1 10 43 https://repository.horizon.ac.id/files/original/32f309996f50ea343a4c24ed017a4532.pdf 3b928e2e7299f80495ab4d4f1461d14d Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource volume 26 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Analysis of factors affecting organizational engagement between pre-hospital and hospital emergency departments: a qualitative study Subject The topic of the resource Emergency, Hospital, Pre-hospital, Organizational challenges, Organizational engagement, Health system Description An account of the resource Introduction The provision of efficient and integrated emergency services constitutes a vital cornerstone for reducing mortality rates and improving clinical outcomes for patients and casualties within complex healthcare systems. Effective engagement between hospital-based and pre-hospital emergency services is crucial for the delivery of higher quality and more appropriate patient care. This study was conducted with the aim of analyzing the factors affecting organizational engagement between pre-hospital and hospital emergency departments. Methods This was a qualitative study employing a conventional content analysis approach, conducted across pre- hospital emergency services and affiliated educational hospitals of Shahid Sadoughi University of Medical Sciences, Iran, in 2025. Participants included 38 experienced stakeholders in the field, encompassing managers, supervisors, physicians, nurses, and emergency medical technicians. These individuals were selected using purposive sampling until data saturation was achieved. Data were collected through semi-structured interviews and subsequently analyzed using MAXQDA software (Version 22). The credibility and trustworthiness of the findings were assessed according to Lincoln and Guba’s criteria. Results Data analysis revealed that organizational interaction between pre-hospital and hospital emergency services faced significant barriers, primarily attributable to poor managerial coordination, cognitive and professional limitations, and gaps in clinical practice. Specifically, the lack of effective inter-organizational communication, weak leadership in conflict resolution, and insufficient structural and human resource support were identified as key managerial obstacles. In the domain of cognitive and professional limitations, negative attitudes, knowledge and skills gaps, and decision-making biases—often arising under conditions of high workload or limited information—were found to reduce mutual understanding and collaboration between personnel across the two sectors. Regarding clinical practice gaps, the absence of standardized patient handover protocols, inconsistencies in the implementation of care processes, and deficiencies in initial clinical assessments disrupted care continuity and diminished overall service quality. Creator An entity primarily responsible for making the resource Najmeh Baghian1 , Mohammad Sadegh Abolhasani2 , Somayeh Bagheri3 , Ali Zare Horoki4 and Adel Eftekhari5* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12873-025-01444-0 Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Emergency, Hospital, Pre-hospital, Organizational challenges, Organizational engagement, Health system https://repository.horizon.ac.id/files/original/5cc6c3a6a0687363cb3cc01de4bb114a.pdf 86244b0a0d39a1cfe9fb51c883d12855 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource volume 26 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Analysis of violent attacks on emergency medical technicians in Ghana: a structural equation modelling approach Subject The topic of the resource Emergency medical technicians (EMTs), Violent attacks, Perpetrators, Prehospital, Emergency care Description An account of the resource Background Emergency Medical Technicians (EMTs) play a crucial role in healthcare, yet they frequently encounter violence in the line of duty. The incidence of violence against EMTs in Ghana is still not well understood, and it is a problem that is frequently ignored. Objective This study investigates the impact of different perpetrators on violent attacks against EMTs in Ghana, examining how emergencies mediate these incidents. The study focuses on EMTs from the Ghana National Ambulance Service (NAS) across three key regions: Greater Accra, Ashanti, and the Northern Region, with a total sample size of 336 EMTs. The main population of the study consisted of EMTs, and the Partial Least Squares structural equation technique was used for data analysis. Methods A multistage sampling technique was employed to ensure systematic coverage across regions, with sample sizes proportionally calculated based on the distribution of EMTs. Data was collected using a Likert scale questionnaire to capture EMTs’ experiences and perspectives across various dimensions. Findings The study reveals that high-stress emergencies significantly influence the types of violence EMTs experience. These situations increase the likelihood of both physical assaults and verbal abuse. The identity of the perpetrators, including relatives, doctors, and nurses, is also a significant factor in the occurrence of violence. Moreover, the nature of emergencies mediates the relationship between perpetrators and the types of violent incidents, emphasising the importance of situational factors in understanding and preventing violence against EMTs. Conclusion In conclusion, High-stress emergencies contribute to violence against EMTs, with perpetrators playing a crucial role. The study suggests enhancing safety training, strengthening security, raising public awareness, implementing legal reforms, and providing mental health support. Clinical trial number Not applicable Creator An entity primarily responsible for making the resource Azudaa R. Atandigre1 , Yenube Clement Kunkuaboor2*, Michael Adesi3 , Ahmed N. Zakariah1 , Miilon Sommik Duut1 and Jones Opoku-Ware4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12873-025-01435-1 Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Emergency medical technicians (EMTs), Violent attacks, Perpetrators, Prehospital, Emergency care https://repository.horizon.ac.id/files/original/68609f0050bee7b4c13444e9f6ff0e75.pdf ccbf7f9ac55a9ec7fa068f77b0d61622 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource volume 26 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Association between emergency department bed occupancy rate and in-hospital cardiac arrest in the emergency department: a retrospective study Subject The topic of the resource Emergency department, Crowding, In-hospital cardiac arrest, Bed occupancy rate, EDBOR, Patient safety Description An account of the resource Background In-hospital cardiac arrest (IHCA) is a critical event often preceded by signs of clinical deterioration. Emergency department (ED) overcrowding may compromise timely monitoring and intervention and may be associated with a higher occurrence of IHCA. The ED bed occupancy rate (EDBOR) is a quantifiable indicator of crowding. This study aimed to examine the association between EDBOR and the occurrence of IHCA in the ED. Methods We conducted a retrospective observational study at Thammasat University Hospital from January 2020 to December 2022. EDBOR at the time of IHCA was compared with EDBOR during routine ED operations using a case– control analogue design, with time points as the unit of analysis. Logistic regression was used to assess the association between EDBOR and IHCA occurrence, with additional sensitivity analyses across high-occupancy thresholds. Results During the three-year study period, 54,951 ED visits were recorded. EDBOR at the time of 125 IHCA events and 3,285 control time points was analyzed. Although the mean EDBOR at the time of IHCA was slightly higher than during control periods (75.5% vs. 70.5%), this difference was not statistically significant (p=0.275). Sensitivity analyses across multiple EDBOR thresholds (at least 40%, 50%, 60%, 70%, and 80%) demonstrated a graded association, with a consistently higher likelihood of IHCA at higher occupancy levels. Among time points with EDBOR at least 60%, each 10–percentage-point increase in EDBOR was associated with a 10% increase in the odds of IHCA (adjusted odds ratio 1.10; 95% confidence interval 1.01 to 1.18; p=0.02). Conclusion Elevated EDBOR was significantly associated with an increased occurrence of IHCA in the ED. While causality cannot be inferred from this observational study and the findings should be considered hypothesis- generating, monitoring EDBOR during high-occupancy periods may help inform crowding mitigation strategies and departmental planning, pending validation in future studies. Creator An entity primarily responsible for making the resource Kiattichai Daorattanachai1 , Kornrawee Srisiri1 , Winchana Srivilaithon1 , Chitlada Limjindaporn1 , Kumpol Kornthatchapong1 , Intanon Imsuwan1 , Ittabud Dasanadeba1 and Nipon Diskumpon1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12873-025-01467-7 Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Emergency department, Crowding, In-hospital cardiac arrest, Bed occupancy rate, EDBOR, Patient safety https://repository.horizon.ac.id/files/original/aad997094e8946f80f978ea67e807173.pdf 1817094a6307a906c0395c9f040ddb42 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource volume 26 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Association between polypharmacy at the emergency department and long-term mortality in critically ill older patients receiving mechanical ventilation: a single- center retrospective cohort study Subject The topic of the resource Polypharmacy, Critical illness, Older adults, Mortality, Emergency medical services Description An account of the resource Background Polypharmacy is increasingly prevalent among older adults, and is associated with adverse health outcomes. However, its prognostic impact in emergency care settings remains unclear, particularly in critically ill older patients requiring mechanical ventilation. Therefore, this study aimed to evaluate the association between polypharmacy at the emergency department and long-term mortality in critically ill older patients who required mechanical ventilation. Methods We conducted a retrospective cohort study of emergency department patients aged≥65 years who received mechanical ventilation at a Japanese university hospital between April 2015 and December 2024. Patients were categorized into a polypharmacy group (≥5 regular medications at admission) or a non-polypharmacy group (fewer medications at admission). Survival was comparatively analyzed using Kaplan–Meier curves and the log-rank test. Cox proportional hazards regression analysis was performed to examine the association between polypharmacy at admission (reference: non-polypharmacy) and long-term mortality while adjusting for age, Charlson comorbidity index, and the Sequential Organ Failure Assessment (SOFA) score modeled as a continuous variable. In addition, we similarly analyzed the association between polypharmacy status at discharge among patients discharged alive and long-term mortality. Results The study cohort comprised 533 patients (non-polypharmacy: 207 patients, polypharmacy: 326 patients). The median follow-up duration was 2.1 months (interquartile range [IQR], 0.6–11.7 months; maximum, 112.7 months). Among patients discharged alive, the median follow-up duration was 3.6 months (IQR, 1.0–19.6 months). After adjustment for age, Charlson comorbidity index, and SOFA score, patients with polypharmacy at admission were not independently associated with all-cause mortality (hazard ratio [HR]: 1.17, 95% confidence interval [CI]: 0.85–1.60). Creator An entity primarily responsible for making the resource Yoshihiro Nakamura1 , Takeshi Umegaki2*, Kota Nishimoto2 , Takashi Muroya1 , Takahiko Kamibayashi2 and Yasuyuki Kuwagata1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12873-025-01463-x Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Polypharmacy, Critical illness, Older adults, Mortality, Emergency medical services https://repository.horizon.ac.id/files/original/645694135ab0a9032ff811942aab952a.pdf f5e3e2b74a9ad3223f2362db37d30a74 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource volume 26 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Causes and consequences of overcrowding in emergency departments and its impact on patients’ care at main governmental hospitals in Gaza Strip: a cross-sectional study Subject The topic of the resource Emergency department, Overcrowding, Patient care, Gaza Strip, Healthcare professionals Description An account of the resource Background Emergency department (ED) overcrowding is a growing challenge in many healthcare systems, particularly in resource-limited settings such as the Gaza Strip. It negatively affects patient care quality, staff performance, and overall hospital efficiency. This study aimed to identify the main perceived causes and consequences of ED overcrowding in major governmental hospitals in Gaza and to assess its perceived impact on healthcare delivery. Methods A descriptive cross-sectional study was conducted among 289 healthcare professionals, including doctors (59.2%) and nurses (40.8%), working in the EDs of Al-Shifa Medical Complex, Nasser Medical Complex, European Gaza Hospital, and the Indonesian Hospital. Data were collected using a structured, self-administered questionnaire that assessed demographic characteristics, perceived causes, and consequences of overcrowding. Statistical analysis was performed using SPSS, employing descriptive statistics, independent t-tests, and one-way ANOVA to determine significant differences among participants’ responses. Results The most frequently perceived causes of overcrowding included the high number of non-emergency cases presenting to EDs (91%), inadequate staff salaries (90.8%), limited bed capacity (88.2%), and insufficient staffing (86.8%). Significant differences in perceptions were observed according to gender, profession, years of experience, workplace, and department (p<0.001). The main perceived consequences were increased staff stress and workload (79.6%), reduced job satisfaction (82.6%), delayed patient care (76.8%), and increased risk of violence toward staff (82.6%). Conclusion Overcrowding in Gaza’s emergency departments is perceived as a complex and multifactorial problem that may affect healthcare delivery and staff wellbeing. Addressing this issue may require systemic interventions such as improving triage protocols, enhancing staffing and resource allocation, strengthening coordination between Creator An entity primarily responsible for making the resource Hasan Hamdan1 , Khamis Elessi1 , Khaled Siyam2 , Ahmed Eid3 , Baraa Alasttal4 , Mohammed Abdelghafour5 , Jamil Wafi6 and Tayseer Afifi1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12873-025-01447-x Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Emergency department, Overcrowding, Patient care, Gaza Strip, Healthcare professionals https://repository.horizon.ac.id/files/original/756589aa451ffc314dac2e3b53a923a9.pdf ba96b12d1696993a4814bb365d3fb0ea Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource volume 26 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource ChatGPT-4o assists emergency physicians in enhancing diagnostic accuracy for fever of unknown origin: retrospective analysis Subject The topic of the resource Fever of unknown origin, ChatGPT-4o, Emergency medicine, Artificial intelligence Description An account of the resource Objective To evaluate ChatGPT-4o’s diagnostic accuracy for fever of unknown origin (FUO) compared to emergency physicians and assess its utility as an adjunctive diagnostic tool. Methods This retrospective analysis included 60 adult patients presenting to the emergency department (ED) with FUO (fever≥38.3°C for ≥3 weeks without diagnosis after initial evaluation). Only patients with a confirmed final discharge diagnosis were included; FUO cases remaining undiagnosed at discharge were excluded. ChatGPT-4o and emergency medicine (EM) physicians independently generated preliminary diagnoses and comprehensive diagnoses. Diagnostic accuracy was compared against final discharge diagnoses. EM physicians subsequently revised their diagnoses after reviewing ChatGPT-4o’s output. Statistical analysis employed Welch’s ANOVA. Results ChatGPT-4o significantly outperformed EM residents in both preliminary (70.0% vs. 46.11%; 95% CI, 57.6%-79.9% vs. 34.4%-59.3%, P=0.008) and comprehensive diagnoses (75.0% vs. 55.0%, 95% CI, 62.9%-84.1% vs. 42.5%-66.9%, P=0.002). While numerically higher than EM specialists in both preliminary (70.0% vs. 57.78%) and comprehensive diagnoses (75.0% vs. 68.89%), these differences did not demonstrate consistent statistical superiority. Incorporating ChatGPT-4o’s suggestions significantly improved accuracy for both EM residents (preliminary: 67.78% vs. 46.11%, 95% CI, 55.8%-78.6% vs. 34.4%-59.3%, P=0.002; comprehensive: 78.33% vs. 55.0%, 95% CI, 66.8%-86.6% vs. 42.5%-66.9%, P=0.01) and specialists (preliminary: 70.22% vs. 57.78%, P=0.023), though the improvement in specialists’ comprehensive diagnoses remained non-significant (80.89% vs. 66.67%, P=0.076). Stratified analysis showed that ChatGPT-4o significantly improved diagnostic accuracy across major etiologic categories, including infectious (76.0% vs. 59.4%, P=0.003) and cancer-related causes (72.2% vs. 50.0%, P<0.001). Conclusions ChatGPT-4o demonstrates potential to augment FUO diagnosis, particularly aiding less experienced clinicians. While this study highlights AI’s complementary value, prospective trials are needed to validate its impact on clinical efficiency. Creator An entity primarily responsible for making the resource Hui Long1,2, Guoqing Huang1,2, Xinbo Yin1,2, Xiaojie Zheng1 , Sijia Cao1 , Nan Wang1 , Xiangmin Li1,2 and Xiaokai Wang1,2* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12873-026-01477-z Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Fever of unknown origin, ChatGPT-4o, Emergency medicine, Artificial intelligence https://repository.horizon.ac.id/files/original/b84586fd2ee90746065b208b2fb67539.pdf cb4505fcc5ec7fa1e2e5b5d4b3f6c67e Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource volume 26 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Comparison of the effects of microlearning and webinars on knowledge and self-efficacy of emergency medical technicians (EMTs) in the diagnosis and treatment of cardiac arrhythmias Subject The topic of the resource Cardiac arrhythmia, Emergency medical technicians (EMTs), Knowledge, Microlearning, Self-efficacy, Webinar Description An account of the resource Background Emergency medical technicians (EMTs) are crucial for early diagnosis and treatment of cardiac arrhythmias. Continuous training is needed, and innovative methods such as microlearning and webinars may offer advantages over traditional approaches. Methods In this quasi-experimental study, 75 EMTs in Zabol, Iran (2024) were randomly assigned to microlearning, webinar, or control groups. The microlearning group received 22 short online sessions; the webinar group attended two 55-minute virtual lectures. Knowledge and self-efficacy were measured before, immediately after, and one month after the interventions using validated questionnaires. Results Microlearning was more effective and sustainable than both webinar and control methods in improving participants’ knowledge and self-efficacy, especially at the one-month follow-up. Compared with the baseline, the microlearning group maintained nearly 95% of their immediate post-test improvement after one month, while the webinar group’s scores dropped by about 25%, and the control group showed no meaningful change. The differences between microlearning and the other groups at one month were statistically significant (P<0.001). Conclusions Microlearning is more effective and durable than webinars for enhancing EMTs’ knowledge and self-efficacy in managing cardiac arrhythmias. It is recommended as a practical approach for continuous clinical education. Creator An entity primarily responsible for making the resource Jafar Baranipour1 , Seyed Mohammad Reza Hosseini2* , Gholam Reza Sharifzadeh3 and Mahdieh Poodineh Moghadam4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12873-025-01428-0 Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Cardiac arrhythmia, Emergency medical technicians (EMTs), Knowledge, Microlearning, Self-efficacy, Webinar https://repository.horizon.ac.id/files/original/106b30ec2cb4223ca29bf71c49dcb74c.pdf 232dedc45cbad75f93cd748de38e73fe Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource volume 26 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Construction of an index system for assessing emergency department overcrowding in Chinese tertiary hospitals: a Delphi study Subject The topic of the resource Delphi method, Emergency department, Crowding, Assessment, Index system Description An account of the resource Background Emergency department crowding (EDC) is a global public health crisis associated with adverse patient- and physician-related events. Currently, a reliable EDC assessment tool is lacking in China, as existing international models cannot be directly adapted owing to differences in healthcare systems, data accessibility constraints, and national policy contexts. The issue is multifactorial, data are difficult to obtain, and EDC varies regionally and temporally. Therefore, we developed a crowding assessment index system for tertiary hospital emergency departments in China, aiming to support the development of quantitative models suited to local conditions and formulation of related policies. Methods This study used two rounds of Delphi surveys involving a multidisciplinary expert panel from China, with expertise in emergency care crowding research and management. Experts rated 96 presumptive assessment indicators. The index system’s reliability was assessed by evaluating the experts’ enthusiasm, degree of authority, and degree of consistency and coordination in their opinions. The core EDC indicators were screened and optimised based on the boundary value method, with decision rules including coefficient of variation<0.25 and full-score ratio≥50%, referenced from prior Delphi studies. The final assessment system was established after modifying the indicators per the experts’ opinions. Data were summarised using descriptive statistics. Results All 16 invited and eligible panellists participated (response rate, 100% in both rounds); the authority coefficient was 0.85. Most were aged>40 years (14/16 [88%]), and the sex distribution was equal (eight men, eight women). Panellists achieved consensus on 3 primary, 8 secondary, and 56 tertiary indicators for EDC assessment. The three primary indicators included the emergency department ‘input-process-output’ phases. The input indicators included patient (e.g., age) and temporal (e.g., day or night) characteristics. The process indicators covered resource requirements (e.g., intravenous infusions), resource supply (e.g., doctor–patient ratio), and process efficiency (e.g., Creator An entity primarily responsible for making the resource Zhen Ren1†, Nengyuan Xu1†, Yilan Yang1 , Shu Li1 , Hua Zhang2 , Lijun Wang3 , Yessai Negati Mu4 , Wei Chong5 , Ping Zhou6 , Longfei Pan7 , Guoxing Wang8 , Xiaojing Li9 , Yan Li10, Wencao Liu11, Hongxuan Liu12, Bin Xu13, Yinzi Jin14, Li Ma1 , Guilong Feng15* and Qingbian Ma1* Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Delphi method, Emergency department, Crowding, Assessment, Index system https://repository.horizon.ac.id/files/original/b75b565f2331ebbc88fd58906a968465.pdf a2646a05d752816aca816dbc7239396c Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource volume 26 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Development and internal validation of the goliat score to predict 48-hour complications after minor/moderate traumatic brain injury in the emergency department: a single-center cohort study Subject The topic of the resource Traumatic brain injury, Emergency department, Risk stratification, Clinical prediction, Elderly people Description An account of the resource Background Most patients with non-severe traumatic brain injury (TBI) do not develop complications after 24 h of hospital observation. Identifying low-risk patients could enable safe discharge and follow-up—potentially via telemedicine—while avoiding unnecessary cranial CT scans, particularly in older adults. Methods We performed a single-centre, consecutive cohort study (tertiary ED, Spain; 1 June 2019–31 December 2020). Adults with minor/moderate TBI (GCS 13–15) were included. The primary outcome was any clinically relevant complication within 48 h (neurological, cardiorespiratory, or death), ascertained by a structured 48-h telephone follow-up plus electronic health record review by assessors independent from clinical care. Candidate predictors (≤6 h) comprised baseline factors (age, sex, Charlson comorbidity index, prior anticoagulation), injury-severity signals (polytrauma-code activation, pupil abnormality, fluctuating GCS), physiology/haematology (systolic blood pressure, platelet count), and serum S100 (<6 h). A multivariable logistic regression with prespecified functional forms (splines/ transforms) and two interactions (sex×log[S100]; hypertension×SBP) was fitted. Internal validation used bootstrap/ LOOCV with optimism correction and uniform shrinkage. Performance was assessed by AUC, Brier score, calibration (slope/intercept, plots), and decision-curve analysis (DCA). We defined a risk-stratified pathway at ~6 h (discharge vs. short observation vs. admission). Results Median age was 84 years (IQR 73–88), and 84.6% were ≥65 years. Acute complications occurred in 155 patients (29.5%). Independent predictors were age, sex, platelet count, systolic blood pressure, history of hypertension, S100B level at 6 h, anticoagulant treatment, and any high-risk clinical event (fluctuating GCS, moderate severity, pupil alteration, TBI code activation, anticoagulant reversal, polytrauma). Pathological CT findings did not show a significant contribution to the predictive model (LRT p=0.10) and were not used. The Goliat score achieved an Creator An entity primarily responsible for making the resource Oriol Yuguero1,2,3*, Itziar López-Vena1 , Montserrat Martinez-Alonso2,4, Ana Vena1,2, Maria Bernal5 and Francisco Purroy2,6 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12873-025-01457-9 Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Traumatic brain injury, Emergency department, Risk stratification, Clinical prediction, Elderly people https://repository.horizon.ac.id/files/original/bbb486d3949f1884a0f1f2455e9b7d9f.pdf 4ca2fbe4c28df89b01eae8b5f47448a9 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource volume 26 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Diagnostic performance of procalcitonin and presepsin in sepsis: a systematic review and meta-analysis Subject The topic of the resource Sepsis, Procalcitonin, Presepsin, Sensitivity, Specificity, Diagnostic test Description An account of the resource Background Sepsis is a critical emergency condition characterized by life-threatening organ dysfunction due to a dysregulated response to infection. In the fast-paced emergency department (ED) setting, rapid identification and prompt initiation of treatment within the initial hours following sepsis onset are critical for reducing mortality and improving patient outcomes. However, a timely and accurate diagnosis remains a significant challenge in emergency medicine. Biomarkers such as procalcitonin (PCT) and presepsin (P-SEP) have been proposed as tools to distinguish sepsis from other non-infectious inflammatory conditions frequently encountered in the ED, though their diagnostic effectiveness remains controversial. This study aimed to evaluate the diagnostic performance of PCT and P-SEP for diagnosis patients with sepsis. Methods A comprehensive systematic search was conducted across the Cochrane Central Register of Controlled Trials, PubMed, and Scopus databases up to April 1st, 2024 and updated on June 30th, 2025. Studies reporting sensitivity and specificity of PCT and P-SEP for sepsis detection among patients in acute and emergency settings were included. Hierarchical modeling techniques were utilized to pool data for sensitivity, specificity, and area under the receiver operating characteristic curve (AUROC) along with their 95% confidence intervals (CIs). Results Thirty-eight observational studies met inclusion criteria. The pooled sensitivities and specificities for detecting sepsis using PCT were 0.78 (95% CI: 0.74–0.81) and 0.77 (95% CI: 0.71–0.82), respectively. Similarly, for P-SEP, pooled sensitivity and specificity were 0.82 (95% CI: 0.77–0.86) and 0.78 (95% CI: 0.73–0.83), respectively. No statistically significant differences were identified between PCT and P-SEP regarding sensitivity (p=0.169) or specificity (p=0.792). The summary receiver operating characteristic analysis yielded an AUROC of 0.84 (95% CI: 0.81–0.87) for PCT and 0.87 (95% CI: 0.84–0.90) for P-SEP. Conclusions Both PCT and P-SEP represent reliable biomarkers for early and accurate sepsis detection in acute and ED settings, demonstrating comparable diagnostic performance. Their integration into routine ED assessment protocols may support timely clinical decision-making and prompt initiation of appropriate treatment strategies. Creator An entity primarily responsible for making the resource Tanakon Chairaj1†, Pajaree Mongkhon2†, Pit Leewongsakorn1 , Kritsada Saensongkwae1 , Sawitree Nangola3 , Somphot Saoin3 , Eakkapote Prompunt3 , Prawat Chantharit4 and Chiraphat Kloypan1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12873-025-01433-3 Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Sepsis, Procalcitonin, Presepsin, Sensitivity, Specificity, Diagnostic test