<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1137-6627</journal-id>
<journal-title><![CDATA[Anales del Sistema Sanitario de Navarra]]></journal-title>
<abbrev-journal-title><![CDATA[Anales Sis San Navarra]]></abbrev-journal-title>
<issn>1137-6627</issn>
<publisher>
<publisher-name><![CDATA[Gobierno de Navarra. Departamento de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1137-66272021000100007</article-id>
<article-id pub-id-type="doi">10.23938/assn.0939</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manejo inicial del paciente con afectación psiquiátrica en urgencias hospitalarias: revisión sistemática]]></article-title>
<article-title xml:lang="en"><![CDATA[Initial management of the patients with psychiatric involvement in hospital emergency departments: a systematic review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gallego-Gómez]]></surname>
<given-names><![CDATA[JI]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-García]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Simonelli-Muñoz]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera-Caravaca]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Católica de Murcia Facultad de Enfermería ]]></institution>
<addr-line><![CDATA[Murcia ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Universitario de Alicante Departamento de Cuidados Intermedios Médicos ]]></institution>
<addr-line><![CDATA[Alicante ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Almería Departamento de Enfermería, Fisioterapia y Medicina ]]></institution>
<addr-line><![CDATA[Almería ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Clínico Universitario Virgen de la Arrixaca Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca) Departamento de Cardiología ]]></institution>
<addr-line><![CDATA[Murcia ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<volume>44</volume>
<numero>1</numero>
<fpage>71</fpage>
<lpage>81</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1137-66272021000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1137-66272021000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1137-66272021000100007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Se revisaron los estudios que han investigado el manejo inicial del paciente con afectación psiquiátrica en urgencias hospitalarias a fin de establecer recomendaciones prácticas. Se realizó una revisión sistemática de artículos publicados entre 2010 y 2020, en cualquier idioma, mediante consulta en Biblioteca Cochrane Plus, Pubmed, IBECS, LILACS y MEDLINE. La calidad de los artículos revisados se evaluó mediante la herramienta AMSTAR2 y la plataforma FCL 3.0, junto con la declaración PRISMA. Los resultados de los once artículos seleccionados mostraron que mejorar la formación del personal, los recursos disponibles, el uso adecuado de la contención y la elección adecuada de la medicación puede ayudar a mejorar la atención del paciente con patología mental en el servicio de urgencias hospitalarias. Se recomienda el mismo manejo que en cualquier otro paciente, pero si está agitado o no colaborativo será necesario aplicar contención verbal, farmacológica y/ o mecánica, en ese orden.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract This article is a systematic review of studies that have investigated the initial management of patients with psychiatric conditions in hospital emergencies services in order to establish practical recommendations. A systematic review of the literature was carried out, consisting of studies published from 2010 to 2020, available in any language, consulting Cochrane Library Plus, PubMed, IBECS, LILACS and MEDLINE. The quality of the studies included in this review was assessed by the AMSTAR2 tool and the FCL 3.0 platform, together with the PRISMA statement. Results from the eleven papers selected showed that improvements in staff training, available resources, appropriate use of restraint and appropriate choice of medication can help to improve the care of patients with mental pathology in hospital emergency services. The same management for any other patient is recommended. However, if the patient is agitated or uncooperative, verbal, pharmacological and/or mechanical restraint (in this order) may be necessary.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Psiquiatría]]></kwd>
<kwd lng="es"><![CDATA[Agitación psicomotriz]]></kwd>
<kwd lng="es"><![CDATA[Intervención de crisis]]></kwd>
<kwd lng="es"><![CDATA[Urgencias hospitalarias]]></kwd>
<kwd lng="en"><![CDATA[Psychiatry]]></kwd>
<kwd lng="en"><![CDATA[Psychomotor agitation]]></kwd>
<kwd lng="en"><![CDATA[Crisis intervention]]></kwd>
<kwd lng="en"><![CDATA[Hospital emergency service]]></kwd>
</kwd-group>
</article-meta>
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