Estudio del retraso diagnóstico de la tuberculosis pulmonar sintomática
Pulmonary symptomatic tuberculosis' diagnostic delay study
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Canela Soler, C. Milá Augé, M.A. Jiménez Fuentes, M.L. de Souza Galvao, J. Solsona Peiró" "autores" => array:7 [ 0 => array:4 [ "nombre" => "M.N." "apellidos" => "Altet Gómez" "email" => array:1 [ 0 => "med025494@saludalia.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Alcaide Megías" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "J." "apellidos" => "Canela Soler" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "C." "apellidos" => "Milá Augé" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "M.A." "apellidos" => "Jiménez Fuentes" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "M.L." "apellidos" => "de Souza Galvao" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 6 => array:3 [ "nombre" => "J." "apellidos" => "Solsona Peiró" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidad de Enfermedades del Tórax. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Cátedra de Bioestadística. Universidad de Barcelona. Barcelona. España" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Unidad de Enfermedades del Tórax. Avda. de les Drassanes, 17-21. 08001 Barcelona. España" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Pulmonary symptomatic tuberculosis' diagnostic delay study" ] ] "miscelanea" => "Este trabajo ha contado con la financiación del Fondo de Investigación Sanitaria (exp. 98/0944)" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-06-25" "fechaAceptado" => "2002-09-17" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190368" "palabras" => array:3 [ 0 => "Tuberculosis pulmonar" 1 => "Retraso diagnóstico" 2 => "Factores de riesgo" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec190367" "palabras" => array:3 [ 0 => "Pulmonary tuberculosis" 1 => "Diagnostic delay" 2 => "Risk fac-tors" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Estudiar el retraso diagnóstico de la tuberculo-sis pulmonar (TBP) sintomática</p> <span class="elsevierStyleSectionTitle">Pacientes Y Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio prospectivo de casos nuevos sintomáticos de TBP (edad = 15 años) mediante entrevista estructurada al paciente y su familia. Las variables fundamentales analizadas fueron: retraso del enfermo (RE), retraso atribuible al médico (RM), retraso durante el proceso diagnóstico (RPD), retraso en el sistema sanitario (RSS) y retraso total (RT), esto es, el tiempo transcurrido desde el comienzo de los síntomas hasta el inicio del tratamiento de la TBP. Se realizó un análisis estadístico univariante, así como análisis multivariante para cada uno de los componentes del retraso diagnóstico</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se estudió a 287 enfermos. La media en días ± desviación estándar (DE) fue para el RT y sus distintos componentes de 81,8 ± 77,3 en el RT, 43,3 ± 55,7 días en el RE, de 28,4 ± 59,6 días en el RM; para el RD, de 10,0 ± 17,7 días y en el RSS de 38,5 ± 62,5 días</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Dentro del elevado retraso diagnóstico de la TBP los enfermos son responsables del 50%. En el sistema sanitario el 18,5% de los enfermos sufrió un retraso diagnóstico mayor de 60 días, siendo los médicos responsables del 75% de la demora atribuible al sistema</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To study symptomatic pulmonary tuberculosis (PTB) diagnostic delay</p> <span class="elsevierStyleSectionTitle">Patients And Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Prospective study of new symptomatic PTB cases (aged = 15 years) by structured interview with the patients and their families. The main variables analyzed were patient's delay (PD), doctor's delay (DD), diagnostic process delay (DPD), health care system delay (HCSD) and total delay between the onset of symptoms and start of treatment (TD). Univariate and multivariate statistical analyses were performed for each component of delay</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Two hundred eighty-seven patients were studied. The mean delays in days ± standard deviations were TD 81.8 ± 77.3; PD 43.3 ± 55.7; DD 28.4 ± 59.6; DPD 10.0 ± 17.7, and HCSD 38.5 ± 62.5</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Patients are responsible for 50% of excess delay in diagnosing symptomatic PTB. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 13 | 13 | 26 |
| 2024 October | 60 | 28 | 88 |
| 2024 September | 61 | 17 | 78 |
| 2024 August | 104 | 44 | 148 |
| 2024 July | 46 | 29 | 75 |
| 2024 June | 75 | 37 | 112 |
| 2024 May | 71 | 34 | 105 |
| 2024 April | 39 | 31 | 70 |
| 2024 March | 58 | 36 | 94 |
| 2024 February | 43 | 32 | 75 |
| 2024 January | 0 | 2 | 2 |
| 2023 December | 0 | 6 | 6 |
| 2023 November | 0 | 1 | 1 |
| 2023 October | 0 | 11 | 11 |
| 2023 September | 0 | 2 | 2 |
| 2023 August | 0 | 1 | 1 |
| 2023 July | 0 | 4 | 4 |
| 2023 June | 0 | 8 | 8 |
| 2023 May | 0 | 1 | 1 |
| 2023 March | 4 | 3 | 7 |
| 2023 February | 46 | 29 | 75 |
| 2023 January | 46 | 34 | 80 |
| 2022 December | 49 | 24 | 73 |
| 2022 November | 50 | 29 | 79 |
| 2022 October | 42 | 40 | 82 |
| 2022 September | 45 | 33 | 78 |
| 2022 August | 43 | 37 | 80 |
| 2022 July | 39 | 48 | 87 |
| 2022 June | 44 | 36 | 80 |
| 2022 May | 41 | 34 | 75 |
| 2022 April | 60 | 49 | 109 |
| 2022 March | 43 | 40 | 83 |
| 2022 February | 44 | 33 | 77 |
| 2022 January | 50 | 41 | 91 |
| 2021 December | 37 | 45 | 82 |
| 2021 November | 63 | 44 | 107 |
| 2021 October | 58 | 43 | 101 |
| 2021 September | 45 | 49 | 94 |
| 2021 August | 36 | 46 | 82 |
| 2021 July | 46 | 30 | 76 |
| 2021 June | 36 | 44 | 80 |
| 2021 May | 29 | 50 | 79 |
| 2021 April | 92 | 83 | 175 |
| 2021 March | 68 | 45 | 113 |
| 2021 February | 73 | 30 | 103 |
| 2021 January | 46 | 22 | 68 |
| 2020 December | 43 | 32 | 75 |
| 2020 November | 34 | 3 | 37 |
| 2020 October | 27 | 12 | 39 |
| 2020 September | 25 | 10 | 35 |
| 2020 August | 48 | 8 | 56 |
| 2020 July | 27 | 20 | 47 |
| 2020 June | 47 | 9 | 56 |
| 2020 May | 70 | 30 | 100 |
| 2020 April | 46 | 13 | 59 |
| 2020 March | 31 | 14 | 45 |
| 2020 February | 42 | 23 | 65 |
| 2020 January | 33 | 23 | 56 |
| 2019 December | 39 | 27 | 66 |
| 2019 November | 37 | 20 | 57 |
| 2019 October | 30 | 45 | 75 |
| 2019 September | 52 | 46 | 98 |
| 2019 August | 34 | 39 | 73 |
| 2019 July | 39 | 42 | 81 |
| 2019 June | 32 | 37 | 69 |
| 2019 May | 36 | 63 | 99 |
| 2019 April | 61 | 41 | 102 |
| 2019 March | 108 | 38 | 146 |
| 2019 February | 18 | 15 | 33 |
| 2019 January | 27 | 22 | 49 |
| 2018 December | 23 | 33 | 56 |
| 2018 November | 37 | 26 | 63 |
| 2018 October | 50 | 20 | 70 |
| 2018 September | 24 | 16 | 40 |
| 2018 May | 8 | 3 | 11 |
| 2018 April | 9 | 46 | 55 |
| 2018 March | 7 | 40 | 47 |
| 2018 February | 14 | 41 | 55 |
| 2018 January | 12 | 25 | 37 |
| 2017 December | 14 | 23 | 37 |
| 2017 November | 9 | 33 | 42 |
| 2017 October | 10 | 36 | 46 |
| 2017 September | 17 | 33 | 50 |
| 2017 August | 11 | 45 | 56 |
| 2017 July | 15 | 23 | 38 |
| 2017 June | 21 | 57 | 78 |
| 2017 May | 19 | 26 | 45 |
| 2017 April | 11 | 18 | 29 |
| 2017 March | 17 | 39 | 56 |
| 2017 February | 24 | 22 | 46 |
| 2017 January | 23 | 19 | 42 |
| 2016 December | 27 | 8 | 35 |
| 2016 November | 36 | 13 | 49 |
| 2016 October | 35 | 31 | 66 |
| 2016 September | 41 | 38 | 79 |
| 2016 August | 30 | 16 | 46 |
| 2016 July | 26 | 17 | 43 |
| 2016 June | 31 | 15 | 46 |
| 2016 May | 32 | 15 | 47 |
| 2016 April | 23 | 0 | 23 |
| 2016 March | 21 | 3 | 24 |
| 2016 February | 14 | 4 | 18 |
| 2016 January | 31 | 24 | 55 |
| 2015 December | 35 | 18 | 53 |
| 2015 November | 63 | 25 | 88 |
| 2015 October | 128 | 1 | 129 |
| 2015 September | 115 | 0 | 115 |
| 2015 August | 128 | 0 | 128 |
| 2015 July | 111 | 0 | 111 |
| 2015 June | 87 | 0 | 87 |
| 2015 May | 124 | 0 | 124 |
| 2015 April | 123 | 0 | 123 |
| 2015 March | 122 | 0 | 122 |
| 2015 February | 92 | 0 | 92 |
| 2015 January | 97 | 0 | 97 |
| 2014 December | 79 | 0 | 79 |
| 2014 November | 121 | 0 | 121 |
| 2014 October | 119 | 0 | 119 |
| 2014 September | 125 | 0 | 125 |
| 2014 August | 113 | 0 | 113 |
| 2014 July | 129 | 0 | 129 |
| 2014 June | 161 | 0 | 161 |
| 2014 May | 186 | 0 | 186 |
| 2014 April | 158 | 0 | 158 |
| 2014 March | 139 | 0 | 139 |
| 2014 February | 111 | 0 | 111 |
| 2014 January | 66 | 0 | 66 |
| 2013 December | 76 | 0 | 76 |
| 2013 November | 70 | 0 | 70 |
| 2013 October | 81 | 0 | 81 |
| 2013 September | 83 | 0 | 83 |
| 2013 August | 76 | 0 | 76 |
| 2013 July | 74 | 0 | 74 |
| 2013 June | 58 | 0 | 58 |
| 2013 May | 67 | 0 | 67 |
| 2013 April | 50 | 0 | 50 |
| 2013 March | 16 | 0 | 16 |
| 2000 January | 5277 | 0 | 5277 |
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