{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,14]],"date-time":"2024-09-14T00:26:13Z","timestamp":1726273573569},"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 la concordancia entre las escalas de riesgo de enfermedad tromboemb\u00f3lica venosa (ETV) de pacientes m\u00e9dicos hospitalizados y analizar las variables asociadas a la decisi\u00f3n de instaurar tromboprofilaxis farmacol\u00f3gica en los servicios de urgencias (SUH). M\u00e9todo. Se trata de un estudio de cohorte observacional prospectivo multic\u00e9ntrico que incluy\u00f3 pacientes adultos atendidos en 15 SUH espa\u00f1oles que requer\u00edan ingreso por patolog\u00eda m\u00e9dica. Se calcul\u00f3 la puntuaci\u00f3n seg\u00fan las escalas IMPROVE, PADUA y NICE. Se evalu\u00f3 la concordancia entre ellas, y las variables asociadas a la indicaci\u00f3n de tromboprofilaxis en urgencias. Resultados. Se incluyeron 1.203 pacientes. Las escalas PADUA, IMPROVE y NICE clasificaron de riesgo alto al 68,7%, 47,4% y 69,5% de los pacientes, respectivamente. PADUA y NICE mostraron un \u00edndice Kappa de 0,80 (IC 95%: 0,76-0,84) y discordancia del 8,5% (102 pacientes). IMPROVE con PADUA y NICE mostr\u00f3 un \u00edndice Kappa de 0,47 (IC 95%:0,43-0,52) y 0,37 (0,33-0,42), con una discordancia del 26,8% (322 pacientes) y 31,9% (384 pacientes), respectivamente. Las variables asociadas con la instauraci\u00f3n de tromboprofilaxis fueron infarto agudo de miocardio o ictus (odss ratio ajustada \u2013ORa\u2013 4,26), inmovilidad 2 meses previos (ORa 2,19), enfermedad pulmonar obstructiva cr\u00f3nica (ORa 1,97), cardiopat\u00eda isqu\u00e9mica (ORa 1,51), movilidad reducida $ 3 d\u00edas (ORa 1,14), \u00edndice masa corporal (ORa 1,04), edad (ORa 1,02), trauma o cirug\u00eda recientes (ORa 0,40) y factores de riesgo hemorr\u00e1gicos (ORa 0,56). Conclusi\u00f3n. Existe disconcordancia entre las escalas recomendadas para valorar el riesgo de ETV en pacientes m\u00e9dicos hospitalizados. El juicio cl\u00ednico del urgenci\u00f3logo para decidir la tromboprofilaxis se basa en la presencia de m\u00faltiples factores de riesgo de ETV y sangrado, m\u00e1s all\u00e1 de las escalas<\/jats:p>","DOI":"10.55633\/s3me\/084.2024","type":"journal-article","created":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T06:46:14Z","timestamp":1726209974000},"source":"Crossref","is-referenced-by-count":0,"title":["Concordance between risk scales for venous thromboembolism in patients treated in emergency departments"],"prefix":"10.55633","author":[{"given":"M\u00f3nica","family":"Olid Velilla","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","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanesa","family":"Send\u00edn Mart\u00edn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00ednder","family":"C\u00e1rdenas Bravo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1ngel","family":"\u00c1lvarez M\u00e1rquez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"S\u00e1nchez D\u00edaz-Canel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susana","family":"Diego Roza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1ngel","family":"S\u00e1nchez Garrido-Lestache","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Jim\u00e9nez Castro","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":[[2024,9,13]]},"container-title":["Emergencias"],"original-title":["Concordancia entre las escalas de valoraci\u00f3n del riesgo de tromboembolismo venoso en pacientes m\u00e9dicos en urgencias"],"deposited":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T06:46:15Z","timestamp":1726209975000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistaemergencias.org\/articulo\/concordancia-entre-las-escalas-de-valoracion-del-riesgo-de-tromboembolismo-venoso-en-pacientes-medicos-en-urgencias\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,13]]},"references-count":0,"URL":"https:\/\/doi.org\/10.55633\/s3me\/084.2024","relation":{},"ISSN":["1137-6821","2386-5857"],"issn-type":[{"value":"1137-6821","type":"print"},{"value":"2386-5857","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,13]]}}}