Publications by authors named "Javier Montero Perez"
Article Synopsis
- The study examines factors influencing whether older patients (≥65 years) are discharged home or admitted to the hospital after being treated in an emergency department observation unit (EDOU).
- Data from 5,457 patients were analyzed, identifying five key indicators linked to a higher likelihood of discharge home, including the absence of fever and a Glasgow Coma Scale score of 15.
- Although a prediction model was developed to assess discharge likelihood, it showed limited accuracy and highlighted the ongoing challenge of individual-level predictions for older patients.
Introduction: Mortality in emergency departments (EDs) is not well known. This study aimed to assess the impact of the first-wave pandemic on deaths accounted in the ED of older patients with COVID and non-COVID diseases.
Methods: We used data from the Emergency Department and Elderly Needs (EDEN) cohort (pre-COVID period) and from the EDEN-COVID cohort (COVID period) that included all patients ≥65 years seen in 52 Spanish EDs from April 1 to 7, 2019, and March 30 to April 5, 2020, respectively.
Background: Treatment of acute pain in older patients is a common challenge faced in emergency departments (EDs). Despite many studies that have investigated chronic analgesic use in the elderly, data on patterns of acute use, especially in EDs, of analgesics according to patient characteristics is scarce.
Objective: To investigate sex- and age-related patterns of analgesic use in the Spanish EDs and determine differences in age-related patterns according to patient sex.
Objectives: To analyze the impact of the COVID-19 pandemic on Spanish emergency department (ED) care for patients aged 65 years or older during the first wave vs. a pre-pandemic period.
Material And Methods: Retrospective cross-sectional study of a COVID-19 portion of the EDEN project (Emergency Department and Elder Needs).
Objectives: 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.
Material And Methods: Multicenter cross-sectional study at 4 time cut-points (6 months before implementation and at the end of 1, 2 and 3 semesters afterwards). The study was carried out in 29 public hospital EDs in Andalusia.
Background And Objective: The efficacy of self-measurement of capillary blood glucose (SMBG) in patients with type 2 diabetes mellitus is not fully established. The objectives of the study were: a) to verify the efficacy of the SMBG in patients with type 2 diabetes mellitus in the primary care set; b) to investigate the possible causes that explain the lack of effectiveness of the method, in their case, and c) to deduce the predictive variables that permit to select good utilizador of the SMBG.
Patients And Method: Clinical trial controlled and randomized carried out in the environment of the primary care, on type 2 diabetic patients.
Background And Objective: The aim of this study was to construct and validate a mathematical model, based on clinical and laboratory data, that could be useful in the emergency department (ED) to predict which patients with upper gastrointestinal bleeding (UGB) have an active or recent bleeding.
Patients And Method: During a period of 12 months, we included all consecutive cases of UGB that came to the ED of an urban hospital. These patients made up the primary or model obtaining series.