Programa de detección precoz de insuficiencia respiratoria en la enfermedad de Duchenne: resultados preliminares
Early detection program for respiratory insufficiency in Duchenne's disease: preliminary results
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De Gracia Roldán" "autores" => array:1 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "De Gracia Roldán" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615307493?idApp=UINPBA00003Z" "url" => "/03002896/0000003200000006/v1_201506230116/S0300289615307493/v1_201506230116/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "titulo" => "Programa de detección precoz de insuficiencia respiratoria en la enfermedad de Duchenne: resultados preliminares" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "267" "paginaFinal" => "270" ] ] "autores" => array:2 [ 0 => array:4 [ "autoresLista" => "S. Díaz Lobato, F.J. Gómez de Terreros, M.T. García Tejero, C. Villasante" "autores" => array:4 [ 0 => array:3 [ "nombre" => "S." "apellidos" => "Díaz Lobato" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "F.J." "apellidos" => "Gómez de Terreros" ] 2 => array:2 [ "nombre" => "M.T." "apellidos" => "García Tejero" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Villasante" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología. Hospital La Paz. Madrid" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Servicio de Neumología. Hospital La Paz. Pasco de la Castellana, 261. 28046 Madrid." ] ] ] 1 => array:3 [ "autoresLista" => "J. Corral, C. Vázquez, M.A. Redondo, C. Echavarri, J. Martínez" "autores" => array:5 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Corral" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "C." "apellidos" => "Vázquez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "M.A." "apellidos" => "Redondo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "C." "apellidos" => "Echavarri" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "J." "apellidos" => "Martínez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Colegio Público de Educación Especial y Reeducación de Inválidos (CPEERI). Madrid" "etiqueta" => "*" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Early detection program for respiratory insufficiency in Duchenne's disease: preliminary results" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1995-06-20" "fechaAceptado" => "1995-12-19" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec546198" "palabras" => array:4 [ 0 => "Enfermedad de Duchenne" 1 => "Ventilación mecánica domiciliaria" 2 => "Mascarilla nasal" 3 => "Insuficiencia respiratoria" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec546199" "palabras" => array:4 [ 0 => "Duchenne's disease" 1 => "Home mechanical ventilation" 2 => "Nasal mask" 3 => "Respiratory insufficiency" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La ventilación mecánica no invasiva, realizada a través de una mascarilla nasal, es una técnica recientemente incorporada al arsenal terapéutico, que ha supuesto un notable avance en el tratamiento domiciliario de los pacientes con insuficiencia respiratoria secundaria a fallo de la bomba ventilatoria. Presentamos los resultados preliminares de un programa de detección precoz de insuficiencia respiratoria en pacientes afectados de enfermedad de Duchenne. En el período comprendido entre enero de 1994 y enero de 1995, hemos valorado a 16 casos con enfermedad de Duchenne. Edad: 15,8 años; CVF: 1.440 ml (46,7%); PO<span class="elsevierStyleInf">2</span>: 87,3 mmHg; PCO<span class="elsevierStyleInf">2</span>: 40,8 mmHg; PIM: 40,1 cmH<span class="elsevierStyleInf">2</span>O(30,6%); PEM: 41 cmH,:0 (25%). Dos pacientes mostraron pulsioximetría nocturna y gasometría diurna patológicas, iniciándose ventilación mecánica por mascarilla nasal. Estos 2 enfermos fueron de mayor edad, con menor CVF, más hipoxémicos e hi-percápnicos, y con un mayor deterioro de las presiones musculares inspiratorias y espiratorias.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Non invasive mechanical ventilation through a nasal mask is a recently introduced therapeutic tool that represents a noteworthy advance in home treatment for patients with respiratory insufficiency secondary to ventilatory pump fai-lure. We present the preliminary results of a program for early detection of respiratory insufficiency in patients with Duchenne's disease. Sixteen patients (mean age 15.8 years) with this disease were evaluated between January 1994 and January 1995. Mean lung function parameters were FVC 1,440 ml (46.7%), PO<span class="elsevierStyleInf">2</span> 87.3 mmHg, PCO<span class="elsevierStyleInf">2</span> 40.8 mmHg, PIM 40.1 cmH<span class="elsevierStyleInf">2</span>O (30.6%), and PEM 41 cmH<span class="elsevierStyleInf">2</span>O(25%). Two patients had abnormal pulse oximetry readings at night and abnormal gasometric readings during the day and were started on mechanical ventilation through nasal masks. These 2 patients were older, more hypoxemic and hypercapnic, had lower FVC values and showed greater deterioration of inspiratory and expiratory muscle pressures.</p></span>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Trabajo subvencionado parcialmente por la Beca FIS 94/0347.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ventilación mecánica no invasiva" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J. Escarrabill" 1 => "C. Monasterio" 2 => "R. 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|---|---|---|---|
| 2024 November | 6 | 4 | 10 |
| 2024 October | 33 | 13 | 46 |
| 2024 September | 30 | 12 | 42 |
| 2024 August | 41 | 26 | 67 |
| 2024 July | 38 | 21 | 59 |
| 2024 June | 30 | 25 | 55 |
| 2024 May | 43 | 22 | 65 |
| 2024 April | 38 | 15 | 53 |
| 2024 March | 37 | 28 | 65 |
| 2024 February | 24 | 29 | 53 |
| 2024 January | 0 | 2 | 2 |
| 2023 December | 0 | 5 | 5 |
| 2023 November | 0 | 6 | 6 |
| 2023 October | 0 | 3 | 3 |
| 2023 September | 0 | 1 | 1 |
| 2023 August | 0 | 1 | 1 |
| 2023 July | 0 | 19 | 19 |
| 2023 June | 0 | 2 | 2 |
| 2023 May | 0 | 3 | 3 |
| 2023 April | 0 | 1 | 1 |
| 2023 March | 5 | 4 | 9 |
| 2023 February | 35 | 13 | 48 |
| 2023 January | 28 | 21 | 49 |
| 2022 December | 31 | 31 | 62 |
| 2022 November | 41 | 32 | 73 |
| 2022 October | 27 | 42 | 69 |
| 2022 September | 27 | 21 | 48 |
| 2022 August | 35 | 42 | 77 |
| 2022 July | 22 | 33 | 55 |
| 2022 June | 25 | 29 | 54 |
| 2022 May | 35 | 26 | 61 |
| 2022 April | 23 | 27 | 50 |
| 2022 March | 37 | 29 | 66 |
| 2022 February | 31 | 21 | 52 |
| 2022 January | 25 | 34 | 59 |
| 2021 December | 23 | 29 | 52 |
| 2021 November | 21 | 29 | 50 |
| 2021 October | 22 | 29 | 51 |
| 2021 September | 19 | 36 | 55 |
| 2021 August | 21 | 19 | 40 |
| 2021 July | 12 | 17 | 29 |
| 2021 June | 16 | 33 | 49 |
| 2021 May | 12 | 21 | 33 |
| 2021 April | 20 | 56 | 76 |
| 2021 March | 21 | 13 | 34 |
| 2021 February | 19 | 12 | 31 |
| 2021 January | 19 | 14 | 33 |
| 2020 December | 9 | 10 | 19 |
| 2020 November | 11 | 11 | 22 |
| 2020 October | 19 | 15 | 34 |
| 2020 September | 12 | 11 | 23 |
| 2020 August | 26 | 13 | 39 |
| 2020 July | 21 | 12 | 33 |
| 2020 June | 9 | 6 | 15 |
| 2020 May | 21 | 12 | 33 |
| 2020 April | 26 | 8 | 34 |
| 2020 March | 13 | 13 | 26 |
| 2020 February | 25 | 22 | 47 |
| 2020 January | 34 | 16 | 50 |
| 2019 December | 35 | 25 | 60 |
| 2019 November | 12 | 9 | 21 |
| 2019 October | 22 | 9 | 31 |
| 2019 September | 26 | 20 | 46 |
| 2019 August | 18 | 6 | 24 |
| 2019 July | 12 | 33 | 45 |
| 2019 June | 26 | 22 | 48 |
| 2019 May | 47 | 34 | 81 |
| 2019 April | 34 | 23 | 57 |
| 2019 March | 11 | 16 | 27 |
| 2019 February | 7 | 7 | 14 |
| 2019 January | 8 | 9 | 17 |
| 2018 December | 4 | 14 | 18 |
| 2018 November | 12 | 11 | 23 |
| 2018 October | 21 | 18 | 39 |
| 2018 September | 17 | 10 | 27 |
| 2018 May | 4 | 2 | 6 |
| 2018 April | 7 | 5 | 12 |
| 2018 March | 5 | 8 | 13 |
| 2018 February | 11 | 10 | 21 |
| 2018 January | 9 | 7 | 16 |
| 2017 December | 9 | 15 | 24 |
| 2017 November | 5 | 3 | 8 |
| 2017 October | 6 | 23 | 29 |
| 2017 September | 4 | 5 | 9 |
| 2017 August | 8 | 14 | 22 |
| 2017 July | 2 | 3 | 5 |
| 2017 June | 10 | 14 | 24 |
| 2017 May | 14 | 12 | 26 |
| 2017 April | 5 | 11 | 16 |
| 2017 March | 4 | 8 | 12 |
| 2017 February | 4 | 9 | 13 |
| 2017 January | 4 | 7 | 11 |
| 2016 December | 4 | 3 | 7 |
| 2016 November | 19 | 10 | 29 |
| 2016 October | 20 | 18 | 38 |
| 2016 September | 14 | 12 | 26 |
| 2016 August | 16 | 4 | 20 |
| 2016 July | 19 | 5 | 24 |
| 2016 June | 17 | 7 | 24 |
| 2016 May | 14 | 6 | 20 |
| 2016 April | 7 | 0 | 7 |
| 2016 March | 12 | 0 | 12 |
| 2016 February | 5 | 1 | 6 |
| 2016 January | 24 | 8 | 32 |
| 2015 December | 25 | 15 | 40 |
| 2015 November | 26 | 9 | 35 |
| 2015 October | 6 | 3 | 9 |
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