; Francisco Javier MARTÍN-SÁNCHEZ ; Juan González DEL CASTILLO ;
Annals of Geriatric Medicine and Research 2024;28(1):9-19
Background:
While multidimensional and interdisciplinary assessment of older adult patients improves their short-term outcomes after evaluation in the emergency department (ED), this assessment is time-consuming and ill-suited for the busy environment. Thus, identifying patients who will benefit from this strategy is challenging. Therefore, this study aimed to identify older adult patients suitable for a different ED approach as well as independent variables associated with poor short-term clinical outcomes.
Methods:
We included all patients ≥65 years attending 52 EDs in Spain over 7 days. Sociodemographic, comorbidity, and baseline functional status data were collected. The outcomes were 30-day mortality, re-presentation, hospital readmission, and the composite of all outcomes.
Results:
During the study among 96,014 patients evaluated in the ED, we included 23,338 patients ≥65 years—mean age, 78.4±8.1 years; 12,626 (54.1%) women. During follow-up, 5,776 patients (24.75%) had poor outcomes after evaluation in the ED: 1,140 (4.88%) died, 4,640 (20.51) returned to the ED, and 1,739 (7.69%) were readmitted 30 days after discharge following the index visit. A model including male sex, age ≥75 years, arrival by ambulance, Charlson Comorbidity Index ≥3, and functional impairment had a C-index of 0.81 (95% confidence interval, 0.80–0.82) for 30-day mortality.
Conclusion
Male sex, age ≥75 years, arrival by ambulance, functional impairment, or severe comorbidity are features of patients who could benefit from approaches in the ED different from the common triage to improve the poor short-term outcomes of this population.
5.Older Adult Patients in the Emergency Department: Which Patients should be Selected for a Different Approach?
Nere Larrea AGUIRRE ; Susana García GUTIÉRREZ ; Oscar MIRO ; Sira AGUILÓ ; Javier JACOB ; Aitor ALQUÉZAR-ARBÉ ; Guillermo BURILLO ; Cesáreo FERNANDEZ ; Pere LLORENS ; Cesar Roza ALONSO ; Ivana Tavasci LOPEZ ; Mónica CAÑETE ; Pedro Ruiz ASENSIO ; Beatriz Paderne DÍAZ ; Teresa Pablos PIZARRO ; Rigoberto Jesús del Rio NAVARRO ; Núria Perelló VIOLA ; Lourdes HERNÁNDEZ-CASTELLS ; Alejandro Cortés SOLER ; Elena SÁNCHEZ FERNÁNDEZ-LINARES ; Jesús Ángel Sánchez SERRANO ; Patxi EZPONDA ; Andrea Martínez LORENZO ; Juan Vicente Ortega LIARTE ; Susana Sánchez RAMÓN ; Asumpta Ruiz ARANDA ; Francisco Javier MARTÍN-SÁNCHEZ ; Juan González DEL CASTILLO ;
Annals of Geriatric Medicine and Research 2024;28(1):9-19
Background:
While multidimensional and interdisciplinary assessment of older adult patients improves their short-term outcomes after evaluation in the emergency department (ED), this assessment is time-consuming and ill-suited for the busy environment. Thus, identifying patients who will benefit from this strategy is challenging. Therefore, this study aimed to identify older adult patients suitable for a different ED approach as well as independent variables associated with poor short-term clinical outcomes.
Methods:
We included all patients ≥65 years attending 52 EDs in Spain over 7 days. Sociodemographic, comorbidity, and baseline functional status data were collected. The outcomes were 30-day mortality, re-presentation, hospital readmission, and the composite of all outcomes.
Results:
During the study among 96,014 patients evaluated in the ED, we included 23,338 patients ≥65 years—mean age, 78.4±8.1 years; 12,626 (54.1%) women. During follow-up, 5,776 patients (24.75%) had poor outcomes after evaluation in the ED: 1,140 (4.88%) died, 4,640 (20.51) returned to the ED, and 1,739 (7.69%) were readmitted 30 days after discharge following the index visit. A model including male sex, age ≥75 years, arrival by ambulance, Charlson Comorbidity Index ≥3, and functional impairment had a C-index of 0.81 (95% confidence interval, 0.80–0.82) for 30-day mortality.
Conclusion
Male sex, age ≥75 years, arrival by ambulance, functional impairment, or severe comorbidity are features of patients who could benefit from approaches in the ED different from the common triage to improve the poor short-term outcomes of this population.
6.Older Adult Patients in the Emergency Department: Which Patients should be Selected for a Different Approach?
Nere Larrea AGUIRRE ; Susana García GUTIÉRREZ ; Oscar MIRO ; Sira AGUILÓ ; Javier JACOB ; Aitor ALQUÉZAR-ARBÉ ; Guillermo BURILLO ; Cesáreo FERNANDEZ ; Pere LLORENS ; Cesar Roza ALONSO ; Ivana Tavasci LOPEZ ; Mónica CAÑETE ; Pedro Ruiz ASENSIO ; Beatriz Paderne DÍAZ ; Teresa Pablos PIZARRO ; Rigoberto Jesús del Rio NAVARRO ; Núria Perelló VIOLA ; Lourdes HERNÁNDEZ-CASTELLS ; Alejandro Cortés SOLER ; Elena SÁNCHEZ FERNÁNDEZ-LINARES ; Jesús Ángel Sánchez SERRANO ; Patxi EZPONDA ; Andrea Martínez LORENZO ; Juan Vicente Ortega LIARTE ; Susana Sánchez RAMÓN ; Asumpta Ruiz ARANDA ; Francisco Javier MARTÍN-SÁNCHEZ ; Juan González DEL CASTILLO ;
Annals of Geriatric Medicine and Research 2024;28(1):9-19
Background:
While multidimensional and interdisciplinary assessment of older adult patients improves their short-term outcomes after evaluation in the emergency department (ED), this assessment is time-consuming and ill-suited for the busy environment. Thus, identifying patients who will benefit from this strategy is challenging. Therefore, this study aimed to identify older adult patients suitable for a different ED approach as well as independent variables associated with poor short-term clinical outcomes.
Methods:
We included all patients ≥65 years attending 52 EDs in Spain over 7 days. Sociodemographic, comorbidity, and baseline functional status data were collected. The outcomes were 30-day mortality, re-presentation, hospital readmission, and the composite of all outcomes.
Results:
During the study among 96,014 patients evaluated in the ED, we included 23,338 patients ≥65 years—mean age, 78.4±8.1 years; 12,626 (54.1%) women. During follow-up, 5,776 patients (24.75%) had poor outcomes after evaluation in the ED: 1,140 (4.88%) died, 4,640 (20.51) returned to the ED, and 1,739 (7.69%) were readmitted 30 days after discharge following the index visit. A model including male sex, age ≥75 years, arrival by ambulance, Charlson Comorbidity Index ≥3, and functional impairment had a C-index of 0.81 (95% confidence interval, 0.80–0.82) for 30-day mortality.
Conclusion
Male sex, age ≥75 years, arrival by ambulance, functional impairment, or severe comorbidity are features of patients who could benefit from approaches in the ED different from the common triage to improve the poor short-term outcomes of this population.
7.Older Adult Patients in the Emergency Department: Which Patients should be Selected for a Different Approach?
Nere Larrea AGUIRRE ; Susana García GUTIÉRREZ ; Oscar MIRO ; Sira AGUILÓ ; Javier JACOB ; Aitor ALQUÉZAR-ARBÉ ; Guillermo BURILLO ; Cesáreo FERNANDEZ ; Pere LLORENS ; Cesar Roza ALONSO ; Ivana Tavasci LOPEZ ; Mónica CAÑETE ; Pedro Ruiz ASENSIO ; Beatriz Paderne DÍAZ ; Teresa Pablos PIZARRO ; Rigoberto Jesús del Rio NAVARRO ; Núria Perelló VIOLA ; Lourdes HERNÁNDEZ-CASTELLS ; Alejandro Cortés SOLER ; Elena SÁNCHEZ FERNÁNDEZ-LINARES ; Jesús Ángel Sánchez SERRANO ; Patxi EZPONDA ; Andrea Martínez LORENZO ; Juan Vicente Ortega LIARTE ; Susana Sánchez RAMÓN ; Asumpta Ruiz ARANDA ; Francisco Javier MARTÍN-SÁNCHEZ ; Juan González DEL CASTILLO ;
Annals of Geriatric Medicine and Research 2024;28(1):9-19
Background:
While multidimensional and interdisciplinary assessment of older adult patients improves their short-term outcomes after evaluation in the emergency department (ED), this assessment is time-consuming and ill-suited for the busy environment. Thus, identifying patients who will benefit from this strategy is challenging. Therefore, this study aimed to identify older adult patients suitable for a different ED approach as well as independent variables associated with poor short-term clinical outcomes.
Methods:
We included all patients ≥65 years attending 52 EDs in Spain over 7 days. Sociodemographic, comorbidity, and baseline functional status data were collected. The outcomes were 30-day mortality, re-presentation, hospital readmission, and the composite of all outcomes.
Results:
During the study among 96,014 patients evaluated in the ED, we included 23,338 patients ≥65 years—mean age, 78.4±8.1 years; 12,626 (54.1%) women. During follow-up, 5,776 patients (24.75%) had poor outcomes after evaluation in the ED: 1,140 (4.88%) died, 4,640 (20.51) returned to the ED, and 1,739 (7.69%) were readmitted 30 days after discharge following the index visit. A model including male sex, age ≥75 years, arrival by ambulance, Charlson Comorbidity Index ≥3, and functional impairment had a C-index of 0.81 (95% confidence interval, 0.80–0.82) for 30-day mortality.
Conclusion
Male sex, age ≥75 years, arrival by ambulance, functional impairment, or severe comorbidity are features of patients who could benefit from approaches in the ED different from the common triage to improve the poor short-term outcomes of this population.