{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T05:41:38Z","timestamp":1773207698341,"version":"3.50.1"},"reference-count":0,"publisher":"SEMES (Sociedad Espanola de Medicina de Urgencias y Emergencias)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emergencias"],"published-print":{"date-parts":[[2026,3,10]]},"abstract":"<jats:p>Objetivos. Determinar la incidencia, el perfil de los pacientes y los resultados de las consultas de personas mayores\npor eventos cardiovasculares agudos mayores (ECVAM) en los servicios de urgencias (SU) espa\u00f1oles durante la primera ola de la pandemia de COVID-19, en comparaci\u00f3n con el periodo prepand\u00e9mico.\nM\u00e9todos. Se analizaron todos los pacientes de 65 a\u00f1os o m\u00e1s que acudieron a 52 SU espa\u00f1oles durante una semana\n(del 30 de marzo al 5 de abril de 2020; periodo pre-COVID) de la primera ola de la pandemia de COVID-19 (periodo\nCOVID) y durante la misma semana del a\u00f1o anterior (del 1 al 7 de abril de 2019). Se contabilizaron los eventos cardiacos (angina de pecho e infarto de miocardio, con y sin elevaci\u00f3n del segmento ST) y cerebrovasculares (ictus) de\ncada periodo, tanto de forma conjunta como individual. Se estim\u00f3 el cambio en la incidencia de ECVAM por cada\n100.000 personas al a\u00f1o y comparamos las caracter\u00edsticas de los pacientes con ECVAM y sus desenlaces (mortalidad\npor cualquier causa a los 30 d\u00edas, ingreso en la unidad de cuidados intensivos \u2013UCI\u2013 y reconsulta en urgencias, ajustados por las caracter\u00edsticas del paciente) seg\u00fan el periodo.\nResultados. El n\u00famero de visitas a urgencias disminuy\u00f3 un 61,8% durante el periodo de la COVID-19 (de 25.557 a\n6.770). Durante este periodo, 297 pacientes acudieron al SU por ECVAM (incidencia = 131,2) y 488 durante el periodo previo a la COVID-19 (incidencia: 215,6; reducci\u00f3n de la incidencia: 39,1%, IC 95%: 29,7 a 47,3). La disminuci\u00f3n\nen la incidencia de consultas en urgencias fue significativamente mayor (p &lt; 0,001) para los eventos cardiacos (43,3\nfrente a 99,9; reducci\u00f3n: 56,6%, IC 95%: 45,0 a 65,8 ) que para los eventos cerebrovasculares (88,8 frente a 116,7;\nreducci\u00f3n: 23,9%, IC 95%: 8,5 a 36,6). Los pacientes con ECVAM que consultaron en urgencias durante el periodo\nde la COVID-19 presentaron menor comorbilidad. Estos pacientes tuvieron menos ingresos en la UCI (OR = 0,338; IC\n95%: 0,149-0,764) y m\u00e1s reconsultas en urgencias (OR = 1,764; IC 95%: 1,116-2,790), sin diferencias en la mortalidad a 30 d\u00edas (HR = 1,474; IC 95%: 0,971-2,239).\nConclusiones. Durante la primera ola de la pandemia de COVID-19, la incidencia de visitas a SU por ECVAM disminuy\u00f3 en la poblaci\u00f3n anciana. Los pacientes que consultaron presentaban m\u00e1s comorbilidades, menos ingresos en la UCI y mayor n\u00famero de reconsultas en urgencias. No se observaron cambios significativos en la mortalidad.<\/jats:p>","DOI":"10.55633\/s3me\/027.2026","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T07:44:28Z","timestamp":1773128668000},"source":"Crossref","is-referenced-by-count":0,"title":["Older adults and major cardiovascular events requiring emergency department consultation during the 1st wave of the COVID-19 pandemic: results from the EDEN-4 Study"],"prefix":"10.55633","author":[{"given":"Pascual","family":"Pi\u00f1era Salmer\u00f3n","sequence":"first","affiliation":[{"name":"Servicio de Urgencias, Hospital General Universitario Reina Sof\u00eda, Murcia, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier","family":"Jacob","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital Universitari de Bellvitge, l\u2019Hospitalet de Llobregat, Barcelona, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00d2scar","family":"Mir\u00f3","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital Cl\u00ednic, IDIBAPS, Universitat de Barcelona, Barcelona, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guillermo","family":"Burillo-Putze","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital Cl\u00ednico San Carlos, IDISSC, Universidad Complutense, Madrid, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric Jorge","family":"Garc\u00eda-Lamberechts","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital Universitario de Canarias, Tenerife, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco Javier","family":"Montero P\u00e9rez","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital Reina Sof\u00eda, C\u00f3rdoba, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sira","family":"Aguil\u00f3","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital Cl\u00ednic, IDIBAPS, Universitat de Barcelona, Barcelona, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ces\u00e1reo","family":"Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital Universitario de Canarias, Tenerife, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aitor","family":"Alqu\u00e9zar-Arb\u00e9","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital de la Santa Creu i Sant Pau, Barcelona, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Murcia Olag\u00fcenaga","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital del Nal\u00f3n, Langreo, Asturias, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco Javier","family":"D\u00edaz Miguez","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital Altagracia, Manzanares, Ciudad Real, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar","family":"Sousa","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital Nuestra Se\u00f1ora del Prado de Talavera de la Reina, Toledo, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Ruiz Asensio","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital Universitario Vinalop\u00f3, Elche, Alicante, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatriz","family":"Paderne D\u00edaz","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital de M\u00f3stoles, Madrid, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"Pablos Pizarro","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital Virgen del Roc\u00edo, Sevilla, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda \u00c1ngeles","family":"de Juan G\u00f3mez","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital General Universitario Dr. Peset, Valencia, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N\u00faria","family":"Perell\u00f3 Viola","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital Universitario Son Espases, Palma de Mallorca, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lourdes","family":"Hern\u00e1ndez-Castells","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Cl\u00ednica Universitaria Navarra, Madrid, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandro","family":"Cort\u00e9s Soler","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Cl\u00ednico Universitario, Valencia, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Violeta","family":"Delgado Sardina","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital \u00c1lvaro Cunqueiro, Vigo, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jes\u00fas \u00c1ngel","family":"S\u00e1nchez Serrano","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital Universitario, Salamanca, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patxi","family":"Ezponda","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital De Zum\u00e1rraga, Guip\u00fazcoa, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Mart\u00ednez Lorenzo","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital Virxe da Xunqueira, A Coru\u00f1a, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Vicente","family":"Ortega Liarte","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital Universitario Los Arcos del Mar Menor, San Javier, Murcia, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raquel","family":"Hernando Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital Universitario R\u00edo Ortega, Valladolid, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asumpta","family":"Ruiz Aranda","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital Juan Ram\u00f3n Jim\u00e9nez, Huelva, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan","family":"Gonz\u00e1lez del Castillo","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital Cl\u00ednico San Carlos, IDISSC, Universidad Complutense, Madrid, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"33356","published-online":{"date-parts":[[2026,3,10]]},"container-title":["Emergencias"],"original-title":["Personas mayores y eventos cardiovasculares graves que precisaron consultar en el servicio de urgencias durante la primera ola de la pandemia de COVID-19: resultados del Estudio EDEN-4"],"deposited":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T07:44:38Z","timestamp":1773128678000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistaemergencias.org\/articulo\/personas-mayores-y-eventos-cardiovasculares-graves-que-precisaron-consultar-en-el-servicio-de-urgencias-durante-la-primera-ola-de-la-pandemia-de-covid-19resultados-del-estudio-eden-4\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,10]]},"references-count":0,"URL":"https:\/\/doi.org\/10.55633\/s3me\/027.2026","relation":{},"ISSN":["1137-6821","2386-5857"],"issn-type":[{"value":"1137-6821","type":"print"},{"value":"2386-5857","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,10]]}}}