{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T07:51:03Z","timestamp":1775807463730,"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":[[2026,4,10]]},"abstract":"<jats:p>Objetivo. Caracterizar el perfil cl\u00ednico de los pacientes atendidos por causticaci\u00f3n oral, describir el uso de las pruebas\ndiagn\u00f3sticas en urgencias y analizar los factores asociados a la gravedad y al pron\u00f3stico.\nM\u00e9todos. Estudio multic\u00e9ntrico, retrospectivo y observacional que incluy\u00f3 a pacientes atendidos en urgencias por la\ningesta de sustancias c\u00e1usticas entre 2015 y 2021 (7 a\u00f1os). Se analizaron variables epidemiol\u00f3gicas, cl\u00ednicas y diagn\u00f3sticas, y se evalu\u00f3 la capacidad pron\u00f3stica de la esofagogastroduodenoscopia (EGD) y la tomograf\u00eda computarizada\n(TC).\nResultados. Se incluyeron 225 pacientes, con una edad media de 44 (DE 24) a\u00f1os, el 52,4% mujeres. El 49,3% fueron ingestas voluntarias. Los c\u00e1usticos m\u00e1s prevalentes fueron el hipoclorito s\u00f3dico (48,9%) y el \u00e1cido clorh\u00eddrico\n(16,4%). Se realiz\u00f3 EGD al 84,4% y TC al 24,9% (ambas en el 20,4%). En el modelo predictivo final, los factores\npron\u00f3sticos asociados a lesiones graves (Zargar $ IIb o Ryu &gt; 2) fueron: ingesta voluntaria con OR de 4,19 (IC 95%:\n1,71-10,26; p = 0,002), amon\u00edaco con OR de 11,39 (IC 95%: 2,07-62,65; p = 0,005) y la presencia inicial de s\u00edntomas\ndigestivos o respiratorios. La TC mostr\u00f3 rendimiento aceptable para detectar lesiones graves iniciales, con un valor\npredictivo negativo del 75% y una (raz\u00f3n de verosimilitud positiva) de 0,28, aunque no permite sustituir definitivamente a la EGD en los casos menos graves.\nConclusiones. La intencionalidad suicida y el uso de c\u00e1usticos altamente corrosivos junto con hallazgos cl\u00ednicos iniciales se relacionan con peor pron\u00f3stico. La TC es \u00fatil, pero no reemplaza a la EGD en casos leves o moderados.<\/jats:p>","DOI":"10.55633\/s3me\/041.2026","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T07:02:15Z","timestamp":1775804535000},"source":"Crossref","is-referenced-by-count":0,"title":["Caustic ingestion. Spanish multicenter study on prognostic severity factors and diagnostic test performance"],"prefix":"10.55633","author":[{"given":"Mar\u00eda","family":"Codinach-Mart\u00edn","sequence":"first","affiliation":[{"name":"Servicio de Urgencias, Hospital Doctor Josep Trueta, Girona, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio Francisco","family":"Caballero-Bermejo","sequence":"additional","affiliation":[{"name":"Unidad de Toxicolog\u00eda Cl\u00ednica, Servicios de Urgencias y Farmacolog\u00eda Cl\u00ednica, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Espa\u00f1a. Facultad de Medicina y Ciencias de la Salud, Universidad Nebrija, Madrid, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Teresa","family":"Maza-Vera","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital \u00c1lvaro Cunqueiro, Complejo Hospitalario Universitario de Vigo, Vigo, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valle","family":"Molina-Samper","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital Universitario de Navarra, Navarra, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clara","family":"Serrano-Ferrer","sequence":"additional","affiliation":[{"name":"Servicio de Medicina Intensiva, Hospital Cl\u00ednico Universitario Lozano Blesa, Zaragoza, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oriol","family":"Pall\u00e1s-Villaronga","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital del Mar, Barcelona, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Due\u00f1as-Ruiz","sequence":"additional","affiliation":[{"name":"Servicio de Medicina Intensiva, Hospital Universitario R\u00edo Hortega, Valladolid, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bel\u00e9n","family":"Ruiz-Antoran","sequence":"additional","affiliation":[{"name":"Unidad de Toxicolog\u00eda Cl\u00ednica, Servicios de Urgencias y Farmacolog\u00eda Cl\u00ednica, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Espa\u00f1a. Facultad de Medicina y Ciencias de la Salud, Universidad Nebrija, Madrid, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pere","family":"Planellas-Gin\u00e9","sequence":"additional","affiliation":[{"name":"Servicio de Cirug\u00eda General, Hospital Doctor Josep Trueta, Girona, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antoni","family":"Codina-Cazador","sequence":"additional","affiliation":[{"name":"Servicio de Cirug\u00eda General, Hospital Doctor Josep Trueta, Girona, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jordi","family":"Puiguriguer-Ferrando","sequence":"additional","affiliation":[{"name":"Servicio de Urgencias, Hospital Son Espases, Palma de Mallorca, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"33356","published-online":{"date-parts":[[2005,4,10]]},"container-title":["Emergencias"],"original-title":["Ingesta de c\u00e1usticos. Estudio multic\u00e9ntrico espa\u00f1ol sobre los factores pron\u00f3sticos de gravedad y el rendimiento de las pruebas diagn\u00f3sticas en la ingesta de c\u00e1usticos"],"deposited":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T07:02:15Z","timestamp":1775804535000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistaemergencias.org\/articulo\/ingesta-de-causticos-estudio-multicentrico-espanol-sobre-los-factores-pronosticos-de-gravedad-y-el-rendimiento-de-las-pruebas-diagnosticas-en-la-ingesta-de-causticos\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,4,10]]},"references-count":0,"URL":"https:\/\/doi.org\/10.55633\/s3me\/041.2026","relation":{},"ISSN":["1137-6821","2386-5857"],"issn-type":[{"value":"1137-6821","type":"print"},{"value":"2386-5857","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,4,10]]}}}