Òscar Miró
A5106079058- Acute Myocardial Infarction Research
- Heart Failure Treatment and Management
- Cardiac Imaging and Diagnostics
- Atrial Fibrillation Management and Outcomes
- COVID-19 and healthcare impacts
- COVID-19 Clinical Research Studies
- Venous Thromboembolism Diagnosis and Management
- Emergency and Acute Care Studies
- Coronary Interventions and Diagnostics
- Long-Term Effects of COVID-19
- Cardiovascular Function and Risk Factors
- Cardiac Arrest and Resuscitation
- Cardiac electrophysiology and arrhythmias
- Cardiac, Anesthesia and Surgical Outcomes
- Mechanical Circulatory Support Devices
- Sepsis Diagnosis and Treatment
- Potassium and Related Disorders
- Cardiac pacing and defibrillation studies
- Cardiovascular Syncope and Autonomic Disorders
- Respiratory Support and Mechanisms
- Ultrasound in Clinical Applications
- Healthcare cost, quality, practices
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Chronic Disease Management Strategies
- Pericarditis and Cardiac Tamponade
Universitat de Barcelona
2004-2025
Consorci Institut D'Investigacions Biomediques August Pi I Sunyer
2016-2025
Hospital Clínic de Barcelona
2016-2025
University Hospital of Basel
2020-2022
University of Basel
2017-2022
Freiwillige Akademische Gesellschaft
2022
Hôpital Lariboisière
2021
Assistance Publique – Hôpitaux de Paris
2021
Brazilian Network Information Center
2018
Bellvitge University Hospital
2018
Abstract Aims We investigated the incidence, risk factors, clinical characteristics, and outcomes of pulmonary embolism (PE) in patients with COVID-19 attending emergency departments (EDs), before hospitalization. Methods Results retrospectively reviewed all diagnosed PE 62 Spanish EDs (20% EDs, case group) during first outbreak. without non-COVID-19 were included as control groups. Adjusted comparisons for baseline acute episode made between cases randomly selected controls (1:1 ratio)....
Background: The use of urinary sodium to guide diuretics in acute heart failure is recommended by experts and the most recent European Society Cardiology guidelines. However, there are limited data support this recommendation. ENACT-HF study (Efficacy a Standardized Diuretic Protocol Acute Heart Failure) investigated feasibility efficacy standardized natriuresis-guided diuretic protocol patients with signs volume overload. Methods: was an international, multicenter, open-label, pragmatic,...
Background: Four strategies for very early rule-out of acute myocardial infarction using high-sensitivity cardiac troponin I (hs-cTnI) have been identified. It remains unclear which strategy is most attractive clinical application. Methods: We prospectively enrolled unselected patients presenting to the emergency department with symptoms suggestive infarction. The final diagnosis was adjudicated by 2 independent cardiologists. Hs-cTnI levels were measured at presentation and after 1 hour in...
Abstract BACKGROUND Clinical performance of the novel high-sensitivity cardiac troponin I (Siemens-hs-cTnI-Centaur) assay is unknown. We aimed to clinically validate Siemens-hs-cTnI-Centaur and develop 0/1-h 0/2-h algorithms. METHODS enrolled patients presenting emergency department with symptoms suggestive acute myocardial infarction (AMI). Final diagnoses were centrally adjudicated by 2 independent cardiologists including all clinical information twice: first, using serial hs-cTnT...
Until now, high-sensitivity cardiac troponin (hs-cTn) assays were mainly developed for large central laboratory platforms. This study aimed to assess the clinical performance of a point-of-care (POC)-hs-cTnI assay in patients with suspected myocardial infarction (MI). enrolled presenting emergency department symptoms suggestive MI. Two cardiologists centrally adjudicated final diagnosis using all data including imaging. The primary objective was directly compare diagnostic accuracy...
We diagnosed 11 Guillain–Barré syndrome (GBS) cases among 71,904 COVID patients attended at 61 Spanish emergency departments (EDs) during the 2‐month pandemic peak. The relative frequency of GBS ED was higher in (0.15‰) than non‐COVID (0.02‰) (odds ratio [OR] = 6.30, 95% confidence interval [CI] 3.18–12.5), as standardized incidence (9.44 and 0.69 cases/100,000 inhabitant‐years, respectively, OR 13.5, CI 9.87–18.4). Regarding clinical characteristics, olfactory–gustatory disorders were more...
We aimed to evaluate the impact of age on performance European Society Cardiology (ESC) 0/1h-algorithms and derive externally validate alternative cut-offs specific older patients.We prospectively enrolled patients presenting emergency department (ED) with symptoms suggestive acute myocardial infarction in three large diagnostic studies. Final diagnoses were adjudicated by two independent cardiologists. High-sensitivity cardiac troponin (hs-cTn) T I concentrations measured at presentation...
Recent reports of patients with coronavirus disease 2019 (COVID-19) developing pneumothorax correspond mainly to case describing mechanically ventilated patients. The real incidence, clinical characteristics, and outcome spontaneous (SP) as a form COVID-19 presentation remain be defined.Do the risk factors, outcomes SP in attending EDs differ compared without non-COVID-19 SP?This case-control study retrospectively reviewed all diagnosed (case group) 61 Spanish (20% EDs) them two control...
The aim of this study was to validate the clinical performance Beckman Access high-sensitivity cardiac troponin I (hs-cTnI) assay.We enrolled patients presenting emergency department with symptoms suggestive acute myocardial infarction (AMI). Final diagnoses were centrally adjudicated by 2 independent cardiologists all information including imaging twice: first, using serial hs-cTnT (Elecsys, primary analysis), and second, hs-cTnI (Architect, secondary analysis) measurements in addition...
Uncontrolled studies suggest that pulmonary embolism (PE) can be safely ruled out using the YEARS rule, a diagnostic strategy uses varying D-dimer thresholds.To prospectively validate safety of combines rule with rule-out criteria (PERC) and an age-adjusted threshold.A cluster-randomized, crossover, noninferiority trial in 18 emergency departments (EDs) France Spain. Patients (N = 1414) who had low clinical risk PE not excluded by PERC or subjective intermediate were included from October...
To define quality of care indicators and process standards for treating patients with COVID-19 in hospital emergency departments (EDs), to determine the level adherence during first wave 2020, detect factors associated different levels adherence.We selected by applying Delphi method. We then analyzed SIESTA cohort (registered Spanish Investigators Emergency Situations Team). This was comprised treated 62 hospitals March April 2020. Adherence compared according pandemic-related ED caseload...
Collaboration for the Diagnosis and Evaluation of Acute Coronary Syndrome (CoDE-ACS) is a validated clinical decision support tool that uses machine learning with or without serial cardiac troponin measurements at flexible time point to calculate probability myocardial infarction (MI). How CoDE-ACS performs different points measurement compares guideline-recommended diagnostic pathways rely on fixed thresholds uncertain.
Objetivo. Conocer la práctica clínica diagnóstico-terapéutica y de disposición en los servicios urgencias hospitalarios (SUH) españoles pacientes con insuficiencia cardiaca aguda (ICA). Método. Encuesta a responsables todos SUH públicos sobre rutinas asistenciales diagnóstico-terapéuticas toma decisión atención ICA. Se indagaron procesos relacionados continuidad asistencial dados alta. Los resultados se comparan según tamaño del hospital detallan por comunidad autónoma. Resultados....
Objectives: To evaluate the different internal factors influencing patient flow, effectiveness, and overcrowding in emergency department (ED), as well effects of ED reorganisation on these indicators. Methods: The study compared measurements at regular intervals three hours arrivals flow between two comparable periods (from 10 February to 2 March) 1999 2000. In between, a structural staff was undertaken. main reason for each remaining recorded allocated one four groups: (1) related itself ;...
Background: Combining 2 signals of cardiomyocyte injury, cardiac troponin I (cTnI) and T (cTnT), might overcome some individual pathophysiological analytical limitations thereby increase diagnostic accuracy for acute myocardial infarction with a single blood draw. We aimed to evaluate the performance combinations high-sensitivity (hs) cTnI hs-cTnT early diagnosis infarction. Methods: The combining hs-cTnI (Architect, Abbott) (Elecsys, Roche) concentrations (sum, product, ratio, combination...
Abstract Background There have been reports of procoagulant activity in patients with COVID‐19. Whether there is an association between pulmonary embolism (PE) and COVID‐19 the emergency department (ED) unknown. The aim this study was to assess whether associated PE ED who underwent a computed tomographic angiogram (CTPA). Methods A retrospective 26 EDs from six countries. whom CTPA performed for suspected during 2‐month period covering pandemic peak. primary endpoint occurrence on CTPA....
Objective Assess the relative incidence and compare characteristics outcome of unstable angina (UA) non-ST-elevation myocardial infarction (NSTEMI). Design Two independent prospective multicentre diagnostic studies (Advantageous Predictors Acute Coronary Syndromes Evaluation [APACE] High-Sensitivity Troponin in Patients With Syndrome [High-STEACS]) enrolling patients with acute chest discomfort presenting to emergency department. Central adjudication final diagnosis was done by two...
Abstract Aims Recent data from national registries suggest that acute heart failure (AHF) outcomes might vary in men and women, however, it is not known whether this observation universal. The aim of study was to evaluate the association biological sex 1-year all-cause mortality patients with AHF various regions world. Methods results We analysed several cohorts including GREAT registry (22 523 patients, mostly Europe Asia) OPTIMIZE-HF (26 376 USA). Clinical characteristics medication use at...