Fonoaudiología En Salas De Urgencias: Perspectiva Desde Una Revisión Documental

Fonoaudiología En Salas De Urgencias: Perspectiva Desde Una Revisión Documental

Las salas de urgencias son espacios con protocolos coordinados y actuaciones diagnósticas y terapéuticas secuenciales. Los profesionales de rehabilitación en urgencias aportan a la toma de decisiones sobre conductas de hospitalización o egreso, planes caseros, ayudas diagnósticas y remisión a especialistas. El propósito de este análisis de literatura fue identificar evidencia internacional, sobre el fonoaudiólogo en sala de urgencias y sus acciones profesionales con pacientes, familiares y equipos de salud. Materiales y métodos. Se revisó evidencia de las bases de datos Ebsco, PubMed, Scielo, Elsevier y Web of Science, entre enero de 2015 hasta septiembre de 2020, con términos de búsqueda: speech language pathology, speech therapy, emergenc... Ver más

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Areté

1657-2513

2463-2252

Garavito Hernández, Paula Vanessa

Rincón Pinilla, María Paula

Quecho Rodríguez, Daniela Marcela

Riaño, Johanna Rodríguez

CORPORACIÓN UNIVERSITARIA IBEROAMERICANA

10.33881/1657-2513.art.21112

21

2021-07-21

125

132

Colombia

Asuntos profesionales

disfagia

fonoaudiologia

sala de urgencias

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Areté - 2021

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Mackay, M. T., Lee, M., Yock‐Corrales, A., Churilov, L., Donnan, G. A., Monagle, P., & Babl, F. E. (2018). Differentiating arterial ischaemic stroke from migraine in the paediatric emergency department. Developmental Medicine & Child Neurology, 60(11), 1117-1122. doi: 10.1111/dmcn.13772.
Niwano, M. (2016). The nutritional intake of elderly patients with dysphagia admitted to the internal medical department of the emergency hospital was analyzed. The Fujishima dysphagia scale after care and treatment by the Nutrition Support Team was assessed. Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics, 53(3), 238-243. doi: 10.3143/geriatrics.53.238.
Ng, T.-T. (2017). The forgotten cause of stridor in the emergency department. Open access emergency medicine: OAEM, 9, 19. doi: 10.2147/OAEM.S125593.
Nazareth, T., Li, N., Marynchenko, M., Zhou, Z., Chopra, P., Signorovitch, J., Wu, E., Ahmed, S., Marvel, J., & Sasane, R. (2016). Burden of illness among patients with fragile X syndrome (FXS): A Medicaid perspective. Current medical research and opinion, 32(3), 405-416. doi: 10.1185/03007995.2015.1119678.
Muzerengi, S., Herd, C., Rick, C., & Clarke, C. E. (2016). A systematic review of interventions to reduce hospitalisation in Parkinson's disease. Parkinsonism and Related Disorders, 24, 3-3-7. https://doi.org/10.1016/j.parkreldis.2016.01.011
Milazzo, M., Panepinto, A., Sabatini, A. M., & Danti, S. (2019). Tongue rehabilitation device for dysphagic patients. Sensors, 19(21), 4657. doi: 10.3390/s19214657
Middleton, S., Dale, S., McInnes, E., Craig, L., Schadewaldt, V., Levi, C., Cheung, N. W., Considine, J., D'Este, C., Cadilhac, D. A., Grimshaw, J., Gerraty, R., McElduff, P., Fitzgerald, M., Quinn, C., Cadigan, G., Denisenko, S., Longworth, M., Ward, J., May, C., Grimley, R., Paolini, R., Phillips, R., Salema, E., Pitkin, J., & Sheridan, T. (2016). Triage, treatment and transfer of patients with stroke in emergency department trial (the T3 Trial): A cluster randomised trial protocol. Implementation Science, 11(1). https://doi.org/10.1186/s13012-016-0503-6
Merino-Trujillo, A. (2013). Como escribir documentos científicos. Artículo de revisión. Salud en Tabasco, 19(3), 90-94. https://www.redalyc.org/pdf/487/48730715004.pdf
Maureen, R., Ruta, V., Amy, B., Kathryn, F., Rebecca, F., Jenny, P., Jennifer Salerno, A., Lehana, T., Amiram, G., & Norman, A. (2019). Implementation and evaluation of an integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: a feasibility study. International Journal of Integrated Care, 19(4). https://doi.org/10.5334/ijic.s3367
Markle-Reid, M., Valaitis, R., Bartholomew, A., Fisher, K., Fleck, R., Ploeg, J., & Salerno, J. (2020). An integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A feasibility study. Journal of comorbidity, 10, DOI: 2235042X19900451.
Maloney, P., Clancy, I., Bernard, P., O'Riardan, Y., Lyons, O., Keogh, E., Hinch, A., Molloy, A., Hastings, N., Brennan, S., & Reddy, C. (2017). Frailty Intervention Therapy Team (FITT): A Step in the Right Direction - Integration of Early Interdisciplinary Assessment in the Emergency Department. International Journal of Integrated Care (IJIC), 17, 1-1-3. https://doi.org/10.5334/ijic.3739
Lynch, E. A., Luker, J. A., Cadilhac, D. A., & Hillier, S. L. (2015). Rehabilitation assessments for patients with stroke in Australian hospitals do not always reflect the patients' rehabilitation requirements. Archives of physical medicine and rehabilitation, 96(5), 782-789. doi: 10.1016/j.apmr.2014.12.009.
Perlow, H. K., Ramey, S. J., Farnia, B., Silver, B., Kwon, D., Chinea, F. M., Sotnick, S. C., Klein, L. B., Elsayyad, N., & Samuels, M. A. (2018). Nutrition and Swallowing Therapy in Head and Neck Cancer: Utilization of Care and Preventative Efficacy. Nutrition and cancer, 70(8), 1290-1298. doi: 10.1080/01635581.2018.1557220.
Liu, C., Marino, V., Sheehan, O. C., Huang, J., Roth, D. L., & Haley, W. E. (2020). Association between caregiver engagement and patient-reported healthcare utilization after stroke: a mixed-methods study. Topics in stroke rehabilitation, 27(1), 1-7. doi: 10.1080/10749357.2019.1659640.
Lew, H. L., Oh-Park, M., & Cifu, D. X. (2020). The war on COVID-19 pandemic: Role of rehabilitation professionals and hospitals. American journal of physical medicine & rehabilitation. doi: 10.1097/PHM.0000000000001460
Leite, K. K. d. A., Sassi, F. C., MEDEIROS, G. C. d., Comerlatti, L. R., & ANDRADE, C. R. F. d. (2019). Clinical swallowing prognostic indicators in patients with acute ischemic stroke. Arquivos de neuro-psiquiatria, 77(7), 501-508. https://doi.org/10.1590/0004-282X20190080
Lal, P. B., Wishart, L. R., Ward, E. C., Schwarz, M., Seabrook, M., & Coccetti, A. (2020). Understanding speech pathology and dysphagia service provision in Australian emergency departments. Speech, Language and Hearing, 1-9.
Kim, H., Choi, J., Yoo, S., Chang, M., Lee, S., & Park, J. (2017). Tongue‐to‐palate resistance training improves tongue strength and oropharyngeal swallowing function in subacute stroke survivors with dysphagia. Journal of oral rehabilitation, 44(1), 59-64. doi: 10.1111/joor.12461.
Kidane, B., Kaaki, S., Hirpara, D. H., Shen, Y. C., Bassili, A., Allison, F., Waddell, T. K., & Darling, G. E. (2018). Emergency department use is high after esophagectomy and feeding tube problems are the biggest culprit. The Journal of thoracic and cardiovascular surgery, 156(6), 2340-2348. doi: 10.1016/j.jtcvs.2018.07.100.
Jeyaseelan, R. D., Vargo, M. M., & Chae, J. (2015). National Institutes of Health Stroke Scale (NIHSS) as an early predictor of poststroke dysphagia. PM&R, 7(6), 593-598. doi: 10.1016/j.pmrj.2014.12.007.
Ibanez-Sanchez, G., Fernandez-Llatas, C., Martinez-Millana, A., Celda, A., Mandingorra, J., Aparici-Tortajada, L., Valero-Ramon, Z., Munoz-Gama, J., Sepúlveda, M., & Rojas, E. (2019). Toward value-based healthcare through interactive process mining in emergency rooms: the stroke case. International journal of environmental research and public health, 16(10), 1783. doi: 10.3390/ijerph16101783
Hegland, K. W., Davenport, P. W., Brandimore, A. E., Singletary, F. F., & Troche, M. S. (2016). Rehabilitation of swallowing and cough functions following stroke: an expiratory muscle strength training trial. Archives of physical medicine and rehabilitation, 97(8), 1345-1351. doi: 10.1016/j.apmr.2016.03.027.
Hammond, F. M., Barrett, R., Dijkers, M. P., Zanca, J. M., Horn, S. D., Smout, R. J., Guerrier, T., Hauser, E., & Dunning, M. R. (2015). Group therapy use and its impact on the outcomes of inpatient rehabilitation after traumatic brain injury: data from traumatic brain injury–practice based evidence project. Archives of physical medicine and rehabilitation, 96(8), S282-S292. e285. doi: 10.1016/j.apmr.2014.11.029.
Organización Mundial de la Salud, y Organización Panamericana de la Salud. (2009). Coloquio Regional sobre Organización y Gestión de Servicios de Emergencias Médicas. https://www.paho.org/hq/index.php?option=com_docman&view=list&slug=servicios-emergencias-3236&Itemid=270〈=es
Piran, P., Thomas, J., Kunnakkat, S., Pandey, A., Gilles, N., Weingast, S., Burton, D., Balucani, C., & Levine, S. R. (2019). Medical mobile applications for stroke survivors and caregivers. Journal of Stroke and Cerebrovascular Diseases, 28(11), 104318. https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.104318
Gross, H., & Grose, N. (2017). Emergency neurological life support: acute ischemic stroke. Neurocritical care, 27(1), 102-115. oi: 10.1007/s12028-017-0449-9
Winck, J., Camacho, R., & Ambrosino, N. (2015). Multidisciplinary rehabilitation in ventilator-dependent patients: Call for action in specialized inpatient facilities. Revista Portuguesa de Pneumologia (English Edition), 21(6), 334-340. DOI: 10.1016/j.rppnen.2015.03.005
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Yong Kyun, K., Kyun Yeon, L., & Sang-Heon, L. (2018). Efficacy of a 4-Week Swallowing Rehabilitation Program Combined With Pyriform Sinus Ballooning in Patients With Post-stroke Dysphagia. Annals of Rehabilitation Medicine, 42(4), 542-542-550. https://doi.org/10.5535/arm.2018.42.4.542
Wates, E., Higginson, J., Kichenaradjou, A., & McVeigh, K. (2018). A severe deep neck odontogenic infection not prioritised by the emergency department triage system and National Early Warning Score. Case Reports, 2018, bcr-2018-224634. doi: 10.1136/bcr-2018-224634.
Pundole, A., & Crawford, S. (2018). The assessment of language and the emergence from disorders of consciousness. Neuropsychological rehabilitation, 28(8), 1285-1294. doi: 10.1080/09602011.2017.1307766.
Wall, K., Cumming, T., Koenig, S., & Copland, D. (2018). Using a non-immersive virtual reality approach to assess cognition in post-stroke aphasia: validating the Cognitive Assessment for Aphasia App (C3A). Aphasiology, 32(sup1), 54-55. https://doi.org/10.1080/02687038.2018.1485853
Vega Rodríguez, Y. E., Torres Rodríguez, A. M., y del Campo Rivas, M. N. (2017). Análisis del Rol del Fonoaudiólogo (a) en el Sector Salud en Chile. Ciencia & trabajo, 19(59), 76-80. http://dx.doi.org/10.4067/S0718-24492017000200076
Sung, H. Y., Lee, K.-S., Choi, M.-G., & Kim, J.-S. (2018). Dysphagia Screening Using High-resolution Impedance Manometry in Acute Stroke. International Journal of Gerontology, 12(2), 110-115. https://doi.org/10.1016/j.ijge.2017.07.003
Stephen, C. D., Fung, V., Lungu, C. I., & Espay, A. J. (2021). Assessment of emergency department and inpatient use and costs in adult and pediatric functional neurological disorders. JAMA neurology, 78(1), 88-101. doi: 10.1001/jamaneurol.2020.3753.
Steele, C.M. (2002). Emergency room assessment and early intervention for dysphagia: A pilot project. Journal of Speech-Language Pathology & Audiology, 26(2): 100-110. http://www.caslpa.ca/english/resources/jslpa.asp
Sheehan, O. C., Prvu-Bettger, J., Huang, J., Haley, W. E., David Rhodes, J., E Judd, S., Kilgore, M. L., & Roth, D. L. (2018). Is self or caregiver report comparable to Medicare claims indicators of healthcare utilization after stroke? Topics in sTroke rehabiliTaTion, 25(7), 521-526. Is self or caregiver report comparable to Medicare claims indicators of healthcare utilization after stroke?
Schrock, J. W., Lou, L., Ball, B. A., & Van Etten, J. (2018). The use of an emergency department dysphagia screen is associated with decreased pneumonia in acute strokes. The American journal of emergency medicine, 36(12), 2152-2154. doi: 10.1016/j.ajem.2018.03.046.
Royal College of Speech & Language Therapists. (2015). Reducing pressures on urgent and emergency care: the role of sppech language therapists. Givin Voice. Speech and Language Therapy transforms lives. https://www.rcslt.org/wp-content/uploads/media/Project/RCSLT/rcslt-reducing-pressure-urgent-emergency-care-factsheet.pdf
Rodríguez-Riaño, L.-J., y Duarte-Valderrama, A. (2018). Fonoaudiología/logopedia en cuidado intensivo: el valor de la comunicación, más allá de las alteraciones de deglución. Revista de Logopedia, Foniatría y Audiología, 38(2), 84-91. DOI: 10.1016/j.rlfa.2017.08.002
Rodgers H, Price C. Stroke unit care, inpatient rehabilitation and early supported discharge. Clin Med (Lond). 2017 Apr;17(2):173-177. doi: 10.7861/clinmedicine.17-2-173. PMID: 28365632; PMCID: PMC6297619.
Rebollo-Román, Á., Barrera-Martín, A., Alcántara-Laguna, M., Iglesias-Flores, E., Padillo-Cuenca, J. C., Molina-Puertas, M., y Calañas-Continente, A. (2018). Disfagia no orofaríngea con alta frecuentación en Urgencias. Nutrición Hospitalaria, 35(4), 996-998. https://dx.doi.org/10.20960/nh.1933
Guirao Goris, S. J. A. (2015). Utilidad y tipos de revisión de literatura. Ene, 9(2), 0-0. https://dx.doi.org/10.4321/S1988-348X2015000200002
Gormley, J., & Light, J. (2019). Providing Services to Individuals With Complex Communication Needs in the Inpatient Rehabilitation Setting: The Experiences and Perspectives of Speech-Language Pathologists. American Journal of Speech-Language Pathology, 28(2), 456-456-468. https://doi.org/10.1044/2018_AJSLP-18-0076
Publication
Asuntos profesionales
https://arete.ibero.edu.co/article/view/art21112
García-Carbajal, S., Pipa-Muniz, M., & Múgica, J. L. (2020). Using String Metrics to Improve the Design of Virtual Conversational Characters: Behavior Simulator Development Study. JMIR serious games, 8(1), e15349. doi: 10.2196/15349
Bogotá: Corporación Universitaria Iberoamericana
application/pdf
Artículo de revista
1
21
disfagia
https://creativecommons.org/licenses/by-nc-sa/4.0
fonoaudiologia
sala de urgencias
Garavito Hernández, Paula Vanessa
Rincón Pinilla, María Paula
Quecho Rodríguez, Daniela Marcela
Riaño, Johanna Rodríguez
Las salas de urgencias son espacios con protocolos coordinados y actuaciones diagnósticas y terapéuticas secuenciales. Los profesionales de rehabilitación en urgencias aportan a la toma de decisiones sobre conductas de hospitalización o egreso, planes caseros, ayudas diagnósticas y remisión a especialistas. El propósito de este análisis de literatura fue identificar evidencia internacional, sobre el fonoaudiólogo en sala de urgencias y sus acciones profesionales con pacientes, familiares y equipos de salud. Materiales y métodos. Se revisó evidencia de las bases de datos Ebsco, PubMed, Scielo, Elsevier y Web of Science, entre enero de 2015 hasta septiembre de 2020, con términos de búsqueda: speech language pathology, speech therapy, emergency room en español e inglés. Se seleccionaron documentos que informaran sobre procesos de rehabilitación en salas de urgencias, que incluyeran acciones desde fonoaudiología. Se analizaron 51 documentos según criterios de inclusión. La evidencia muestra la incursión del trabajo fonoaudiológico en un contexto no tradicional, motivado por las necesidades en la toma de decisiones clínicas en diálogo interdisciplinar, principalmente en condiciones de disfagia y alteraciones deglutorias. Las acciones profesionales en este contexto incluyen la promoción y prevención de ingresos a sala de urgencias, hasta la atención en condiciones críticas, agudas y al final de la vida. Este contexto representa retos profesionales hacia habilidades de juicio clínico, argumentación científico profesional, uso de instrumentos de detección y trabajo interdisciplinar. que hacen la diferencia entre aspectos como el egreso y la hospitalización, un tratamiento o procedimiento y en algunos casos, entre la vida y la muerte.
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Areté
Areté - 2021
Akhtar, N., Kamran, S., Singh, R., Cameron, P., Bourke, P., Khan, R., Joseph, S., Santos, M., Deleu, D., Own, A., Al-Yazeedi, W., Butt, A. A., Boulton, J., & Shuaib, A. (2016). Prolonged Stay of Stroke Patients in the Emergency Department May Lead to an Increased Risk of Complications, Poor Recovery, and Increased Mortality. Journal of Stroke and Cerebrovascular Diseases, 25(3), 672-672-678. https://doi.org/10.1016/j.jstrokecerebrovasdis.2015.10.018
de Cerio Canduela, P. D., González, I. A., Durban, R. B., Suárez, A. S., Secall, M. T., Arias, P. L. P., & Group, L. R. W. (2019). Rehabilitation of the Laryngectomised Patient. Recommendations of the Spanish Society of Otolaryngology and Head and Neck Surgery. Acta Otorrinolaringologica (English Edition), 70(3), 169-174. DOI: 10.1016/j.otoeng.2018.01.003
Cassarino, M., Robinson, K., Quinn, R., Naddy, B., O'Regan, A., Ryan, D., Boland, F., Ward, M. E., McNamara, R., O'Connor, M., McCarthy, G., & Galvin, R. (2019). Impact of early assessment and intervention by teams involving health and social care professionals in the emergency department: A systematic review. In (Vol. 14, pp. e0220709-e0220709). https://doi.org/10.1371/journal.pone.0220709
Carmignani, I., Locatello, L. G., Desideri, I., Bonomo, P., Olmetto, E., Livi, L., Le Saec, O., Coscarelli, S., & Mannelli, G. (2018). Analysis of dysphagia in advanced-stage head-and-neck cancer patients: impact on quality of life and development of a preventive swallowing treatment. European Archives of Oto-Rhino-Laryngology, 275(8), 2159-2167. doi: 10.1007/s00405-018-5054-9. Epub 2018 Jul 5.
Berning, M. J., e Silva, L. O. J., Suarez, N. E., Walker, L. E., Erwin, P., Carpenter, C. R., & Bellolio, F. (2020). Interventions to improve older adults' Emergency Department patient experience: A systematic review. The American journal of emergency medicine, 38(6), 1257-1269. doi: 10.1016/j.ajem.2020.03.012. Epub 2020 Mar 12.
Beaulieu, C. L., Dijkers, M. P., Barrett, R. S., Horn, S. D., Giuffrida, C. G., Timpson, M. L., Carroll, D. M., Smout, R. J., & Hammond, F. M. (2015). Occupational, physical, and speech therapy treatment activities during inpatient rehabilitation for traumatic brain injury. Archives of physical medicine and rehabilitation, 96(8), S222-S234. e217. doi: 10.1016/j.apmr.2014.10.028
Bath, P. M., Lee, H. S., & Everton, L. F. (2019). Swallowing therapy for dysphagia in acute and subacute stroke. Stroke, 50(3), e46-e47. doi: 10.1002/14651858.CD000323.pub3.
Balou, M., Herzberg, E. G., Kamelhar, D., & Molfenter, S. M. (2019). An intensive swallowing exercise protocol for improving swallowing physiology in older adults with radiographically confirmed dysphagia. Clinical interventions in aging, 14, 283. doi: 10.2147/CIA.S194723
Baier, A. L., Marques, L., Borba, C. P., Kelly, H., Clair-Hayes, K., Dixon De Silva, L., Chow, L. K., & Simon, N. M. (2019). Training needs among nonmental health professionals working with service members: A qualitative investigation. Military Psychology, 31(1), 71-80. doi: 10.1080/08995605.2018.1541392
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Andrade, J. S., Jesus, S. d., Oliveira, W. W., Paranhos, L. R., Domenis, D. R., Ribeiro César, & Hernandez Alves, C. P. (2017). Efeitos da Terapia da Fala em Pacientes Internados com Disfagia Pós-Acidente Cerebrovascular: Revisão Sistemática de Estudos Observacionais. Acta Medica Portuguesa, 30(12). https://doi.org/10.20344/amp.9183
Almeida, M. A. F., Mahmud, M. A. I., & Finard, S. A. (2018). Profile of patients using nasoenteric probe at the adult emergency service in a public hospital. Clinical & Biomedical Research, 38(3). https://seer.ufrgs.br/hcpa/article/view/80454/pdf.
Bahcecı, K., Umay, E., Gundogdu, I., Gurcay, E., Ozturk, E., & Alıcura, S. (2017). The effect of swallowing rehabilitation on quality of life of the dysphagic patients with cortical ischemic stroke. Iranian journal of neurology, 16(4), 178. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5937003/.
Aguirre-Bravo, Á. N., y Sampallo-Pedroza, R. (2015). Fonoaudiología en los cuidados paliativos / Phonoaudiology in palliative care. Revista de la Facultad de Medicina, 63(2), 289-289-300. https://doi.org/10.15446/revfacmed.v63n2.48539
Abboud, M. E., Band, R., Jia, J., Pajerowski, W., David, G., Guo, M., Mechem, C. C., Messé, S. R., Carr, B. G., & Mullen, M. T. (2016). Recognition of stroke by EMS is associated with improvement in emergency department quality measures. Prehospital Emergency Care, 20(6), 729-736. DOI: 10.1080/10903127.2016.1182602
Journal article
deglutition
Emergency rooms are spaces with coordinate protocols and sequential diagnostic and therapeutic actions. Emergency rehabilitation professionals contribute    to decision-making on hospitalization or egress behaviors, home plans, diagnostic aids, and referral to specialists. The purpose of this literature analysis was to identify international evidence, about the phono-audiologist in the emergency room and his professional actions with patients, family members and health teams. Materials and methods. Evidence was reviewed from the Ebsco, PubMed, Scielo, Elsevier and Web of Science databases, from January 2015 to September 2020, with search terms:  speech language pathology, speech therapy, emergency room in Spanish and English. They selected documents informing about emergency room rehabilitation processes, including actions from speech therapy. Sand analyzed 51 documents according to inclusion criteria. The evidence shows the incursion of speech therapy work in a non-traditional context, motivated by the needs in clinical decision-making in interdisciplinary dialogue, mainly under conditions of dysphagia and swallowing disorders. Professional actions in this context include the promotion and prevention of emergency room admissions, up to critical, acute, and end-of-life care. This context represents professional challenges towards clinical judgment skills, professional scientific argumentation, use of detection tools and interdisciplinary work. that make the difference between aspects such as egress and hospitalization, a treatment or procedure and in some cases, between life and death.
emergency room
speech language therapy
dysphagia
professionals issues
Speech Language Pathology In Emergency Rooms: Perspective From A Documentary Review
https://arete.ibero.edu.co/article/download/art21112/1704
2021-07-21T00:00:00Z
132
2021-07-21
1657-2513
2463-2252
125
10.33881/1657-2513.art.21112
2021-07-21T00:00:00Z
https://doi.org/10.33881/1657-2513.art.21112
institution CORPORACIÓN UNIVERSITARIA IBEROAMERICANA
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country_str Colombia
collection Areté
title Fonoaudiología En Salas De Urgencias: Perspectiva Desde Una Revisión Documental
spellingShingle Fonoaudiología En Salas De Urgencias: Perspectiva Desde Una Revisión Documental
Garavito Hernández, Paula Vanessa
Rincón Pinilla, María Paula
Quecho Rodríguez, Daniela Marcela
Riaño, Johanna Rodríguez
Asuntos profesionales
disfagia
fonoaudiologia
sala de urgencias
deglutition
emergency room
speech language therapy
dysphagia
professionals issues
title_short Fonoaudiología En Salas De Urgencias: Perspectiva Desde Una Revisión Documental
title_full Fonoaudiología En Salas De Urgencias: Perspectiva Desde Una Revisión Documental
title_fullStr Fonoaudiología En Salas De Urgencias: Perspectiva Desde Una Revisión Documental
title_full_unstemmed Fonoaudiología En Salas De Urgencias: Perspectiva Desde Una Revisión Documental
title_sort fonoaudiología en salas de urgencias: perspectiva desde una revisión documental
title_eng Speech Language Pathology In Emergency Rooms: Perspective From A Documentary Review
description Las salas de urgencias son espacios con protocolos coordinados y actuaciones diagnósticas y terapéuticas secuenciales. Los profesionales de rehabilitación en urgencias aportan a la toma de decisiones sobre conductas de hospitalización o egreso, planes caseros, ayudas diagnósticas y remisión a especialistas. El propósito de este análisis de literatura fue identificar evidencia internacional, sobre el fonoaudiólogo en sala de urgencias y sus acciones profesionales con pacientes, familiares y equipos de salud. Materiales y métodos. Se revisó evidencia de las bases de datos Ebsco, PubMed, Scielo, Elsevier y Web of Science, entre enero de 2015 hasta septiembre de 2020, con términos de búsqueda: speech language pathology, speech therapy, emergency room en español e inglés. Se seleccionaron documentos que informaran sobre procesos de rehabilitación en salas de urgencias, que incluyeran acciones desde fonoaudiología. Se analizaron 51 documentos según criterios de inclusión. La evidencia muestra la incursión del trabajo fonoaudiológico en un contexto no tradicional, motivado por las necesidades en la toma de decisiones clínicas en diálogo interdisciplinar, principalmente en condiciones de disfagia y alteraciones deglutorias. Las acciones profesionales en este contexto incluyen la promoción y prevención de ingresos a sala de urgencias, hasta la atención en condiciones críticas, agudas y al final de la vida. Este contexto representa retos profesionales hacia habilidades de juicio clínico, argumentación científico profesional, uso de instrumentos de detección y trabajo interdisciplinar. que hacen la diferencia entre aspectos como el egreso y la hospitalización, un tratamiento o procedimiento y en algunos casos, entre la vida y la muerte.
description_eng Emergency rooms are spaces with coordinate protocols and sequential diagnostic and therapeutic actions. Emergency rehabilitation professionals contribute    to decision-making on hospitalization or egress behaviors, home plans, diagnostic aids, and referral to specialists. The purpose of this literature analysis was to identify international evidence, about the phono-audiologist in the emergency room and his professional actions with patients, family members and health teams. Materials and methods. Evidence was reviewed from the Ebsco, PubMed, Scielo, Elsevier and Web of Science databases, from January 2015 to September 2020, with search terms:  speech language pathology, speech therapy, emergency room in Spanish and English. They selected documents informing about emergency room rehabilitation processes, including actions from speech therapy. Sand analyzed 51 documents according to inclusion criteria. The evidence shows the incursion of speech therapy work in a non-traditional context, motivated by the needs in clinical decision-making in interdisciplinary dialogue, mainly under conditions of dysphagia and swallowing disorders. Professional actions in this context include the promotion and prevention of emergency room admissions, up to critical, acute, and end-of-life care. This context represents professional challenges towards clinical judgment skills, professional scientific argumentation, use of detection tools and interdisciplinary work. that make the difference between aspects such as egress and hospitalization, a treatment or procedure and in some cases, between life and death.
author Garavito Hernández, Paula Vanessa
Rincón Pinilla, María Paula
Quecho Rodríguez, Daniela Marcela
Riaño, Johanna Rodríguez
author_facet Garavito Hernández, Paula Vanessa
Rincón Pinilla, María Paula
Quecho Rodríguez, Daniela Marcela
Riaño, Johanna Rodríguez
topicspa_str_mv Asuntos profesionales
disfagia
fonoaudiologia
sala de urgencias
topic Asuntos profesionales
disfagia
fonoaudiologia
sala de urgencias
deglutition
emergency room
speech language therapy
dysphagia
professionals issues
topic_facet Asuntos profesionales
disfagia
fonoaudiologia
sala de urgencias
deglutition
emergency room
speech language therapy
dysphagia
professionals issues
citationvolume 21
citationissue 1
publisher Bogotá: Corporación Universitaria Iberoamericana
ispartofjournal Areté
source https://arete.ibero.edu.co/article/view/art21112
language Español
format Article
rights http://purl.org/coar/access_right/c_abf2
info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/4.0
Areté - 2021
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.
references Mackay, M. T., Lee, M., Yock‐Corrales, A., Churilov, L., Donnan, G. A., Monagle, P., & Babl, F. E. (2018). Differentiating arterial ischaemic stroke from migraine in the paediatric emergency department. Developmental Medicine & Child Neurology, 60(11), 1117-1122. doi: 10.1111/dmcn.13772.
Niwano, M. (2016). The nutritional intake of elderly patients with dysphagia admitted to the internal medical department of the emergency hospital was analyzed. The Fujishima dysphagia scale after care and treatment by the Nutrition Support Team was assessed. Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics, 53(3), 238-243. doi: 10.3143/geriatrics.53.238.
Ng, T.-T. (2017). The forgotten cause of stridor in the emergency department. Open access emergency medicine: OAEM, 9, 19. doi: 10.2147/OAEM.S125593.
Nazareth, T., Li, N., Marynchenko, M., Zhou, Z., Chopra, P., Signorovitch, J., Wu, E., Ahmed, S., Marvel, J., & Sasane, R. (2016). Burden of illness among patients with fragile X syndrome (FXS): A Medicaid perspective. Current medical research and opinion, 32(3), 405-416. doi: 10.1185/03007995.2015.1119678.
Muzerengi, S., Herd, C., Rick, C., & Clarke, C. E. (2016). A systematic review of interventions to reduce hospitalisation in Parkinson's disease. Parkinsonism and Related Disorders, 24, 3-3-7. https://doi.org/10.1016/j.parkreldis.2016.01.011
Milazzo, M., Panepinto, A., Sabatini, A. M., & Danti, S. (2019). Tongue rehabilitation device for dysphagic patients. Sensors, 19(21), 4657. doi: 10.3390/s19214657
Middleton, S., Dale, S., McInnes, E., Craig, L., Schadewaldt, V., Levi, C., Cheung, N. W., Considine, J., D'Este, C., Cadilhac, D. A., Grimshaw, J., Gerraty, R., McElduff, P., Fitzgerald, M., Quinn, C., Cadigan, G., Denisenko, S., Longworth, M., Ward, J., May, C., Grimley, R., Paolini, R., Phillips, R., Salema, E., Pitkin, J., & Sheridan, T. (2016). Triage, treatment and transfer of patients with stroke in emergency department trial (the T3 Trial): A cluster randomised trial protocol. Implementation Science, 11(1). https://doi.org/10.1186/s13012-016-0503-6
Merino-Trujillo, A. (2013). Como escribir documentos científicos. Artículo de revisión. Salud en Tabasco, 19(3), 90-94. https://www.redalyc.org/pdf/487/48730715004.pdf
Maureen, R., Ruta, V., Amy, B., Kathryn, F., Rebecca, F., Jenny, P., Jennifer Salerno, A., Lehana, T., Amiram, G., & Norman, A. (2019). Implementation and evaluation of an integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: a feasibility study. International Journal of Integrated Care, 19(4). https://doi.org/10.5334/ijic.s3367
Markle-Reid, M., Valaitis, R., Bartholomew, A., Fisher, K., Fleck, R., Ploeg, J., & Salerno, J. (2020). An integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A feasibility study. Journal of comorbidity, 10, DOI: 2235042X19900451.
Maloney, P., Clancy, I., Bernard, P., O'Riardan, Y., Lyons, O., Keogh, E., Hinch, A., Molloy, A., Hastings, N., Brennan, S., & Reddy, C. (2017). Frailty Intervention Therapy Team (FITT): A Step in the Right Direction - Integration of Early Interdisciplinary Assessment in the Emergency Department. International Journal of Integrated Care (IJIC), 17, 1-1-3. https://doi.org/10.5334/ijic.3739
Lynch, E. A., Luker, J. A., Cadilhac, D. A., & Hillier, S. L. (2015). Rehabilitation assessments for patients with stroke in Australian hospitals do not always reflect the patients' rehabilitation requirements. Archives of physical medicine and rehabilitation, 96(5), 782-789. doi: 10.1016/j.apmr.2014.12.009.
Perlow, H. K., Ramey, S. J., Farnia, B., Silver, B., Kwon, D., Chinea, F. M., Sotnick, S. C., Klein, L. B., Elsayyad, N., & Samuels, M. A. (2018). Nutrition and Swallowing Therapy in Head and Neck Cancer: Utilization of Care and Preventative Efficacy. Nutrition and cancer, 70(8), 1290-1298. doi: 10.1080/01635581.2018.1557220.
Liu, C., Marino, V., Sheehan, O. C., Huang, J., Roth, D. L., & Haley, W. E. (2020). Association between caregiver engagement and patient-reported healthcare utilization after stroke: a mixed-methods study. Topics in stroke rehabilitation, 27(1), 1-7. doi: 10.1080/10749357.2019.1659640.
Lew, H. L., Oh-Park, M., & Cifu, D. X. (2020). The war on COVID-19 pandemic: Role of rehabilitation professionals and hospitals. American journal of physical medicine & rehabilitation. doi: 10.1097/PHM.0000000000001460
Leite, K. K. d. A., Sassi, F. C., MEDEIROS, G. C. d., Comerlatti, L. R., & ANDRADE, C. R. F. d. (2019). Clinical swallowing prognostic indicators in patients with acute ischemic stroke. Arquivos de neuro-psiquiatria, 77(7), 501-508. https://doi.org/10.1590/0004-282X20190080
Lal, P. B., Wishart, L. R., Ward, E. C., Schwarz, M., Seabrook, M., & Coccetti, A. (2020). Understanding speech pathology and dysphagia service provision in Australian emergency departments. Speech, Language and Hearing, 1-9.
Kim, H., Choi, J., Yoo, S., Chang, M., Lee, S., & Park, J. (2017). Tongue‐to‐palate resistance training improves tongue strength and oropharyngeal swallowing function in subacute stroke survivors with dysphagia. Journal of oral rehabilitation, 44(1), 59-64. doi: 10.1111/joor.12461.
Kidane, B., Kaaki, S., Hirpara, D. H., Shen, Y. C., Bassili, A., Allison, F., Waddell, T. K., & Darling, G. E. (2018). Emergency department use is high after esophagectomy and feeding tube problems are the biggest culprit. The Journal of thoracic and cardiovascular surgery, 156(6), 2340-2348. doi: 10.1016/j.jtcvs.2018.07.100.
Jeyaseelan, R. D., Vargo, M. M., & Chae, J. (2015). National Institutes of Health Stroke Scale (NIHSS) as an early predictor of poststroke dysphagia. PM&R, 7(6), 593-598. doi: 10.1016/j.pmrj.2014.12.007.
Ibanez-Sanchez, G., Fernandez-Llatas, C., Martinez-Millana, A., Celda, A., Mandingorra, J., Aparici-Tortajada, L., Valero-Ramon, Z., Munoz-Gama, J., Sepúlveda, M., & Rojas, E. (2019). Toward value-based healthcare through interactive process mining in emergency rooms: the stroke case. International journal of environmental research and public health, 16(10), 1783. doi: 10.3390/ijerph16101783
Hegland, K. W., Davenport, P. W., Brandimore, A. E., Singletary, F. F., & Troche, M. S. (2016). Rehabilitation of swallowing and cough functions following stroke: an expiratory muscle strength training trial. Archives of physical medicine and rehabilitation, 97(8), 1345-1351. doi: 10.1016/j.apmr.2016.03.027.
Hammond, F. M., Barrett, R., Dijkers, M. P., Zanca, J. M., Horn, S. D., Smout, R. J., Guerrier, T., Hauser, E., & Dunning, M. R. (2015). Group therapy use and its impact on the outcomes of inpatient rehabilitation after traumatic brain injury: data from traumatic brain injury–practice based evidence project. Archives of physical medicine and rehabilitation, 96(8), S282-S292. e285. doi: 10.1016/j.apmr.2014.11.029.
Organización Mundial de la Salud, y Organización Panamericana de la Salud. (2009). Coloquio Regional sobre Organización y Gestión de Servicios de Emergencias Médicas. https://www.paho.org/hq/index.php?option=com_docman&view=list&slug=servicios-emergencias-3236&Itemid=270〈=es
Piran, P., Thomas, J., Kunnakkat, S., Pandey, A., Gilles, N., Weingast, S., Burton, D., Balucani, C., & Levine, S. R. (2019). Medical mobile applications for stroke survivors and caregivers. Journal of Stroke and Cerebrovascular Diseases, 28(11), 104318. https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.104318
Gross, H., & Grose, N. (2017). Emergency neurological life support: acute ischemic stroke. Neurocritical care, 27(1), 102-115. oi: 10.1007/s12028-017-0449-9
Winck, J., Camacho, R., & Ambrosino, N. (2015). Multidisciplinary rehabilitation in ventilator-dependent patients: Call for action in specialized inpatient facilities. Revista Portuguesa de Pneumologia (English Edition), 21(6), 334-340. DOI: 10.1016/j.rppnen.2015.03.005
Yong Kyun, K., Kyun Yeon, L., & Sang-Heon, L. (2018). Efficacy of a 4-Week Swallowing Rehabilitation Program Combined With Pyriform Sinus Ballooning in Patients With Post-stroke Dysphagia. Annals of Rehabilitation Medicine, 42(4), 542-542-550. https://doi.org/10.5535/arm.2018.42.4.542
Wates, E., Higginson, J., Kichenaradjou, A., & McVeigh, K. (2018). A severe deep neck odontogenic infection not prioritised by the emergency department triage system and National Early Warning Score. Case Reports, 2018, bcr-2018-224634. doi: 10.1136/bcr-2018-224634.
Pundole, A., & Crawford, S. (2018). The assessment of language and the emergence from disorders of consciousness. Neuropsychological rehabilitation, 28(8), 1285-1294. doi: 10.1080/09602011.2017.1307766.
Wall, K., Cumming, T., Koenig, S., & Copland, D. (2018). Using a non-immersive virtual reality approach to assess cognition in post-stroke aphasia: validating the Cognitive Assessment for Aphasia App (C3A). Aphasiology, 32(sup1), 54-55. https://doi.org/10.1080/02687038.2018.1485853
Vega Rodríguez, Y. E., Torres Rodríguez, A. M., y del Campo Rivas, M. N. (2017). Análisis del Rol del Fonoaudiólogo (a) en el Sector Salud en Chile. Ciencia & trabajo, 19(59), 76-80. http://dx.doi.org/10.4067/S0718-24492017000200076
Sung, H. Y., Lee, K.-S., Choi, M.-G., & Kim, J.-S. (2018). Dysphagia Screening Using High-resolution Impedance Manometry in Acute Stroke. International Journal of Gerontology, 12(2), 110-115. https://doi.org/10.1016/j.ijge.2017.07.003
Stephen, C. D., Fung, V., Lungu, C. I., & Espay, A. J. (2021). Assessment of emergency department and inpatient use and costs in adult and pediatric functional neurological disorders. JAMA neurology, 78(1), 88-101. doi: 10.1001/jamaneurol.2020.3753.
Steele, C.M. (2002). Emergency room assessment and early intervention for dysphagia: A pilot project. Journal of Speech-Language Pathology & Audiology, 26(2): 100-110. http://www.caslpa.ca/english/resources/jslpa.asp
Sheehan, O. C., Prvu-Bettger, J., Huang, J., Haley, W. E., David Rhodes, J., E Judd, S., Kilgore, M. L., & Roth, D. L. (2018). Is self or caregiver report comparable to Medicare claims indicators of healthcare utilization after stroke? Topics in sTroke rehabiliTaTion, 25(7), 521-526. Is self or caregiver report comparable to Medicare claims indicators of healthcare utilization after stroke?
Schrock, J. W., Lou, L., Ball, B. A., & Van Etten, J. (2018). The use of an emergency department dysphagia screen is associated with decreased pneumonia in acute strokes. The American journal of emergency medicine, 36(12), 2152-2154. doi: 10.1016/j.ajem.2018.03.046.
Royal College of Speech & Language Therapists. (2015). Reducing pressures on urgent and emergency care: the role of sppech language therapists. Givin Voice. Speech and Language Therapy transforms lives. https://www.rcslt.org/wp-content/uploads/media/Project/RCSLT/rcslt-reducing-pressure-urgent-emergency-care-factsheet.pdf
Rodríguez-Riaño, L.-J., y Duarte-Valderrama, A. (2018). Fonoaudiología/logopedia en cuidado intensivo: el valor de la comunicación, más allá de las alteraciones de deglución. Revista de Logopedia, Foniatría y Audiología, 38(2), 84-91. DOI: 10.1016/j.rlfa.2017.08.002
Rodgers H, Price C. Stroke unit care, inpatient rehabilitation and early supported discharge. Clin Med (Lond). 2017 Apr;17(2):173-177. doi: 10.7861/clinmedicine.17-2-173. PMID: 28365632; PMCID: PMC6297619.
Rebollo-Román, Á., Barrera-Martín, A., Alcántara-Laguna, M., Iglesias-Flores, E., Padillo-Cuenca, J. C., Molina-Puertas, M., y Calañas-Continente, A. (2018). Disfagia no orofaríngea con alta frecuentación en Urgencias. Nutrición Hospitalaria, 35(4), 996-998. https://dx.doi.org/10.20960/nh.1933
Guirao Goris, S. J. A. (2015). Utilidad y tipos de revisión de literatura. Ene, 9(2), 0-0. https://dx.doi.org/10.4321/S1988-348X2015000200002
Gormley, J., & Light, J. (2019). Providing Services to Individuals With Complex Communication Needs in the Inpatient Rehabilitation Setting: The Experiences and Perspectives of Speech-Language Pathologists. American Journal of Speech-Language Pathology, 28(2), 456-456-468. https://doi.org/10.1044/2018_AJSLP-18-0076
García-Carbajal, S., Pipa-Muniz, M., & Múgica, J. L. (2020). Using String Metrics to Improve the Design of Virtual Conversational Characters: Behavior Simulator Development Study. JMIR serious games, 8(1), e15349. doi: 10.2196/15349
Akhtar, N., Kamran, S., Singh, R., Cameron, P., Bourke, P., Khan, R., Joseph, S., Santos, M., Deleu, D., Own, A., Al-Yazeedi, W., Butt, A. A., Boulton, J., & Shuaib, A. (2016). Prolonged Stay of Stroke Patients in the Emergency Department May Lead to an Increased Risk of Complications, Poor Recovery, and Increased Mortality. Journal of Stroke and Cerebrovascular Diseases, 25(3), 672-672-678. https://doi.org/10.1016/j.jstrokecerebrovasdis.2015.10.018
de Cerio Canduela, P. D., González, I. A., Durban, R. B., Suárez, A. S., Secall, M. T., Arias, P. L. P., & Group, L. R. W. (2019). Rehabilitation of the Laryngectomised Patient. Recommendations of the Spanish Society of Otolaryngology and Head and Neck Surgery. Acta Otorrinolaringologica (English Edition), 70(3), 169-174. DOI: 10.1016/j.otoeng.2018.01.003
Cassarino, M., Robinson, K., Quinn, R., Naddy, B., O'Regan, A., Ryan, D., Boland, F., Ward, M. E., McNamara, R., O'Connor, M., McCarthy, G., & Galvin, R. (2019). Impact of early assessment and intervention by teams involving health and social care professionals in the emergency department: A systematic review. In (Vol. 14, pp. e0220709-e0220709). https://doi.org/10.1371/journal.pone.0220709
Carmignani, I., Locatello, L. G., Desideri, I., Bonomo, P., Olmetto, E., Livi, L., Le Saec, O., Coscarelli, S., & Mannelli, G. (2018). Analysis of dysphagia in advanced-stage head-and-neck cancer patients: impact on quality of life and development of a preventive swallowing treatment. European Archives of Oto-Rhino-Laryngology, 275(8), 2159-2167. doi: 10.1007/s00405-018-5054-9. Epub 2018 Jul 5.
Berning, M. J., e Silva, L. O. J., Suarez, N. E., Walker, L. E., Erwin, P., Carpenter, C. R., & Bellolio, F. (2020). Interventions to improve older adults' Emergency Department patient experience: A systematic review. The American journal of emergency medicine, 38(6), 1257-1269. doi: 10.1016/j.ajem.2020.03.012. Epub 2020 Mar 12.
Beaulieu, C. L., Dijkers, M. P., Barrett, R. S., Horn, S. D., Giuffrida, C. G., Timpson, M. L., Carroll, D. M., Smout, R. J., & Hammond, F. M. (2015). Occupational, physical, and speech therapy treatment activities during inpatient rehabilitation for traumatic brain injury. Archives of physical medicine and rehabilitation, 96(8), S222-S234. e217. doi: 10.1016/j.apmr.2014.10.028
Bath, P. M., Lee, H. S., & Everton, L. F. (2019). Swallowing therapy for dysphagia in acute and subacute stroke. Stroke, 50(3), e46-e47. doi: 10.1002/14651858.CD000323.pub3.
Balou, M., Herzberg, E. G., Kamelhar, D., & Molfenter, S. M. (2019). An intensive swallowing exercise protocol for improving swallowing physiology in older adults with radiographically confirmed dysphagia. Clinical interventions in aging, 14, 283. doi: 10.2147/CIA.S194723
Baier, A. L., Marques, L., Borba, C. P., Kelly, H., Clair-Hayes, K., Dixon De Silva, L., Chow, L. K., & Simon, N. M. (2019). Training needs among nonmental health professionals working with service members: A qualitative investigation. Military Psychology, 31(1), 71-80. doi: 10.1080/08995605.2018.1541392
Andrade, J. S., Jesus, S. d., Oliveira, W. W., Paranhos, L. R., Domenis, D. R., Ribeiro César, & Hernandez Alves, C. P. (2017). Efeitos da Terapia da Fala em Pacientes Internados com Disfagia Pós-Acidente Cerebrovascular: Revisão Sistemática de Estudos Observacionais. Acta Medica Portuguesa, 30(12). https://doi.org/10.20344/amp.9183
Almeida, M. A. F., Mahmud, M. A. I., & Finard, S. A. (2018). Profile of patients using nasoenteric probe at the adult emergency service in a public hospital. Clinical & Biomedical Research, 38(3). https://seer.ufrgs.br/hcpa/article/view/80454/pdf.
Bahcecı, K., Umay, E., Gundogdu, I., Gurcay, E., Ozturk, E., & Alıcura, S. (2017). The effect of swallowing rehabilitation on quality of life of the dysphagic patients with cortical ischemic stroke. Iranian journal of neurology, 16(4), 178. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5937003/.
Aguirre-Bravo, Á. N., y Sampallo-Pedroza, R. (2015). Fonoaudiología en los cuidados paliativos / Phonoaudiology in palliative care. Revista de la Facultad de Medicina, 63(2), 289-289-300. https://doi.org/10.15446/revfacmed.v63n2.48539
Abboud, M. E., Band, R., Jia, J., Pajerowski, W., David, G., Guo, M., Mechem, C. C., Messé, S. R., Carr, B. G., & Mullen, M. T. (2016). Recognition of stroke by EMS is associated with improvement in emergency department quality measures. Prehospital Emergency Care, 20(6), 729-736. DOI: 10.1080/10903127.2016.1182602
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