Context: Terminally ill patients (TIP) frequently visit the emergency department (ED), but the prevalence of these visits is unclear. Objective: To determine the prevalence of TIP visiting the ED. Methods: Systematic review of observational studies published between 1998 and 2018 reporting adults TIP who used the hospital ED, searching in PubMed, CINAHL, SciELO, LILACS, and Cochrane. Three evaluators selected and extracted data (kappa concordance 0.63). The quality of the studies was evaluated with the Newcastle–Ottawa scale and global estimates were made, calculating combined prevalence (95% confidence interval [CI]) and heterogeneity of the studies (I2). Results: We identified 2429 publications, ultimately including 31 studies in 14 countries; 79% were from high-income countries, 21% from medium-income countries, and none from low-income countries. Most were from 2015. We found that ...

Objetivo. Determinar la evolución de pacientes con cirrosis hepática avanzada luego de ser admitidos al servicio de Emergencia de un hospital terciario e identificar factores asociados a mortalidad a los seis meses. Material y métodos. Estudio observacional y retrospectivo, en pacientes mayores de 18 años con cirrosis hepática avanzada (Child-Pugh estadio C) admitidos al servicio de Emergencia en un hospital terciario de febrero 2017 a agosto de 2017. Se revisó reportes médicos, historia clínica y sistema informático (seguimiento 12 meses). Análisis estadístico bivariado con el uso de SPSS 24 y según los principios éticos. Resultados. Se identificó 83 casos, con edad promedio de 68 años (± 9,5), sexo masculino 52 %, etiología alcohólica 22 % y viral 6 %. Dicinueve (23 %) de pacientes fallecieron en la primera admisión a emergencia; 61 %, a los 3 meses; 73 %, a los 6 me...

Objective. To determine the evolution of patients with advanced liver cirrhosis after being admitted to the emergency ward of a tertiary hospital and identify associated factors to mortality at six months of follow up. Material and methods. A retrospective and observational study was carried out in patients older than 18 year-old with advanced liver cirrhosis (Child-Pugh C stage) admitted to the emergency ward in a tertiary hospital, from February to August of 2017. Medical reports, clinical history and computerized files (follow-up at 12 months) were reviewed. A bivariate statistical analysis was applied using SPSS 24 and according to ethical principles.Results. We identified 83 cases, with an average age of 68 year-old (± 9.5), male 52%; 22% alcoholic and 6% viral etiology. Nineteen (23%) patients died on first admission to emergency ward, 61% at three months, 73% at 6 months and 81% ...