Documento de consenso sobre el manejo de la insuficiencia suprarrenal y crisis adrenal en urgencias

• Esther Álvarez-Rodríguez ^[1] ; Alberto Fernández ^[2] ; Pablo Matías Soler ^{[6] [3]} ; María Calatayud ^{[7] [4]} ; Marina Gil Mosquera ^{[6] [3]} ; Marta Araujo-Castro ^{[7] [5]}
  1. [1] Hospital Severo Ochoa

     Hospital Severo Ochoa

     Madrid, España

     
  2. [2] Hospital de Móstoles

     Hospital de Móstoles

     Móstoles, España

     
  3. [3] Hospital Clínico San Carlos de Madrid

     Hospital Clínico San Carlos de Madrid

     Madrid, España

     
  4. [4] Hospital Universitario 12 de Octubre

     Hospital Universitario 12 de Octubre

     Madrid, España

     
  5. [5] Hospital Ramón y Cajal

     Hospital Ramón y Cajal

     Madrid, España

     
  6. [6] Grupo de trabajo SEMESDiabetes, Endocrinología y Metabolismo de la Sociedad Española de Medicina de Urgencias y Emergencias.
  7. [7] Grupo de trabajo de Patología Suprarrenal de la Sociedad Española de Endocrinología y Nutrición. Sociedad Española de Endocrinología y Nutrición.

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• Localización: Revista Española de Urgencias y Emergencias, ISSN-e 2951-6552, ISSN 2951-6544, Vol. 5, Nº. 3, 2026, págs. 211-218
• Idioma: español
• DOI: 10.55633/s3me/REUE026.2026
• Títulos paralelos:
  • Consensus document on the management of Adrenal Insufficiency and Adrenal Crisis in Emergency Departments
• Enlaces
  • Texto completo
• Resumen
  • español

    La frecuencia del diagnóstico de insuficiencia suprarrenal (IS) y de crisis adrenal (CA) en urgencias son desconocidas. Existe amplia evidencia de que el retraso en su diagnóstico y tratamiento puede conllevar consecuencias deletéreas, e incluso letales. Por esta razón, se elaboró un consenso entre las dos principales sociedades científicas implicadas en el manejo de la CA, dirigido especialmente a los profesionales de urgencias y emergencias, con el fin de favorecer la sensibilización de los mismos hacia esta patología y mejorar su manejo. El presente documento es un consenso de expertos entre la Sociedad Española de Medicina de Urgencias y Emergencias (SEMES) y la Sociedad Española de Endocrinología y Nutrición (SEEN) que pretende facilitar el diagnóstico y el tratamiento desde urgencias, tanto hospitalarias como extrahospitalarias, de la IS y de la CA.

  • English

    The exact frequency of the diagnosis of adrenal insufficiency (AI) and adrenal crisis (AC) in emergency settings is unknown. There is substantial evidence that delays in diagnosis and treatment may lead to deleterious, and even fatal, consequences. Therefore, it has been agreed to develop a consensus document t between the 2 main scientific societies involved in the management of AC, aimed especially at emergency professionals to raise awareness of this condition and improve its management. This document represents an expert consensus between the Spanish Society of Emergency Medicine (SEMES) and the Spanish Society of Endocrinology and Nutrition (SEEN) and is intended to facilitate the diagnosis and treatment of AI and AC in both hospital and prehospital emergency settings.

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