{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T00:39:42Z","timestamp":1715906382245},"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. Estudiar las variables de estado basal y de situaci\u00f3n cl\u00ednica a la llegada a urgencias relacionadas con la pr\u00e1ctica de sondaje vesical (SV) en pacientes mayores, y si el SV est\u00e1 asociado a una evoluci\u00f3n m\u00e1s compleja o grave. M\u00e9todo. Se incluyeron todos los pacientes de edad $ 65 a\u00f1os atendidos durante una semana en 52 servicios de urgencias (SU) espa\u00f1oles, que fueron clasificados en funci\u00f3n de si se practic\u00f3 o no SV en el SU. Se investig\u00f3 la relaci\u00f3n de SV con edad, sexo, 10 variables de comorbilidad, 7 de estado basal y 6 de situaci\u00f3n cl\u00ednica mediante un modelo de regresi\u00f3n log\u00edstica multivariable. Se consider\u00f3 la evoluci\u00f3n como grave o compleja si existi\u00f3 necesidad de hospitalizaci\u00f3n, estancia prolongada, necesidad de residencia al alta o muerte. La relaci\u00f3n entre edad y SV se explor\u00f3 tambi\u00e9n mediante curvas spline c\u00fabicas restringidas (SCR) ajustadas, tomando la edad de 65 a\u00f1os como referencia. Resultados. Se incluyeron 24.573 pacientes, de los que 976 (4%) recibieron SV. De \u00e9stos, el 44,3% fueron dados de alta desde urgencias. De las 25 variables exploradas, 15 se relacionaron independientemente con el SV, y las m\u00e1s manifiestas fueron disminuci\u00f3n de consciencia (OR = 2,50, IC 95% = 1,90-3,30), deshidrataci\u00f3n (OR = 2,24, IC 95% = 1,85-2,72) y sexo masculino (OR = 2,12, IC 95% = 1,84-2,44). La edad $ 80 a\u00f1os tambi\u00e9n se asoci\u00f3 a SV (OR = 1,17, IC 95% = 1,01-1,358), y las curvas SCR ajustadas mostraron un incremento progresivo y lineal de la probabilidad de SV con la edad, constante en hombres y que se estabilizaba a partir de los 85 a\u00f1os en mujeres (p interacci\u00f3n &lt; 0,001). El SV se asoci\u00f3 a necesidad de hospitalizaci\u00f3n (OR = 2,31, IC 95% = 1,99-2,68), hospitalizaci\u00f3n en intensivos (OR = 4,64, IC 95% = 3,04-7,09), estancia prolongada en urgencias en los pacientes dados de alta (OR = 2,28, IC 95% = 1,75-2,96) y mortalidad intrahospitalaria (OR = 1,99, IC 95% = 1,54-2,57) y a 30 d\u00edas (OR=1,66, IC 95% = 1,33-2,08), pero no con hospitalizaci\u00f3n prolongada (OR = 1,11, IC 95% = 0,92-1,34) ni con necesidad de residencia al alta (OR = 1,50, IC 95% = 0,98-2,29). Conclusiones. Determinadas caracter\u00edsticas del paciente mayor y de su estado cl\u00ednico se asocian con realizar un SV en urgencias, entre las que destacan la disminuci\u00f3n de consciencia, la deshidrataci\u00f3n y el sexo masculino. Aun teniendo en cuenta los factores asociados a SV en urgencias, este procedimiento se asocia independientemente con evoluciones m\u00e1s complejas o graves.<\/jats:p>","DOI":"10.55633\/s3me\/e05.2023","type":"journal-article","created":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T11:25:29Z","timestamp":1715858729000},"source":"Crossref","is-referenced-by-count":0,"title":["Factors related to bladder catheterization in older patients and its possible association with prognosis: results of the EDEN-30 study"],"prefix":"10.55633","author":[{"given":"Patricia","family":"Eiroa-Hern\u00e1ndez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebasti\u00e1n","family":"Matos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sira","family":"Aguil\u00f3","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aitor","family":"Alqu\u00e9zar-Arb\u00e9","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier","family":"Jacob","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ces\u00e1reo","family":"Fern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pere","family":"Llorens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Moreno 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Garc\u00eda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco de Borja","family":"Quero Espinosa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Montserrat","family":"Jim\u00e9nez Lucena","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Yepez Le\u00f3n","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enrique","family":"Gonz\u00e1lez Revuelta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"S\u00e1nchez Aroca","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan","family":"Gonz\u00e1lez del Castillo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guillermo","family":"Burillo-Putze","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00d2scar","family":"Mir\u00f3","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"33356","published-online":{"date-parts":[[2024,5,16]]},"container-title":["Emergencias"],"original-title":["Factores relacionados con la pr\u00e1ctica de sondaje vesical en urgencias en pacientes ancianos y su relaci\u00f3n con el pron\u00f3stico: resultados del estudio EDEN-30"],"deposited":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T11:25:35Z","timestamp":1715858735000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistaemergencias.org\/numeros-anteriores\/volumen-35\/numero-6\/factores-relacionados-con-la-practica-de-sondaje-vesical-en-urgencias-en-pacientes-ancianos-y-su-relacion-con-el-pronostico-resultados-del-estudio-eden-30\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,16]]},"references-count":0,"URL":"https:\/\/doi.org\/10.55633\/s3me\/e05.2023","relation":{},"ISSN":["1137-6821","2386-5857"],"issn-type":[{"value":"1137-6821","type":"print"},{"value":"2386-5857","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,16]]}}}