Rentabilidad del estudio espirometrico preoperatorio
The value of a preoperative spirometric study
A. Xaubet, C. Gistau, H. Sala, C. Picado, R. Rodriguez Roisin, A. Agusti Vidal
Servicio de Neumología y Alergia Respiratoria. Hopital Clínico y Provincial. Barcelona
Read
3134
Timeswas read the article
1445
Total PDF
1689
Total HTML
Share statistics
array:23 [ "pii" => "S0300289615323668" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)32366-8" "estado" => "S300" "fechaPublicacion" => "1982-05-01" "aid" => "72436" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "copyrightAnyo" => "1982" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 1982;18:156-9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1015 "formatos" => array:3 [ "EPUB" => 49 "HTML" => 480 "PDF" => 486 ] ] "itemSiguiente" => array:18 [ "pii" => "S030028961532367X" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)32367-X" "estado" => "S300" "fechaPublicacion" => "1982-05-01" "aid" => "72437" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 1982;18:160-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1118 "formatos" => array:3 [ "EPUB" => 49 "HTML" => 578 "PDF" => 491 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "La relacion volumen/presion maxima inspiratoria en el diagnostico de la afectacion funcional de musculos respiratorios" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "160" "paginaFinal" => "164" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "The volume/maximal static inspiratory pressure in the diagnosis of functional affectations of the respiratory muscles" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.L. Diez Betoret, P. Romero Colomer, F. Manresa Presas, B. Rodriguez Sanchon" "autores" => array:4 [ 0 => array:2 [ "nombre" => "J.L." "apellidos" => "Diez Betoret" ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Romero Colomer" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Manresa Presas" ] 3 => array:2 [ "nombre" => "B." "apellidos" => "Rodriguez Sanchon" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028961532367X?idApp=UINPBA00003Z" "url" => "/03002896/0000001800000003/v1_201509151113/S030028961532367X/v1_201509151113/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289615323656" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)32365-6" "estado" => "S300" "fechaPublicacion" => "1982-05-01" "aid" => "72435" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 1982;18:152-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1363 "formatos" => array:3 [ "EPUB" => 67 "HTML" => 746 "PDF" => 550 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Factores que afectan al factor de transferencia para el co en el pulmon, con especial referencia a cambios en el volumen alveolar" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "152" "paginaFinal" => "155" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Factors affecting the co transfer factors of the lung: a special reference to changes in alveolar volume" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "N. Gonzalez Mangado, F. Lahoz Navarro" "autores" => array:2 [ 0 => array:2 [ "nombre" => "N." "apellidos" => "Gonzalez Mangado" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Lahoz Navarro" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615323656?idApp=UINPBA00003Z" "url" => "/03002896/0000001800000003/v1_201509151113/S0300289615323656/v1_201509151113/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Rentabilidad del estudio espirometrico preoperatorio" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "156" "paginaFinal" => "159" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "A. Xaubet, C. Gistau, H. Sala, C. Picado, R. Rodriguez Roisin, A. Agusti Vidal" "autores" => array:6 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Xaubet" ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Gistau" ] 2 => array:2 [ "nombre" => "H." "apellidos" => "Sala" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Picado" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Rodriguez Roisin" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Agusti Vidal" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología y Alergia Respiratoria. Hopital Clínico y Provincial. Barcelona" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "The value of a preoperative spirometric study" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1981-02-09" "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="absec0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La importancia de la realización de una valoración preoperatoria meticulosa de la función pulmonar, viene dada por el alto porcentaje de complicaciones pulmonares postoperatorias. El principal punto conflictivo de la misma, es si debe o no realizarse el estudio radiográfico y espirométrico de forma rutinaria. En el presente trabajo se estudia la rentabilidad de las exploraciones espirométricas preoperatorias en 100 pacientes tributarios de cirugía abdominal o vascular periférica. En cada caso se recogió una historia clínica y se realizó una exploración física y un estudio radiográfico y espirométrico, intentándose posteriormente pronosticar la alteración funcional manejando los datos clínicos y radiográficos. En 93 de los 100 casos, se pronosticó la presencia de alteración ventilatoria sólo con los citados datos clínicos y radiográficos, lo que realza la importancia de la historia clínica y la exploración radiográfica en la valoración preoperatoria.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">De los resultados obtenidos cabe concluir que será recomendable la obtención de una radiografía de tórax y un examen espirométrico en todos los pacientes con edad superior a los 40 años, independientemente de si tienen o no antecedentes respiratorios y en todos aquellos casos que presenten antecedentes positivos cualquiera que sea su edad.</p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="absec0010" class="elsevierStyleSection elsevierViewall"><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Because of the high number of postoperative pulmonary complications, a meticulous preoperative evaluation of pulmonary function is of great importante. There is a questionmark whether spirometric and x-ray studies should be done routinely or not. The present study concerns the usefulness of preoperative spirometric exploration, done in 100 patients slated to undergo abdominal or peripherical vascular surgery. In each case, clinical history together with physical and radiological exploration and spirometric studies were used to predict the prognosis. In 93 out of the 100 cases, alterations in ventilatory function were predicted with only the clinical and radiographic data, underscoring the importance of these factors in the preoperative exploration.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">These results show that a chest x-ray together with a spirometric study should be done in all patients over 40 years-old, indifferently from respiratory antecedents, and in all cases with respiratory antecedents, irregardless of age.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary disease and disorders" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A.P. Fishman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "fecha" => "1980" "paginaInicial" => "1695" "editorial" => "McGraw Hill Book Company" "editorialLocalizacion" => "New York" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Preoperative evaluation of the patient with pulmonary disease" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.E. Hodgkin" 1 => "D.E. Dines" 2 => "E.P. Didier" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Mayo Clin Proc" "fecha" => "1973" "volumen" => "114" "paginaInicial" => "48" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary Medicine" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "C.A. Guenter" 1 => "M.H. Welch" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "fecha" => "1977" "paginaInicial" => "439" "editorial" => "Lippincott Company" "editorialLocalizacion" => "Filadelfia" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spirometry for preoperative assessment of airways resistance" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M.L. Diament" 1 => "K.N.V. Palmer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Lancet" "fecha" => "1967" "volumen" => "1" "paginaInicial" => "1251" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2872395" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary evaluation and risks in patient preparation for anesthesia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "G.R. Meneely" 1 => "J.L. Fergusson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "JAMA" "fecha" => "1961" "volumen" => "122" "paginaInicial" => "175" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Respiratory problems in surgical patients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.M. Cahill" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am J Surg" "fecha" => "1968" "volumen" => "116" "paginaInicial" => "362" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5675906" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Preoperative evaluation of pulmonary function" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M. Gennaro" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/arrd.1979.119.2.293" "Revista" => array:5 [ "tituloSerie" => "Am Rev Respir Dis" "fecha" => "1979" "volumen" => "119" "paginaInicial" => "293" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/373529" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Report of Snowbird Workshop on standardization of spirometry" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "R.M. Gardner" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/arrd.1979.119.5.831" "Revista" => array:5 [ "tituloSerie" => "Am Rev Respir Dis" "fecha" => "1979" "volumen" => "119" "paginaInicial" => "831" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/453705" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The maximal espiratory flow-volunte curve. Normal standards, variability and effects of age" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R.J. Knudson" 1 => "R.C. Slatin" 2 => "M.O. Labowitz" 3 => "B. Burrows" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/arrd.1976.113.5.587" "Revista" => array:5 [ "tituloSerie" => "Am Rev Respir Dis" "fecha" => "1976" "volumen" => "113" "paginaInicial" => "587" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1267262" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnosis of diseases of the chest" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R.G. Fraser" 1 => "J.A.P. Paré" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "fecha" => "1979" "paginaInicial" => "1612" "editorial" => "W.B. Saunders Company" "editorialLocalizacion" => "Filadelfia" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000001800000003/v1_201509151113/S0300289615323668/v1_201509151113/es/main.assets" "Apartado" => array:4 [ "identificador" => "9277" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Originales" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000001800000003/v1_201509151113/S0300289615323668/v1_201509151113/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615323668?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 3 | 5 |
| 2024 October | 34 | 11 | 45 |
| 2024 September | 35 | 16 | 51 |
| 2024 August | 51 | 35 | 86 |
| 2024 July | 38 | 29 | 67 |
| 2024 June | 57 | 14 | 71 |
| 2024 May | 78 | 25 | 103 |
| 2024 April | 42 | 22 | 64 |
| 2024 March | 33 | 28 | 61 |
| 2024 February | 28 | 42 | 70 |
| 2024 January | 0 | 1 | 1 |
| 2023 December | 0 | 3 | 3 |
| 2023 November | 0 | 2 | 2 |
| 2023 October | 0 | 2 | 2 |
| 2023 September | 0 | 2 | 2 |
| 2023 August | 0 | 5 | 5 |
| 2023 July | 0 | 13 | 13 |
| 2023 June | 0 | 2 | 2 |
| 2023 March | 5 | 5 | 10 |
| 2023 February | 16 | 11 | 27 |
| 2023 January | 22 | 16 | 38 |
| 2022 December | 32 | 22 | 54 |
| 2022 November | 24 | 23 | 47 |
| 2022 October | 23 | 30 | 53 |
| 2022 September | 19 | 18 | 37 |
| 2022 August | 26 | 32 | 58 |
| 2022 July | 42 | 27 | 69 |
| 2022 June | 17 | 30 | 47 |
| 2022 May | 51 | 21 | 72 |
| 2022 April | 52 | 27 | 79 |
| 2022 March | 59 | 28 | 87 |
| 2022 February | 35 | 19 | 54 |
| 2022 January | 25 | 18 | 43 |
| 2021 December | 12 | 26 | 38 |
| 2021 November | 20 | 16 | 36 |
| 2021 October | 45 | 26 | 71 |
| 2021 September | 11 | 24 | 35 |
| 2021 August | 10 | 18 | 28 |
| 2021 July | 11 | 23 | 34 |
| 2021 June | 10 | 29 | 39 |
| 2021 May | 10 | 17 | 27 |
| 2021 April | 24 | 65 | 89 |
| 2021 March | 35 | 7 | 42 |
| 2021 February | 23 | 6 | 29 |
| 2021 January | 19 | 10 | 29 |
| 2020 December | 25 | 6 | 31 |
| 2020 November | 9 | 14 | 23 |
| 2020 October | 7 | 5 | 12 |
| 2020 September | 4 | 10 | 14 |
| 2020 August | 13 | 13 | 26 |
| 2020 July | 18 | 9 | 27 |
| 2020 June | 15 | 13 | 28 |
| 2020 May | 14 | 15 | 29 |
| 2020 April | 15 | 3 | 18 |
| 2020 March | 11 | 19 | 30 |
| 2020 February | 10 | 6 | 16 |
| 2020 January | 16 | 25 | 41 |
| 2019 December | 21 | 21 | 42 |
| 2019 November | 5 | 6 | 11 |
| 2019 October | 5 | 8 | 13 |
| 2019 September | 22 | 17 | 39 |
| 2019 August | 13 | 7 | 20 |
| 2019 July | 5 | 27 | 32 |
| 2019 June | 7 | 15 | 22 |
| 2019 May | 15 | 26 | 41 |
| 2019 April | 1 | 41 | 42 |
| 2019 March | 4 | 16 | 20 |
| 2019 February | 3 | 2 | 5 |
| 2019 January | 1 | 6 | 7 |
| 2018 December | 5 | 14 | 19 |
| 2018 November | 12 | 11 | 23 |
| 2018 October | 22 | 11 | 33 |
| 2018 September | 7 | 9 | 16 |
| 2018 May | 11 | 2 | 13 |
| 2018 April | 9 | 5 | 14 |
| 2018 March | 8 | 6 | 14 |
| 2018 February | 8 | 6 | 14 |
| 2018 January | 6 | 6 | 12 |
| 2017 December | 6 | 10 | 16 |
| 2017 November | 8 | 8 | 16 |
| 2017 October | 6 | 7 | 13 |
| 2017 September | 4 | 6 | 10 |
| 2017 August | 10 | 13 | 23 |
| 2017 July | 8 | 8 | 16 |
| 2017 June | 12 | 17 | 29 |
| 2017 May | 14 | 9 | 23 |
| 2017 April | 4 | 7 | 11 |
| 2017 March | 6 | 6 | 12 |
| 2017 February | 8 | 8 | 16 |
| 2017 January | 6 | 5 | 11 |
| 2016 December | 7 | 8 | 15 |
| 2016 November | 12 | 9 | 21 |
| 2016 October | 10 | 19 | 29 |
| 2016 September | 11 | 11 | 22 |
| 2016 August | 7 | 4 | 11 |
| 2016 July | 10 | 5 | 15 |
| 2016 June | 18 | 10 | 28 |
| 2016 May | 10 | 4 | 14 |
| 2016 April | 12 | 0 | 12 |
| 2016 March | 6 | 0 | 6 |
| 2016 February | 11 | 0 | 11 |
| 2016 January | 12 | 7 | 19 |
| 2015 December | 22 | 8 | 30 |
| 2015 November | 19 | 5 | 24 |
| 2015 October | 6 | 2 | 8 |
| 2015 September | 1 | 0 | 1 |
Show all
