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Patients Hospitalized With Community-Acquired Pneumonia: a Comparative Study of Outcomes by Medical Specialty Area
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Rodríguez de Castro" "autores" => array:1 [ 0 => array:3 [ "preGrado" => "Dr." "nombre" => "F." "apellidos" => "Rodríguez de Castro" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212906602280?idApp=UINPBA00003Z" "url" => "/15792129/0000004100000006/v1_201305150218/S1579212906602280/v1_201305150218/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Articles</span>" "titulo" => "Patients Hospitalized With Community-Acquired Pneumonia: a Comparative Study of Outcomes by Medical Specialty Area" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "300" "paginaFinal" => "306" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A. Capelastegui, P.P. España, J.M. Quintana, I. Gorordo, A. Martínez Urquiri, I. Idoiaga, A. Bilbao" "autores" => array:7 [ 0 => array:5 [ "preGrado" => "Dr." "nombre" => "A." "apellidos" => "Capelastegui" "email" => array:1 [ 0 => "acapelas@hgda.osakidetza.net" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "P.P." "apellidos" => "España" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "J.M." "apellidos" => "Quintana" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 3 => array:3 [ "nombre" => "I." "apellidos" => "Gorordo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 4 => array:3 [ "nombre" => "A." "apellidos" => "Martínez Urquiri" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] 5 => array:3 [ "nombre" => "I." "apellidos" => "Idoiaga" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff4" ] ] ] 6 => array:3 [ "nombre" => "A." "apellidos" => "Bilbao" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Servicio de Neumología, Hospital de Galdakao, Galdakao, Bizkaia, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Unidad de Investigación, Hospital de Galdakao, Galdakao, Bizkaia, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "Servicio de Urgencias, Hospital de Galdakao, Galdakao, Bizkaia, Spain" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] 3 => array:3 [ "entidad" => "Medicina de Familia, Hospital de Galdakao, Galdakao, Bizkaia, Spain" "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff4" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. A. Capelastegui. Servicio de Neumología. Hospital de Galdakao. B. Labeaga, s/n. 48960 Galdakao. Bizkaia. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-06-16" "fechaAceptado" => "2004-09-14" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec154081" "palabras" => array:4 [ 0 => "Community-acquired pneumonia" 1 => "Variability" 2 => "Treatment" 3 => "Results" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec154082" "palabras" => array:4 [ 0 => "Neumonía adquirida en la comunidad" 1 => "Variabilidad" 2 => "Tratamiento" 3 => "Resultados" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Variability in the management of patients hospitalized with community-acquired pneumonia (CAP) is attributable to many factors. The objective of this study was to determine whether such variability is influenced by the medical specialty area where the patient is treated.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">The treatment and outcomes for a random sample of patients with CAP admitted to 4 hospitals over 2 periods (1 year starting March 1, 1998, and 1.5 years starting March 1, 2000) were compared by medical specialty department. Multiple linear and logistic regression models were used to analyze differences.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Differences were found between departments in the coverage of atypical pathogens (<span class="elsevierStyleItalic">P</span> <.001). The adjusted mean length of stay in hospital varied between 6.8 and 9.1 days (<span class="elsevierStyleItalic">P</span> <.01), and the duration of intravenous treatment varied between 4.6 and 7.3 days (<span class="elsevierStyleItalic">P</span> <.05). Adjusted models showed that mortality in hospital and at 30 days was significantly higher for patients treated in internal medicine departments (odds ratios: 2.1 and 2, respectively) than for those treated in pulmonology departments.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Interdepartmental differences were observed in how patients hospitalized with CAP were treated and in the outcomes achieved. This variation is probably influenced by the differences that were found in the use of antibiotics.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">La variabilidad en el manejo de los pacientes ingresados por una neumonía adquirida en la comunidad (NAC) es multifactorial. Nuestro objetivo fue comprobar si en ello influye la especialidad del servicio responsable.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se compararon entre servicios el tratamiento y los resultados de una muestra aleatoria de los pacientes ingresados por NAC en 4 hospitales durante 2 perío-dos (un año desde el 1 de marzo de 1998; un año y medio des-de el 1 de marzo de 2000). Se emplearon modelos de regresión lineal múltiple y logística para ajustar las diferencias.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se encontraron diferencias entre servicios en la cobertura de gérmenes atípicos (p < 0,001). La duración media ajustada de la estancia hospitalaria osciló entre 6,8 y 9,1 días (p < 0,01) y la del tratamiento intravenoso entre 4,6 y 7,3 días (p < 0,05). Los análisis ajustados demostraron que la mortalidad intrahospitalaria y a los 30 días fue significativa-mente superior en los servicios de medicina interna <span class="elsevierStyleItalic">(odds ratio:</span> 2,1 y 2, respectivamente) respecto a los de neumología.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Se observaron diferencias entre servicios en el tratamiento de los pacientes ingresados por NAC y en sus resultados. Es probable que en ello influyan las diferencias encontradas en la utilización de los antibióticos.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:31 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A prediction rule to identify low-risk patients with community-acquired pneumonia" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "MJ Fine" 1 => "TE Auble" 2 => "DM Yealy" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJM199701233360402" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "1997" "volumen" => "336" "paginaInicial" => "243" "paginaFinal" => "250" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8995086" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 5 | 6 | 11 |
| 2024 October | 44 | 16 | 60 |
| 2024 September | 44 | 15 | 59 |
| 2024 August | 60 | 34 | 94 |
| 2024 July | 24 | 23 | 47 |
| 2024 June | 37 | 27 | 64 |
| 2024 May | 48 | 27 | 75 |
| 2024 April | 21 | 21 | 42 |
| 2024 March | 36 | 17 | 53 |
| 2024 February | 32 | 16 | 48 |
| 2023 March | 6 | 3 | 9 |
| 2023 February | 19 | 21 | 40 |
| 2023 January | 21 | 27 | 48 |
| 2022 December | 31 | 18 | 49 |
| 2022 November | 13 | 20 | 33 |
| 2022 October | 20 | 29 | 49 |
| 2022 September | 20 | 20 | 40 |
| 2022 August | 16 | 33 | 49 |
| 2022 July | 14 | 42 | 56 |
| 2022 June | 30 | 31 | 61 |
| 2022 May | 22 | 27 | 49 |
| 2022 April | 21 | 34 | 55 |
| 2022 March | 17 | 34 | 51 |
| 2022 February | 25 | 40 | 65 |
| 2022 January | 17 | 34 | 51 |
| 2021 December | 14 | 40 | 54 |
| 2021 November | 21 | 44 | 65 |
| 2021 October | 23 | 44 | 67 |
| 2021 September | 17 | 42 | 59 |
| 2021 August | 14 | 22 | 36 |
| 2021 July | 14 | 25 | 39 |
| 2021 June | 12 | 40 | 52 |
| 2021 May | 10 | 29 | 39 |
| 2021 April | 44 | 72 | 116 |
| 2021 March | 19 | 15 | 34 |
| 2021 February | 11 | 23 | 34 |
| 2021 January | 11 | 13 | 24 |
| 2020 December | 44 | 23 | 67 |
| 2020 November | 7 | 11 | 18 |
| 2020 October | 17 | 5 | 22 |
| 2020 September | 3 | 8 | 11 |
| 2020 August | 9 | 13 | 22 |
| 2020 July | 19 | 15 | 34 |
| 2020 June | 6 | 8 | 14 |
| 2020 May | 16 | 11 | 27 |
| 2020 April | 19 | 18 | 37 |
| 2020 March | 15 | 16 | 31 |
| 2020 February | 20 | 16 | 36 |
| 2020 January | 17 | 17 | 34 |
| 2019 December | 21 | 18 | 39 |
| 2019 November | 7 | 10 | 17 |
| 2019 October | 3 | 8 | 11 |
| 2019 September | 8 | 8 | 16 |
| 2019 August | 14 | 12 | 26 |
| 2019 July | 21 | 14 | 35 |
| 2019 June | 11 | 5 | 16 |
| 2019 May | 21 | 12 | 33 |
| 2019 April | 22 | 11 | 33 |
| 2019 March | 14 | 10 | 24 |
| 2019 February | 10 | 9 | 19 |
| 2019 January | 8 | 7 | 15 |
| 2018 December | 9 | 15 | 24 |
| 2018 November | 12 | 5 | 17 |
| 2018 October | 18 | 13 | 31 |
| 2018 September | 8 | 8 | 16 |
| 2018 May | 4 | 0 | 4 |
| 2018 April | 9 | 6 | 15 |
| 2018 March | 4 | 4 | 8 |
| 2018 February | 3 | 5 | 8 |
| 2018 January | 4 | 6 | 10 |
| 2017 December | 3 | 7 | 10 |
| 2017 November | 0 | 6 | 6 |
| 2017 October | 6 | 8 | 14 |
| 2017 September | 3 | 11 | 14 |
| 2017 August | 5 | 13 | 18 |
| 2017 July | 3 | 0 | 3 |
| 2017 June | 10 | 10 | 20 |
| 2017 May | 5 | 6 | 11 |
| 2017 April | 2 | 2 | 4 |
| 2017 March | 26 | 12 | 38 |
| 2017 February | 5 | 3 | 8 |
| 2017 January | 2 | 5 | 7 |
| 2016 December | 9 | 6 | 15 |
| 2016 November | 11 | 7 | 18 |
| 2016 October | 12 | 8 | 20 |
| 2016 September | 8 | 6 | 14 |
| 2016 August | 5 | 2 | 7 |
| 2016 July | 2 | 2 | 4 |
| 2016 March | 2 | 0 | 2 |
| 2016 January | 1 | 0 | 1 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 29 | 1 | 30 |
| 2015 September | 37 | 5 | 42 |
| 2015 August | 30 | 9 | 39 |
| 2015 July | 37 | 12 | 49 |
| 2015 June | 33 | 7 | 40 |
| 2015 May | 49 | 9 | 58 |
| 2015 April | 38 | 17 | 55 |
| 2015 March | 27 | 6 | 33 |
| 2015 February | 30 | 8 | 38 |
| 2015 January | 28 | 8 | 36 |
| 2014 December | 35 | 3 | 38 |
| 2014 November | 29 | 8 | 37 |
| 2014 October | 49 | 12 | 61 |
| 2014 September | 39 | 7 | 46 |
| 2014 August | 34 | 8 | 42 |
| 2014 July | 29 | 10 | 39 |
| 2014 June | 42 | 12 | 54 |
| 2014 May | 42 | 9 | 51 |
| 2014 April | 53 | 12 | 65 |
| 2014 March | 55 | 12 | 67 |
| 2014 February | 52 | 10 | 62 |
| 2014 January | 35 | 10 | 45 |
| 2013 December | 35 | 15 | 50 |
| 2013 November | 36 | 9 | 45 |
| 2013 October | 41 | 13 | 54 |
| 2013 September | 45 | 8 | 53 |
| 2013 August | 44 | 11 | 55 |
| 2013 July | 59 | 12 | 71 |
| 2013 June | 29 | 6 | 35 |
| 2013 May | 33 | 4 | 37 |
| 2013 April | 17 | 6 | 23 |
| 2013 March | 5 | 3 | 8 |
Show all
