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El Consejo Sanitario realizado por enfermería es un servicio de atención no presencial que se puso en marcha en Junio de 2010 dentro del Proyecto Osarean-Osakidetza no presencial. Este proyecto  está enmarcado dentro de la Estrategia para afrontar el reto de la cronicidad en Euskadi. Las enfermeras de Consejo sanitario-Osarean realizan diferentes funciones: Seguimiento de pacientes crónicos tanto Telemonitorizados (EPOC, ICC) como a pacientes NO telemonitorizados (PPP, Paliativos) Teleasistencia Consejo sanitario Triaje telefónico Colaboración en Proyectos de Investigación Colaboración en Programas de Salud (Alcohol y menores, Deshabituación tabáquica, etc)  Las Enfermeras de Consejo Sanitario están ubicadas en el Centro Coordinador de Emergencias y ofrecen atención NO presencial las 24 h del día a toda la CAPV. Esto permite también aportar continuidad asistencial a todos los pacientes cuando sus equipos de referencia no están.  El número de llamadas recibidas por Consejo Sanitario sigue incrementándose año tras año, siendo en el 2017 de 173.047. Cada vez es mayor el seguimiento de pacientes crónicos (91.362).  Tienen una alta tasa de llamadas resueltas por las enfermeras de Consejo Sanitario, que es del 80% de todas las llamadas recibidas.  Todo ello garantiza la atención sanitaria al ciudadano asegurando una atención  continuada durante las 24 horas del día, los 365 días del año.

The factors that predispose an individual to a higher risk of death from COVID-19 are poorly understood. The goal of the study was to identify factors associated with risk of death among patients with COVID-19. This is a retrospective cohort study of people with laboratory-confirmed SARS-CoV-2 infection from February to May 22, 2020. Data retrieved for this study included patient sociodemographic data, baseline comorbidities, baseline treatments, other background data on care provided in hospital or primary care settings, and vital status. Main outcome was deaths until June 29, 2020. In the multivariable model based on nursing home residents, predictors of mortality were being male, older than 80 years, admitted to a hospital for COVID-19, and having cardiovascular disease, kidney disease or dementia while taking anticoagulants or lipid-lowering drugs at baseline was protective. The AUC was 0.754 for the risk score based on this model and 0.717 in the validation subsample. Predictors of death among people from the general population were being male and/or older than 60 years, having been hospitalized in the month before admission for COVID-19, being admitted to a hospital for COVID-19, having cardiovascular disease, dementia, respiratory disease, liver disease, diabetes with organ damage, or cancer while being on anticoagulants was protective. The AUC was 0.941 for this model’s risk score and 0.938 in the validation subsample. Our risk scores could help physicians identify high-risk groups and establish preventive measures and better follow-up for patients at high risk of dying.ClinicalTrials.gov Identifier: NCT04463706

Carpeta de Salud es un servicio que Osakidetza pone a disposición de sus ciudadanos para que de forma confidencial y totalmente segura puedan acceder a gran parte de su historial clínico. Los objetivos de Carpeta de Salud son los siguientes: Posibilitar a los ciudadanos el acceso, a través del portal de Osakidetza (ordenador, tablet, teléfono móvil), a la información de su historia clínica de forma segura y confidencial, en cualquier momento y desde cualquier lugar. Facilitar a los ciudadanos la relación de forma no presencial con los profesionales de Osakidetza. Potenciar el papel del ciudadano como responsable de la promoción de su salud. Ayudar a preparar al sistema sanitario vasco para las necesidades de futuro, contribuyendo a su sostenibilidad. Los servicios que ofrece Carpeta de Salud se clasifican en 3 bloques: Los que permiten consultar y recuperar información clínica Los que permiten enriquecer la propia historia clínica Los que permiten interactuar con el sistema sanitario Es un servicio que no para de crecer en cuanto a usuarios y nuevas funcionalidades.

There is growing evidence that gender is an important determinant of mental health and well-being. In this sense, both biological and socio-economic factors play a key role in how people experience psychological disturbances. This study examine whether there were sex- and gender-based differences in the management of psychiatric disorders in the emergency department (ED). A cross-sectional retrospective study was conducted in the ED over the 2017–2019 period. Sex was codified as female/male and socio-economic deprivation index was compiled to address the impact of social determinants. Episodes were reclassified according to four major clusters. Psychotropic drug prescription was categorized according to the ATC classification. Poisson regression models, adjusted for age and socioeconomic status, were used. A total of 9789 episodes (53.9% females) of individuals who required an acute-related psychiatric intervention were retrieved. Age distribution and socioeconomic quintiles revealed gender differences. Anxiety-related consultations accounted for up to 50% of all episodes. Female gender was found to be overrepresented in anxiety and stress-related disorders, mood disorders, and personality disorders. In contrast, Males accounted for 70% of all psychoactive substance use disorders. Considering main clinical syndromic clusters, analysis showed that female patients were more likely to be prescribed with anxiolytic treatment in ED treatment than men in the categories of “Common mental disorders” (PR = 1.122 [1.014–1.242; p = 0.025), “Severe Mental Disorders” (PR = 1.217[1.054–1.406] p = 0.007) and “Personality disorders” (PR = 1.398 (1.038 – 1.884); p = 0.028). This study highlights the relevance of considering sex and gender as potential determinants in both the clinical presentation and management of psychiatric emergencies.