Publications by authors named "Rodrigo Enriquez de Salamanca Gambara"
A Comparison of the Clinical Characteristics of Short-, Mid-, and Long-Term Mortality in Patients Attended by the Emergency Medical Services: An Observational Study.
Diagnostics (Basel)
June 2024
Aim: The development of predictive models for patients treated by emergency medical services (EMS) is on the rise in the emergency field. However, how these models evolve over time has not been studied. The objective of the present work is to compare the characteristics of patients who present mortality in the short, medium and long term, and to derive and validate a predictive model for each mortality time.
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- A multicenter study in Spain analyzed the relationship between end-tidal CO2 (ETCO2) and perfusion index (PI) with in-hospital mortality for patients in the emergency department, involving 687 adult patients from October 2022 to June 2023.
- The study found that the overall in-hospital mortality rate was 6.8%, with significant differences in median ETCO2 and PI values between survivors and nonsurvivors, suggesting these measures reflect patient prognosis.
- The findings highlighted that PI and respiratory rate independently correlate with mortality, outperforming standard vital signs in predicting patient outcomes.
Objective: This study aimed to determine the long-term mortality (one-year follow-up) associated with patients transferred by Emergency Medical Services (EMS), and to reveal the determinants (causes and risk factors).
Methods: This was a multicenter, prospective, observational, controlled, ambulance-based study of adult patients transferred by ambulance to emergency departments (EDs) from October 2019 through July 2021 for any cause. A total of six Advanced Life Support (ALS) units, 38 Basic Life Support (BLS) units, and five hospitals from Spain were included.
Methods: A prospective, multicenter, ambulance-based study of adult patients with an acute illness involving six advanced life support units and 38 basic life support units, referring to five emergency departments in Spain.
Results: The primary outcome was long-term mortality with a 1-year follow-up. The compared scores included: National Early Warning Score 2, VitalPAC early warning score, modified rapid emergency medicine score (MREMS), Sepsis-related Organ Failure Assessment, Cardiac Arrest Risk Triage Score, Rapid Acute Physiology Score, and Triage Early Warning Score.