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"apellidos" => "Ancochea" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212906603042?idApp=UINPBA00003Z" "url" => "/15792129/0000004000000007/v1_201305150100/S1579212906603042/v1_201305150100/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Articles</span>" "titulo" => "In-Hospital and 2-Year Survival of Patients Treated With Mechanical Ventilation for Acute Exacerbation of COPD" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "295" "paginaFinal" => "300" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.M. Raurich, J. Pérez, J. Ibáñez, S. Roig, S. Batle" "autores" => array:5 [ 0 => array:5 [ "preGrado" => "Dr." "nombre" => "J.M." "apellidos" => "Raurich" "email" => array:1 [ 0 => "jmraurich@hsd.es" ] "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" => "J." "apellidos" => "Pérez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "J." "apellidos" => "Ibáñez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 3 => array:3 [ "nombre" => "S." "apellidos" => "Roig" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 4 => array:3 [ "nombre" => "S." "apellidos" => "Batle" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Intensiva, Hospital Universitario Son Dureta, Palma de Majorca, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Neumología, Hospital Universitario Son Dureta, Palma de Majorca, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. J.M. Raurich. Servicio de Medicina Intensiva. Hospital Universitario Son Dureta. Andrea Doria, 55. 07014 Palma de Majorca. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-07-18" "fechaAceptado" => "2004-01-16" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec153491" "palabras" => array:4 [ 0 => "COPD" 1 => "Mortality" 2 => "Mechanical ventilation" 3 => "Prognosis" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec153490" "palabras" => array:4 [ 0 => "EPOC" 1 => "Mortalidad" 2 => "Ventilación mecánica" 3 => "Pronóstico" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">TO analyze in-hospital and 2-year survival of patients who require mechanical ventilation with intubation after acute respiratory failure due to exacerbation of chronic obstructive pulmonary disease (COPD). The secondary objective was to identify the prognostic factors for in-hospital mortality and mortality at 2 years.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">We retrospectively studied 101 patients with suspected COPD admitted to the intensive care unit between July 1993 and December 1998. Variables potentially related to mortality were analyzed with a univariate model and by logistic regression.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">In-hospital survival was 74.3% and 2-year survival was 55.4%. Survival at 2 years was 81% for patients discharged from hospital. The variables associated with in-hospital mortality were age greater than 65 years, electrocardiographic diagnosis of chronic cor pulmonale, and development of multiorgan dysfunction syndrome. No factors predictive of mortality at 2 years were identified.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The in-hospital survival rate for patients with an acute exacerbation of COPD who require mechanical ventilation is good and the 2-year survival rate is acceptable. Age, electrocardiographic signs of cor pulmonale, and development of multiorgan dysfunction syndrome were associated with greater risk of in-hospital mortality.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Analizar la supervivencia hospitalaria y a los 2 años de los pacientes con insuficiencia respiratoria aguda, debida a una enfermedad pulmonar obstructiva crónica (EPOC) agudizada, tratados con ventilación mecánica invasiva. Los objetivos secundarios fueron identificar los factores pronósticos de la mortalidad hospitalaria y a los 2 años.</p> <span class="elsevierStyleSectionTitle">Pacientes Y Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se estudió retrospectivamente a 101 pacientes con sospecha de EPOC tratados en la unidad de cuidados intensivos de un hospital universitario entre julio de 1993 y diciembre de 1998. Se realizaron un análisis univariado y otro de regresión logística de las posibles variables relacionadas con la mortalidad.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La supervivencia hospitalaria fue del 74,3% y a los 2 años del 55,4%. La supervivencia a los 2 años fue del 81% para los pacientes dados de alta del hospital. Las variables asociadas con la mortalidad hospitalaria fueron la edad superior a los 65 años, el diagnóstico electrocardiográ-fico de <span class="elsevierStyleItalic">cor pulmonale</span> crónico y el desarrollo de un síndrome de disfunción multiorgánica. No se identificaron factores predictores de mortalidad a los 2 años.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Los pacientes con EPOC agudizada que requieren ventilación mecánica tienen una supervivencia hospitalaria buena y una supervivencia a los 2 años acepta-ble. La edad, la presencia de signos electrocardiográficos de <span class="elsevierStyleItalic">cor pulmonale</span> y el desarrollo de síndrome de disfunción multiorgánica se asociaron a una mayor mortalidad hospitalaria.</p>" ] ] "NotaPie" => array:1 [ 0 => array:1 [ "nota" => "<p class="elsevierStyleNotepara">Financed in part by RED GIRA, G 03/63, Instituto Carlos m, Madrid, Spain.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:28 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "L Brochard" 1 => "J Mancebo" 2 => "M Wysocki" 3 => "F Lofaso" 4 => "G Conti" 5 => "A Rauss" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => 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Year/Month | Html | Total | |
---|---|---|---|
2024 November | 4 | 3 | 7 |
2024 October | 35 | 15 | 50 |
2024 September | 25 | 22 | 47 |
2024 August | 41 | 30 | 71 |
2024 July | 23 | 22 | 45 |
2024 June | 32 | 24 | 56 |
2024 May | 29 | 26 | 55 |
2024 April | 19 | 23 | 42 |
2024 March | 17 | 13 | 30 |
2024 February | 13 | 20 | 33 |
2023 March | 1 | 3 | 4 |
2023 February | 14 | 14 | 28 |
2023 January | 14 | 21 | 35 |
2022 December | 15 | 30 | 45 |
2022 November | 16 | 25 | 41 |
2022 October | 24 | 29 | 53 |
2022 September | 13 | 29 | 42 |
2022 August | 20 | 35 | 55 |
2022 July | 13 | 35 | 48 |
2022 June | 15 | 30 | 45 |
2022 May | 33 | 28 | 61 |
2022 April | 24 | 18 | 42 |
2022 March | 17 | 37 | 54 |
2022 February | 12 | 27 | 39 |
2022 January | 16 | 28 | 44 |
2021 December | 17 | 48 | 65 |
2021 November | 17 | 32 | 49 |
2021 October | 17 | 36 | 53 |
2021 September | 18 | 49 | 67 |
2021 August | 9 | 36 | 45 |
2021 July | 8 | 27 | 35 |
2021 June | 6 | 32 | 38 |
2021 May | 9 | 19 | 28 |
2021 April | 23 | 42 | 65 |
2021 March | 12 | 17 | 29 |
2021 February | 13 | 10 | 23 |
2021 January | 4 | 10 | 14 |
2020 December | 4 | 12 | 16 |
2020 November | 7 | 2 | 9 |
2020 October | 8 | 10 | 18 |
2020 September | 5 | 6 | 11 |
2020 August | 9 | 13 | 22 |
2020 July | 12 | 15 | 27 |
2020 June | 13 | 4 | 17 |
2020 May | 18 | 16 | 34 |
2020 April | 19 | 14 | 33 |
2020 March | 10 | 13 | 23 |
2020 February | 21 | 17 | 38 |
2020 January | 12 | 15 | 27 |
2019 December | 12 | 17 | 29 |
2019 November | 5 | 10 | 15 |
2019 October | 6 | 9 | 15 |
2019 September | 5 | 15 | 20 |
2019 August | 16 | 14 | 30 |
2019 July | 4 | 10 | 14 |
2019 June | 7 | 9 | 16 |
2019 May | 13 | 9 | 22 |
2019 April | 27 | 43 | 70 |
2019 March | 9 | 20 | 29 |
2019 February | 8 | 11 | 19 |
2019 January | 3 | 14 | 17 |
2018 December | 6 | 7 | 13 |
2018 November | 16 | 11 | 27 |
2018 October | 15 | 11 | 26 |
2018 September | 6 | 8 | 14 |
2018 May | 7 | 1 | 8 |
2018 April | 6 | 14 | 20 |
2018 March | 4 | 6 | 10 |
2018 February | 4 | 8 | 12 |
2018 January | 5 | 10 | 15 |
2017 December | 8 | 8 | 16 |
2017 November | 5 | 11 | 16 |
2017 October | 4 | 12 | 16 |
2017 September | 2 | 7 | 9 |
2017 August | 4 | 10 | 14 |
2017 July | 3 | 5 | 8 |
2017 June | 8 | 12 | 20 |
2017 May | 6 | 9 | 15 |
2017 April | 3 | 5 | 8 |
2017 March | 1 | 4 | 5 |
2017 February | 1 | 0 | 1 |
2017 January | 4 | 2 | 6 |
2016 December | 12 | 9 | 21 |
2016 November | 23 | 10 | 33 |
2016 October | 24 | 12 | 36 |
2016 September | 11 | 9 | 20 |
2016 August | 5 | 2 | 7 |
2016 July | 4 | 2 | 6 |
2016 March | 1 | 0 | 1 |
2016 February | 1 | 0 | 1 |
2015 December | 3 | 0 | 3 |
2015 October | 59 | 1 | 60 |
2015 September | 75 | 10 | 85 |
2015 August | 53 | 9 | 62 |
2015 July | 64 | 4 | 68 |
2015 June | 46 | 5 | 51 |
2015 May | 65 | 8 | 73 |
2015 April | 202 | 9 | 211 |
2015 March | 213 | 7 | 220 |
2015 February | 144 | 2 | 146 |
2015 January | 95 | 5 | 100 |
2014 December | 96 | 7 | 103 |
2014 November | 87 | 13 | 100 |
2014 October | 91 | 7 | 98 |
2014 September | 67 | 6 | 73 |
2014 August | 59 | 4 | 63 |
2014 July | 89 | 8 | 97 |
2014 June | 88 | 5 | 93 |
2014 May | 84 | 8 | 92 |
2014 April | 52 | 3 | 55 |
2014 March | 60 | 10 | 70 |
2014 February | 58 | 6 | 64 |
2014 January | 57 | 10 | 67 |
2013 December | 36 | 11 | 47 |
2013 November | 29 | 5 | 34 |
2013 October | 33 | 9 | 42 |
2013 September | 40 | 11 | 51 |
2013 August | 38 | 10 | 48 |
2013 July | 41 | 18 | 59 |
2013 June | 32 | 6 | 38 |
2013 May | 36 | 6 | 42 |
2013 April | 19 | 3 | 22 |
2013 March | 6 | 2 | 8 |