{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T05:32:21Z","timestamp":1777959141131,"version":"3.51.4"},"reference-count":0,"publisher":"SEMES (Sociedad Espanola de Medicina de Urgencias y Emergencias)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emergencias"],"abstract":"<jats:p>Objetivos. Evaluar el impacto de una intervenci\u00f3n formativa en enfermer\u00eda de urgencias sobre la adecuaci\u00f3n de la tromboprofilaxis farmacol\u00f3gica de los pacientes ingresados por patolog\u00eda m\u00e9dica. M\u00e9todo. Estudio cuasiexperimental, multic\u00e9ntrico (8 hospitales), pre y posintervenci\u00f3n, con 3 fases de reclutamiento (enero 2022-mayo 2023): primera, preintervenci\u00f3n; segunda, en el primer mes tras la intervenci\u00f3n; y tercera, al sexto mes. Se incluyeron los pacientes atendidos en urgencias que requirieron ingreso por enfermedad m\u00e9dica. La adecuaci\u00f3n de la tromboprofilaxis farmacol\u00f3gica se defini\u00f3 como: 1) la utilizaci\u00f3n en pacientes clasificados en el grupo de riesgo alto por la Escala de Padua (PPS); o 2) la no utilizaci\u00f3n en pacientes clasificados de riesgo bajo. Se compararon los porcentajes de adecuaci\u00f3n de las fases 2 y 3 frente a la fase 1. Resultados. Se incluyeron 928 pacientes: 326 en la fase 1; 295 en la fase 2; y 307 en la fase 3. En la fase 1, 238 pacientes (73%) fueron clasificados de riesgo alto por PPS; en la fase 2, 189 (64,1%) (p = 0,016); y en la fase 3, 207 (67,4%) (p = 0,125). La tromboprofilaxis farmacol\u00f3gica fue adecuada en 187 pacientes (57,4%, IC 95% 51,8-62,8%) de la fase 1; en 178 (60,3%, IC 95% 54,5-66%) de la fase 2 [diferencia absoluta proporciones (DAP) 3,0% (IC 95% de \u20134,8 a +10,6%), p = 0,462], y en 166 (54,1%, IC 95% 48,3-59,7%) de la fase 3 [DAP \u20133,3% (IC 95% de \u201311,0 a +4,4%, p = 0,405]. Conclusiones. Una intervenci\u00f3n formativa aislada en la enfermer\u00eda de urgencias no tuvo impacto sobre la adecuaci\u00f3n de la tromboprofilaxis farmacol\u00f3gica en urgencias de los pacientes que ingresan por enfermedad m\u00e9dica.<\/jats:p>","DOI":"10.55633\/s3me\/080.2024","type":"journal-article","created":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T10:20:51Z","timestamp":1725877251000},"source":"Crossref","is-referenced-by-count":1,"title":["Impact of an emergency department nurse training intervention on the adequacy of thromboprophylaxis for venous thromboembolism: the PROTESU III study"],"prefix":"10.55633","author":[{"given":"C\u00e9sar","family":"Rinc\u00f3n D\u00edaz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00f2nia","family":"Jim\u00e9nez Hern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fahd","family":"Beddar Chaib","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Lozano Polo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leticia","family":"Guirado Torrecillas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda","family":"Cort\u00e9s Ayaso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Isabel","family":"Condon Abanto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Pedraza Garc\u00eda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gema","family":"Mu\u00f1oz Gamito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Jim\u00e9nez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ram\u00f3n","family":"Lecumberri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Ruiz Artacho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"33356","published-online":{"date-parts":[[2024,9,9]]},"container-title":["Emergencias"],"original-title":["Impacto de una intervenci\u00f3n formativa en enfermer\u00eda de urgencias sobre la adecuaci\u00f3n de la profilaxis de la enfermedad tromboemb\u00f3lica venosa: estudio PROTESU III"],"deposited":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T10:20:52Z","timestamp":1725877252000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistaemergencias.org\/articulo\/impacto-de-una-intervencion-formativa-en-enfermeria-de-urgencias-sobre-la-adecuacion-de-la-profilaxis-de-la-enfermedad-tromboembolica-venosa-estudio-protesu-iii\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,9]]},"references-count":0,"URL":"https:\/\/doi.org\/10.55633\/s3me\/080.2024","relation":{},"ISSN":["1137-6821","2386-5857"],"issn-type":[{"value":"1137-6821","type":"print"},{"value":"2386-5857","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,9]]}}}