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1.
Semergen ; 50(6): 102195, 2024 Sep.
Artículo en Español | MEDLINE | ID: mdl-38479202

RESUMEN

INTRODUCTION AND OBJECTIVES: The development of IT tools and interlevel relationships in the management of the most prevalent processes has led to a semi-presential assessment approach. In cardiology, this form of assessment is possible through a close collaboration with primary care. The aim of this study is to analyze the results of our e-consultation program and to establish the effectiveness of this new form of assistance. METHODS: Single-center study that included e-consultations referred from 15 September 2021 to 30 September 2022. Subsequently, we analyzed the events in which patients were discharged directly during the e-consultation with no need for an on-site visit. RESULTS: We included 3,155 e-consultations. The mean age of the patients was 57±17.6 years. Of the consultations, 75% were answered within 48h (62% within 24h). A total of 1,988 patients completed one year of follow-up in e-consultation. Out of these, 1,278 patients (64.2%) were discharged from the e-consultation with no need for an on-site visit: 685 patients (53.5%) during the first consultation, and 593 (46.5%) upon request of a complementary test. After one year of follow-up, 13 patients (0.006%) were admitted due to cardiological pathology, and 16 patients (0.008%) died, only one due to cardiovascular causes. The mean age of the deceased was 80.5 years. CONCLUSIONS: E-consultation as a single referral system from primary care to cardiology improves patient accessibility, speeds up patient assessment and is effective for patients discharged without the need for an on-site consultation.


Asunto(s)
Cardiología , Atención Primaria de Salud , Derivación y Consulta , Humanos , Persona de Mediana Edad , Masculino , Femenino , Anciano , Adulto , Atención Primaria de Salud/organización & administración , Derivación y Consulta/organización & administración , Estudios de Seguimiento , Alta del Paciente , Consulta Remota , Enfermedades Cardiovasculares , Factores de Tiempo , Telemedicina/organización & administración
2.
Rev Esp Cardiol ; 49(4): 311-3, 1996 Apr.
Artículo en Español | MEDLINE | ID: mdl-8650409

RESUMEN

A 15-year-old-female admitted after ingesting 5 milligrams of digoxin, presented atrial tachycardia with 2.0 degree atrioventricular block and frequent ventricular premature complexes. Serum digoxin determination at admission was 16 ng/ml. Two hours following the administration of 2 amp of Fab antidigoxin (160 milligrams) the arrhythmias disappeared and remained asymptomatic until discharge.


Asunto(s)
Digoxina/inmunología , Digoxina/envenenamiento , Fragmentos Fab de Inmunoglobulinas/administración & dosificación , Adolescente , Digoxina/sangre , Electrocardiografía , Femenino , Humanos , Intoxicación/diagnóstico , Intoxicación/terapia , Intento de Suicidio
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