2 búsqueda de la palabra clave 'emergency department'

StatNet electroencephalogram: a fast and reliable option to diagnose nonconvulsive status epilepticus in emergency setting / Lady Diana Ladino Malagón  

Público ISBD Título : StatNet electroencephalogram: a fast and reliable option to diagnose nonconvulsive status epilepticus in emergency setting Tipo de documento : documento electrónico Autores : Lady Diana Ladino Malagón, Fecha de publicación : 2015 Títulos uniformes : Canadian Journal of Neurological Sciences Idioma : Inglés (eng) Palabras clave : disposable EEG electrodes  emergency department  emergent EEG  intensive care unit  nonconvulsive status epilepticus  stat EEG Resumen : Background: The StatNet electrode set is a system that can be applied by a non-electroencephalogram (EEG) technologist after minimal training. The primary objectives of this study are to assess the quality and reliability of the StatNet recordings in comparison to the conventional EEG. Methods: Over 10 months, 19 patients with suspected nonconvulsive status epilepticus were included from university hospital emergency settings. Each patient received a StatNet EEG by a trained epilepsy fellow and a conventional EEG by registered technologists. We compared the studies in a blinded fashion, for the timeframe from EEG order to the setup time, start of acquisition, amount of artifact, and detection of abnormalities. The nonparametric Mann-Whitney two-sample t test was used for comparisons. The kappa score was used to assess reliability. Results: Mean age of patients was 61±16.3 (25-93) years. The inter-observer agreement for detection of abnormal findings was 0.83 for StatNet and 0.75 for conventional EEG. Nonconvulsive status epilepticus was detected in 10% (2/19) in both studies. The delay from the time of EEG requisition to acquisition was shorter in the StatNet (22.4±2.5 minutes) than the conventional EEG (217.7±44.6 minutes; p Mención de responsabilidad : Lady Diana Ladino, Alexandra Voll, Dianne Dash, Wes Sutherland, Lizbeth Hernández-Ronquillo, Jose Francisco Téllez-Zenteno, Farzad Moien-Afshari Referencia : Can J Neurol Sci. 2016 Mar;43(2):254-60. DOI (Digital Object Identifier) : 10.1017/cjn.2015.391 PMID : 26864547 En línea : https://www.cambridge.org/core/journals/canadian-journal-of-neurological-science [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4580 StatNet electroencephalogram: a fast and reliable option to diagnose nonconvulsive status epilepticus in emergency setting [documento electrónico] / Lady Diana Ladino Malagón,  . - 2015. Obra : Canadian Journal of Neurological Sciences Idioma : Inglés (eng) Palabras clave : disposable EEG electrodes  emergency department  emergent EEG  intensive care unit  nonconvulsive status epilepticus  stat EEG Resumen : Background: The StatNet electrode set is a system that can be applied by a non-electroencephalogram (EEG) technologist after minimal training. The primary objectives of this study are to assess the quality and reliability of the StatNet recordings in comparison to the conventional EEG. Methods: Over 10 months, 19 patients with suspected nonconvulsive status epilepticus were included from university hospital emergency settings. Each patient received a StatNet EEG by a trained epilepsy fellow and a conventional EEG by registered technologists. We compared the studies in a blinded fashion, for the timeframe from EEG order to the setup time, start of acquisition, amount of artifact, and detection of abnormalities. The nonparametric Mann-Whitney two-sample t test was used for comparisons. The kappa score was used to assess reliability. Results: Mean age of patients was 61±16.3 (25-93) years. The inter-observer agreement for detection of abnormal findings was 0.83 for StatNet and 0.75 for conventional EEG. Nonconvulsive status epilepticus was detected in 10% (2/19) in both studies. The delay from the time of EEG requisition to acquisition was shorter in the StatNet (22.4±2.5 minutes) than the conventional EEG (217.7±44.6 minutes; p Mención de responsabilidad : Lady Diana Ladino, Alexandra Voll, Dianne Dash, Wes Sutherland, Lizbeth Hernández-Ronquillo, Jose Francisco Téllez-Zenteno, Farzad Moien-Afshari Referencia : Can J Neurol Sci. 2016 Mar;43(2):254-60. DOI (Digital Object Identifier) : 10.1017/cjn.2015.391 PMID : 26864547 En línea : https://www.cambridge.org/core/journals/canadian-journal-of-neurological-science [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4580

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DD001078	AC-2015-084	Archivo digital	Producción Científica	Artículos científicos	Disponible

Usefulness of severity scores in patients with suspected infection in the emergency department: a systematic review / Fabián Alberto Jaimes Barragán  

Público ISBD Título : Usefulness of severity scores in patients with suspected infection in the emergency department: a systematic review Tipo de documento : documento electrónico Autores : Fabián Alberto Jaimes Barragán, Fecha de publicación : 2012 Títulos uniformes : Journal of Emergency Medicine Idioma : Inglés (eng) Palabras clave : Emergency department  severity of illness scores  calibration  discrimination  prognosis Resumen : Background: score systems for severity of illness and organ dysfunction have been validated and used as tools to predict the risk of death in intensive care unit (ICU) patients, but their usefulness in patients with suspected infection in the emergency department (ED) or hospital ward is unclear. Objectives: the objective of this systematic review was to establish the accuracy of score systems in the prediction of mortality in patients with suspected infection in hospital settings compared to the ICU. Methods: Three researchers independently performed a systematic search and a review of related articles and their references using the PubMed database. The articles were selected by consensus, based on previously defined inclusion and exclusion criteria. Results: In total, 21 studies were included, 19 of which were carried out in the ED. The researchers found that the operative characteristics to evaluate the accuracy (calibration and discrimination) of the different scores were insufficiently assessed in most studies. Only two studies evaluated the calibration, using the Hosmer-Lemeshow goodness-of-fit test, and less than half of the studies evaluated the discrimination, using the area under the receiver operator characteristics curve. Conclusions: the reviewed literature did not provide enough information to assess the accuracy of the prognostic models in patients with suspected infection admitted to the ED and hospital ward. Some reports suggest a better accuracy with new scores like the MEDS (Mortality in Emergency Department Sepsis score), but the results are not consistent. Mención de responsabilidad : Pilar Calle, Leisy Cerro, Julián Valencia, Fabian Jaimes Referencia : J Emerg Med. 2012 Apr;42(4):379-91. DOI (Digital Object Identifier) : 10.1016/j.jemermed.2011.03.033 PMID : 22142675 En línea : https://linkinghub.elsevier.com/retrieve/pii/S0736-4679(11)00856-0 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3600 Usefulness of severity scores in patients with suspected infection in the emergency department: a systematic review [documento electrónico] / Fabián Alberto Jaimes Barragán,  . - 2012. Obra : Journal of Emergency Medicine Idioma : Inglés (eng) Palabras clave : Emergency department  severity of illness scores  calibration  discrimination  prognosis Resumen : Background: score systems for severity of illness and organ dysfunction have been validated and used as tools to predict the risk of death in intensive care unit (ICU) patients, but their usefulness in patients with suspected infection in the emergency department (ED) or hospital ward is unclear. Objectives: the objective of this systematic review was to establish the accuracy of score systems in the prediction of mortality in patients with suspected infection in hospital settings compared to the ICU. Methods: Three researchers independently performed a systematic search and a review of related articles and their references using the PubMed database. The articles were selected by consensus, based on previously defined inclusion and exclusion criteria. Results: In total, 21 studies were included, 19 of which were carried out in the ED. The researchers found that the operative characteristics to evaluate the accuracy (calibration and discrimination) of the different scores were insufficiently assessed in most studies. Only two studies evaluated the calibration, using the Hosmer-Lemeshow goodness-of-fit test, and less than half of the studies evaluated the discrimination, using the area under the receiver operator characteristics curve. Conclusions: the reviewed literature did not provide enough information to assess the accuracy of the prognostic models in patients with suspected infection admitted to the ED and hospital ward. Some reports suggest a better accuracy with new scores like the MEDS (Mortality in Emergency Department Sepsis score), but the results are not consistent. Mención de responsabilidad : Pilar Calle, Leisy Cerro, Julián Valencia, Fabian Jaimes Referencia : J Emerg Med. 2012 Apr;42(4):379-91. DOI (Digital Object Identifier) : 10.1016/j.jemermed.2011.03.033 PMID : 22142675 En línea : https://linkinghub.elsevier.com/retrieve/pii/S0736-4679(11)00856-0 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3600

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DD000170	AC-2012-010	Archivo digital	Producción Científica	Artículos científicos	Disponible