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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">The etiology&#44; presentation&#44; and prognosis of community-acquired pneumonia &#40;CAP&#41; among nursing home residents are believed to differ from those of other groups&#46; However&#44; few Spanish studies have confirmed those assumptions or studied regional differences in CAP etiology&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">A prospective study which included all patients over 65 years of age admitted to our hospital with CAP was carried out over a period of 18 months &#40;2002-2003&#41;&#46; We examined clinical&#44; analytical&#44; and radiographic characteristics paying particular attention to functional status&#8212;using the Eastern Cooperative Oncology Group &#40;ECOG&#41; scale and Barthel and Karnofsky indices&#8212; and comorbidity&#46; Two blood cultures&#44; a <span class="elsevierStyleItalic">Legionella</span> antigen test in urine&#44; and serology for atypical bacteria were used for the etiologic diagnosis&#59; bacterial cultures of respiratory samples were also used in certain cases&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Ninety-one patients&#44; 25 of whom were nursing home residents&#44; were enrolled&#46; The nursing home residents were older than the other patients &#40;mean &#91;SD&#93; age of 82 &#91;4&#93; compared with 73 &#91;5&#93;&#59; P&#61;&#46;0001&#41; and had greater comorbidity &#40;P&#61;&#46;0001&#41;&#8212;with a significantly greater presence of diabetes mellitus&#44; cerebrovascular disease&#44; congestive heart failure&#44; and dementia&#46; They also had a poorer functional status &#40;ECOG&#44; 2&#46;09 &#91;0&#46;9&#93; compared with 0&#46;93 &#91;1&#46;1&#93;&#44; <span class="elsevierStyleItalic">P</span> &#61; &#46;001&#59; Barthel Index&#44; 19 &#91;33&#93; compared with 77 &#91;35&#93;&#44; <span class="elsevierStyleItalic">P</span> &#61; &#46;001&#59; Karnofsky Index&#44; 51 &#91;17&#93; compared with 78 &#91;23&#93;&#44; <span class="elsevierStyleItalic">P</span> &#61; &#46;001&#41;&#46; Regarding clinical characteristics&#44; significant differences were found for respiratory rate &#40;39 &#91;11&#93; compared with 27 &#91;7&#93; breaths&#47;min&#59; P&#61;&#46;001&#41;&#44; blood pressure &#40;69&#46;5 &#91;20&#93; compared with 79&#46;2 &#91;18&#93; mm Hg&#59; P&#61;&#46;029&#41;&#44; and temperature &#40;36&#46;6 &#91;1&#46;2&#93; compared with 37&#46;7 &#91;1&#46;1&#93; &#176;C&#59; P&#61;&#46;001&#41;&#46; CAP patients from nursing homes presented a greater number of affected lobules in chest x-rays &#40;<span class="elsevierStyleItalic">P</span> &#61; &#46;004&#41;&#44; more hypoxemia&#44; acidosis&#44; anemia&#44; hypoalbuminemia&#44; and greater scores of urea and creatinine&#46; Fine Scale scores were also greater &#40;134 &#91;26&#93; compared with 95 &#91;28&#93;&#59; <span class="elsevierStyleItalic">P</span> &#61; &#46;001&#41; as was mortality &#40;7&#47;25 compared with 3&#47;66&#59; <span class="elsevierStyleItalic">P</span> &#61; &#46;005&#41;&#46; Few patients had an etiologic diagnosis and no significant differences were observed between the groups&#46; The variable that predicted mortality in elderly patients in this series&#44; according to stepwise logistic regression&#44; was urea &#40;adjusted R<span class="elsevierStyleSup">2</span>&#61;0&#46;452&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">In our sample population&#44; nursing home residents were older&#44; had greater comorbidity&#44; and severe functional impairment&#46; Under these circumstances the severity of CAP increases and becomes an important cause of mortality despite the fact that the etiologic agents do not appear to differ from those of the other patients&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">La neumon&#237;a adquirida en la comunidad &#40;NAC&#41; de los ancianos que viven en una residencia se considera dis-tinta del resto en cuanto a etiolog&#237;a&#44; forma de presentaci&#243;n y pron&#243;stico&#46; Sin embargo&#44; existen pocos estudios en nuestro pa&#237;s que confirmen estos aspectos&#44; sin olvidar las diferencias etiol&#243;gicas regionales de las NAC&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes Y M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha realizado un estudio prospecti-vo de 18 meses de duraci&#243;n &#40;2002-2003&#41;&#44; en el que se ha inclui-do a todos los pacientes mayores de 65 a&#241;os que ingresaron por NAC en nuestro hospital&#46; Se recogieron las caracter&#237;sticas cl&#237;nicas&#44; anal&#237;ticas y radiol&#243;gicas haciendo especial hincapi&#233; en la situaci&#243;n funcional -escala del Eastern Cooperative Oncology Group &#40;ECOG&#41;&#44; &#237;ndices de Barthel y Karnofsky- y en la comorbilidad&#46; Para el diagn&#243;stico etiol&#243;gico se realizaron 2 hemocultivos&#44; ant&#237;geno de <span class="elsevierStyleItalic">Legionella</span> en orina y serolog&#237;a de g&#233;rmenes at&#237;picos&#59; en los casos indicados tambi&#233;n se practic&#243; cultivo bacteriol&#243;gico de muestras respiratorias&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se incluy&#243; a 91 pacientes&#44; de ellos 25 proced&#237;an de residencias&#46; Estos &#250;ltimos ten&#237;an mayor edad &#40;82 &#177; 4 frente a 73 &#177; 5 a&#241;os&#59; p &#61; 0&#44;0001&#41;&#44; mayor comorbilidad global &#40;p &#61; 0&#44;0001&#41; &#8212;como enfermedades aisladas eran significativamen-te m&#225;s comunes la diabetes mellitus&#44; la enfermedad cerebro-vascular&#44; la insuficiencia card&#237;aca congestiva cr&#243;nica y la de-mencia&#8212; y peor estado funcional &#40;ECOG&#58; 2&#44;09 &#177; 0&#44;9 frente a 0&#44;93 &#177; 1&#44;1&#44; p &#61; 0&#44;001&#59; &#237;ndice de Barthel&#58; 19 &#177; 33 frente a 77 &#177; 35&#44; p &#61; 0&#44;001&#59; &#237;ndice de Karnofsky&#58; 51 &#177; 17 frente a 78 &#177; 23&#44; p &#61; 0&#44;001&#41;&#46; En cuanto a las caracter&#237;sticas cl&#237;nicas&#44; encontramos diferencias significativas en la frecuencia respiratoria &#40;39 &#177; 11 frente a 27 &#177; 7 respiraciones&#47;min&#59; p &#61; 0&#44;001&#41;&#44; la presi&#243;n arterial diast&#243;lica &#40;69&#44;5 &#177; 20 frente a 79&#44;2 &#177; 18 mmHg&#59; p &#61; 0&#44;029&#41; y en la temperatura &#40;36&#44;6 &#177; 1&#44;2 frente a 37&#44;7 &#177; 1&#44;1 &#176;C&#59; p &#61; 0&#44;001&#41;&#46; En la radiograf&#237;a de t&#243;rax&#44; la NAC de residencia present&#243; mayor n&#250;mero de l&#243;bulos afectados &#40;p &#61; 0&#44;004&#41;&#46; Adem&#225;s&#44; estos pacientes ten&#237;an mayor hipoxemia&#44; acidosis&#44; anemia&#44; hipoalbuminemia y elevaci&#243;n de las cifras de urea y creatinina&#46; Asimismo&#44; la puntuaci&#243;n en la escala de Fine fue superior &#40;134 &#177; 26 frente a 95 &#177; 28&#59; p &#61; 0&#44;001&#41; y presentaron mayor mortalidad &#40;7&#47;25 frente a 3&#47;66&#59; p &#61; 0&#44;005&#41;&#46; En la ma-yor&#237;a de los pacientes no se pudo encontrar un diagn&#243;stico etiol&#243;gico&#44; pero no se observaron diferencias significativas entre ambos grupos&#46; La variable predictora de mortalidad de los ancianos de la serie &#8212;modelo de regresi&#243;n &#40;pasos su-cesivos&#41;&#8212; fue la urea &#40;R<span class="elsevierStyleSup">2</span> corregida &#61; 0&#44;452&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">En nuestra poblaci&#243;n&#44; los ancianos que viven en residencias tienen mayor edad&#44; pluripatolog&#237;a e importante deterioro funcional&#46; En estas circunstancias la NAC adquiere especial gravedad y es una causa importante de mortalidad&#44; pese a que los agentes etiol&#243;gicos no parecen diferir de los habituales&#46;</p>"
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                    0 => array:2 [
                      "titulo" => "Comparative validation of prognostic rules for community-acquired pneumonia in an elderly population"
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                          "etal" => false
                          "autores" => array:6 [
                            0 => "S Ewig"
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                            2 => "T Bauer"
                            3 => "K Seifert"
                            4 => "H Schafer"
                            5 => "N Goke"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Eur Respir J"
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                        "volumen" => "14"
                        "paginaInicial" => "370"
                        "paginaFinal" => "375"
                      ]
                    ]
                  ]
                ]
              ]
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            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
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                0 => array:2 [
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                      "titulo" => "Neumon&#237;a adquirida en la comunidad en el anciano inmunocompetente que requiere hospitalizaci&#243;n&#46; Cuadro cl&#237;nico&#44; factores pron&#243;sticos y tratamiento"
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                            2 => "A Gederlini"
                            3 => "G Far&#237;as"
                            4 => "A D&#237;az"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2003"
                        "volumen" => "39"
                        "paginaInicial" => "333"
                        "paginaFinal" => "340"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12890400"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib7"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Community-acquired pneumonia in the elderly&#58; Spanish multicentre study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "R Zalaca&#237;n"
                            1 => "A Torres"
                            2 => "R Celis"
                            3 => "J Blanquer"
                            4 => "J Aspa"
                            5 => "L Esteban"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "2003"
                        "volumen" => "21"
                        "paginaInicial" => "294"
                        "paginaFinal" => "302"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12608444"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A comparison of nursing home-acquired pneumonia patients with patients with community-acquired pneumonia and nursing home patients without pneumonia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "TJ Marie"
                            1 => "W Blanchard"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Geriatr Soc"
                        "fecha" => "1997"
                        "volumen" => "45"
                        "paginaInicial" => "50"
                        "paginaFinal" => "55"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8994487"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Differences in aetiology of pneumonia in nursing home and community patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "JL Garb"
                            1 => "RB Brown"
                            2 => "JR Garb"
                            3 => "RW Tuthill"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1978"
                        "volumen" => "240"
                        "paginaInicial" => "2169"
                        "paginaFinal" => "2172"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/359845"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Community-acquired pneumonia in older patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "JP Janssens"
                            1 => "L Gauthey"
                            2 => "F Herrmann"
                            3 => "L Tkatch"
                            4 => "JP Michel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Geriatr Soc"
                        "fecha" => "1996"
                        "volumen" => "44"
                        "paginaInicial" => "539"
                        "paginaFinal" => "544"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8617902"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib11"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A prospective comparison of nursing home acquired pneumonia with community acquired pneumonia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "WS Lim"
                            1 => "JT MacFarlane"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "2001"
                        "volumen" => "18"
                        "paginaInicial" => "362"
                        "paginaFinal" => "368"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11529297"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evidence-based guidelines for management of nursing home-acquired pneumonia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E Hutt"
                            1 => "AM Kramer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Fam Pract"
                        "fecha" => "2002"
                        "volumen" => "51"
                        "paginaInicial" => "709"
                        "paginaFinal" => "716"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12184969"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A pilot study of the Functional Living Index-Cancer &#40;FLIC&#41; scale assessment of quality of life for metastatic lung cancer patients&#46; A Cooperative Oncology Group Study &#40;ECOG&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "DM Finkelstein"
                            1 => "BR Cassileth"
                            2 => "PD Bonomi"
                            3 => "JC Ruckdeschel"
                            4 => "EZ Ezdinli"
                            5 => "JM Wolter"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Clin Oncol"
                        "fecha" => "1988"
                        "volumen" => "11"
                        "paginaInicial" => "630"
                        "paginaFinal" => "633"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3055933"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Functional evaluation&#58; the Barthel index"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "FI Mahoney"
                            1 => "DW Barthel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "State Med J"
                        "fecha" => "1965"
                        "volumen" => "14"
                        "paginaInicial" => "61"
                        "paginaFinal" => "65"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15"
              "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:6 [
                            0 => "MJ Fine"
                            1 => "TE Auble"
                            2 => "DM Yealy"
                            3 => "BH Hanusa"
                            4 => "LA Weissfeld"
                            5 => "DE Singer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "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"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Defining prognostic factors in the elderly with community acquired pneumonia&#58; a case controlled study of patients aged &#62;75 years"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "WS Lim"
                            1 => "JT MacFarlane"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "2001"
                        "volumen" => "17"
                        "paginaInicial" => "200"
                        "paginaFinal" => "205"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11334120"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Guidelines for the management of community-acquired pneumonia in adults admitted to hospital"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "The British Thoracic Society"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Br J Hosp Med"
                        "fecha" => "1993"
                        "volumen" => "49"
                        "paginaInicial" => "346"
                        "paginaFinal" => "350"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Duration of length of stay in pneumonia&#58; influence of clinical factors and hospital type"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "R Men&#233;ndez"
                            1 => "MJ Cremades"
                            2 => "E Mart&#237;nez-Morag&#243;n"
                            3 => "JJ Soler"
                            4 => "S Reyes"
                            5 => "M Perpi&#241;&#225;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "2003"
                        "volumen" => "22"
                        "paginaInicial" => "643"
                        "paginaFinal" => "648"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14582918"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Process of care performance&#44; patient characteristics&#44; and outcomes in elderly patients hospitalized with community-acquired or nursing home-acquired pneumonia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "TP Meehan"
                            1 => "JM Chua-Reyes"
                            2 => "J Tate"
                            3 => "KM Prestwood"
                            4 => "JD Scinto"
                            5 => "MK Petrillo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
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                        "paginaInicial" => "1378"
                        "paginaFinal" => "1385"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10807825"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hospitalized community-acquired pneumonia in the elderly"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "V Kaplan"
                            1 => "DC Angus"
                            2 => "MF Griffin"
                            3 => "G Clermont"
                            4 => "RS Watson"
                            5 => "WT Lindezwirble"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/ajrccm.165.6.2103038"
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                        "tituloSerie" => "Am J Respir Crit Care Med"
                        "fecha" => "2002"
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                        "paginaInicial" => "766"
                        "paginaFinal" => "772"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11897642"
                            "web" => "Medline"
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                ]
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Original Articles
Community-Acquired Pneumonia Among the Elderly: Differences Between Patients Living at Home and in Nursing Homes
E. Martínez-Moragóna, L. García Ferrerb,
Corresponding author
emm01v@saludalia.com

Correspondence: Dra. E. Martínez- Moragón. Servicio de Neumología. Hospital de Sagunto. Avda. Ramón y Cajal, s/n. 46520 Port Sagunt. Valencia. España
, B. Serra Sanchosb, E. Fernández Fabrellasa, A. Gómez Beldab, R. Julve Pardob
a Servicio de Neumología, Hospital de Sagunto, Port Sagunt, Valencia, Spain
b Servicio de Medicina Interna, Hospital de Sagunto, Port Sagunt, Valencia, Spain
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">The etiology&#44; presentation&#44; and prognosis of community-acquired pneumonia &#40;CAP&#41; among nursing home residents are believed to differ from those of other groups&#46; However&#44; few Spanish studies have confirmed those assumptions or studied regional differences in CAP etiology&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">A prospective study which included all patients over 65 years of age admitted to our hospital with CAP was carried out over a period of 18 months &#40;2002-2003&#41;&#46; We examined clinical&#44; analytical&#44; and radiographic characteristics paying particular attention to functional status&#8212;using the Eastern Cooperative Oncology Group &#40;ECOG&#41; scale and Barthel and Karnofsky indices&#8212; and comorbidity&#46; Two blood cultures&#44; a <span class="elsevierStyleItalic">Legionella</span> antigen test in urine&#44; and serology for atypical bacteria were used for the etiologic diagnosis&#59; bacterial cultures of respiratory samples were also used in certain cases&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Ninety-one patients&#44; 25 of whom were nursing home residents&#44; were enrolled&#46; The nursing home residents were older than the other patients &#40;mean &#91;SD&#93; age of 82 &#91;4&#93; compared with 73 &#91;5&#93;&#59; P&#61;&#46;0001&#41; and had greater comorbidity &#40;P&#61;&#46;0001&#41;&#8212;with a significantly greater presence of diabetes mellitus&#44; cerebrovascular disease&#44; congestive heart failure&#44; and dementia&#46; They also had a poorer functional status &#40;ECOG&#44; 2&#46;09 &#91;0&#46;9&#93; compared with 0&#46;93 &#91;1&#46;1&#93;&#44; <span class="elsevierStyleItalic">P</span> &#61; &#46;001&#59; Barthel Index&#44; 19 &#91;33&#93; compared with 77 &#91;35&#93;&#44; <span class="elsevierStyleItalic">P</span> &#61; &#46;001&#59; Karnofsky Index&#44; 51 &#91;17&#93; compared with 78 &#91;23&#93;&#44; <span class="elsevierStyleItalic">P</span> &#61; &#46;001&#41;&#46; Regarding clinical characteristics&#44; significant differences were found for respiratory rate &#40;39 &#91;11&#93; compared with 27 &#91;7&#93; breaths&#47;min&#59; P&#61;&#46;001&#41;&#44; blood pressure &#40;69&#46;5 &#91;20&#93; compared with 79&#46;2 &#91;18&#93; mm Hg&#59; P&#61;&#46;029&#41;&#44; and temperature &#40;36&#46;6 &#91;1&#46;2&#93; compared with 37&#46;7 &#91;1&#46;1&#93; &#176;C&#59; P&#61;&#46;001&#41;&#46; CAP patients from nursing homes presented a greater number of affected lobules in chest x-rays &#40;<span class="elsevierStyleItalic">P</span> &#61; &#46;004&#41;&#44; more hypoxemia&#44; acidosis&#44; anemia&#44; hypoalbuminemia&#44; and greater scores of urea and creatinine&#46; Fine Scale scores were also greater &#40;134 &#91;26&#93; compared with 95 &#91;28&#93;&#59; <span class="elsevierStyleItalic">P</span> &#61; &#46;001&#41; as was mortality &#40;7&#47;25 compared with 3&#47;66&#59; <span class="elsevierStyleItalic">P</span> &#61; &#46;005&#41;&#46; Few patients had an etiologic diagnosis and no significant differences were observed between the groups&#46; The variable that predicted mortality in elderly patients in this series&#44; according to stepwise logistic regression&#44; was urea &#40;adjusted R<span class="elsevierStyleSup">2</span>&#61;0&#46;452&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">In our sample population&#44; nursing home residents were older&#44; had greater comorbidity&#44; and severe functional impairment&#46; Under these circumstances the severity of CAP increases and becomes an important cause of mortality despite the fact that the etiologic agents do not appear to differ from those of the other patients&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">La neumon&#237;a adquirida en la comunidad &#40;NAC&#41; de los ancianos que viven en una residencia se considera dis-tinta del resto en cuanto a etiolog&#237;a&#44; forma de presentaci&#243;n y pron&#243;stico&#46; Sin embargo&#44; existen pocos estudios en nuestro pa&#237;s que confirmen estos aspectos&#44; sin olvidar las diferencias etiol&#243;gicas regionales de las NAC&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes Y M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha realizado un estudio prospecti-vo de 18 meses de duraci&#243;n &#40;2002-2003&#41;&#44; en el que se ha inclui-do a todos los pacientes mayores de 65 a&#241;os que ingresaron por NAC en nuestro hospital&#46; Se recogieron las caracter&#237;sticas cl&#237;nicas&#44; anal&#237;ticas y radiol&#243;gicas haciendo especial hincapi&#233; en la situaci&#243;n funcional -escala del Eastern Cooperative Oncology Group &#40;ECOG&#41;&#44; &#237;ndices de Barthel y Karnofsky- y en la comorbilidad&#46; Para el diagn&#243;stico etiol&#243;gico se realizaron 2 hemocultivos&#44; ant&#237;geno de <span class="elsevierStyleItalic">Legionella</span> en orina y serolog&#237;a de g&#233;rmenes at&#237;picos&#59; en los casos indicados tambi&#233;n se practic&#243; cultivo bacteriol&#243;gico de muestras respiratorias&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se incluy&#243; a 91 pacientes&#44; de ellos 25 proced&#237;an de residencias&#46; Estos &#250;ltimos ten&#237;an mayor edad &#40;82 &#177; 4 frente a 73 &#177; 5 a&#241;os&#59; p &#61; 0&#44;0001&#41;&#44; mayor comorbilidad global &#40;p &#61; 0&#44;0001&#41; &#8212;como enfermedades aisladas eran significativamen-te m&#225;s comunes la diabetes mellitus&#44; la enfermedad cerebro-vascular&#44; la insuficiencia card&#237;aca congestiva cr&#243;nica y la de-mencia&#8212; y peor estado funcional &#40;ECOG&#58; 2&#44;09 &#177; 0&#44;9 frente a 0&#44;93 &#177; 1&#44;1&#44; p &#61; 0&#44;001&#59; &#237;ndice de Barthel&#58; 19 &#177; 33 frente a 77 &#177; 35&#44; p &#61; 0&#44;001&#59; &#237;ndice de Karnofsky&#58; 51 &#177; 17 frente a 78 &#177; 23&#44; p &#61; 0&#44;001&#41;&#46; En cuanto a las caracter&#237;sticas cl&#237;nicas&#44; encontramos diferencias significativas en la frecuencia respiratoria &#40;39 &#177; 11 frente a 27 &#177; 7 respiraciones&#47;min&#59; p &#61; 0&#44;001&#41;&#44; la presi&#243;n arterial diast&#243;lica &#40;69&#44;5 &#177; 20 frente a 79&#44;2 &#177; 18 mmHg&#59; p &#61; 0&#44;029&#41; y en la temperatura &#40;36&#44;6 &#177; 1&#44;2 frente a 37&#44;7 &#177; 1&#44;1 &#176;C&#59; p &#61; 0&#44;001&#41;&#46; En la radiograf&#237;a de t&#243;rax&#44; la NAC de residencia present&#243; mayor n&#250;mero de l&#243;bulos afectados &#40;p &#61; 0&#44;004&#41;&#46; Adem&#225;s&#44; estos pacientes ten&#237;an mayor hipoxemia&#44; acidosis&#44; anemia&#44; hipoalbuminemia y elevaci&#243;n de las cifras de urea y creatinina&#46; Asimismo&#44; la puntuaci&#243;n en la escala de Fine fue superior &#40;134 &#177; 26 frente a 95 &#177; 28&#59; p &#61; 0&#44;001&#41; y presentaron mayor mortalidad &#40;7&#47;25 frente a 3&#47;66&#59; p &#61; 0&#44;005&#41;&#46; En la ma-yor&#237;a de los pacientes no se pudo encontrar un diagn&#243;stico etiol&#243;gico&#44; pero no se observaron diferencias significativas entre ambos grupos&#46; La variable predictora de mortalidad de los ancianos de la serie &#8212;modelo de regresi&#243;n &#40;pasos su-cesivos&#41;&#8212; fue la urea &#40;R<span class="elsevierStyleSup">2</span> corregida &#61; 0&#44;452&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">En nuestra poblaci&#243;n&#44; los ancianos que viven en residencias tienen mayor edad&#44; pluripatolog&#237;a e importante deterioro funcional&#46; En estas circunstancias la NAC adquiere especial gravedad y es una causa importante de mortalidad&#44; pese a que los agentes etiol&#243;gicos no parecen diferir de los habituales&#46;</p>"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Impact of epidemic type A influenzae in a defined adult population"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "WH Barker"
                            1 => "JP Mullooly"
                          ]
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Am JEpidem"
                        "fecha" => "1980"
                        "volumen" => "112"
                        "paginaInicial" => "798"
                        "paginaFinal" => "811"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
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              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Influenzae vaccination of elderly persons&#46; Reduction in pneumonia and in influence hospitalizations and death"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
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                            1 => "JP Mullooly"
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                        ]
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1980"
                        "volumen" => "244"
                        "paginaInicial" => "2547"
                        "paginaFinal" => "2549"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7431593"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
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                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "R Riquelme"
                            1 => "A Torres"
                            2 => "M El-Ebiary"
                            3 => "J Puig de la Bellacasa"
                            4 => "R Struch"
                            5 => "J Mensa"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:2 [
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                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Respir Crit Care Med"
                        "fecha" => "1996"
                        "volumen" => "154"
                        "paginaInicial" => "1450"
                        "paginaFinal" => "1455"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8912763"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Severe community-acquired pneumonia in the elderly&#58; epidemiology and prognosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J Rello"
                            1 => "R Rodr&#237;guez"
                            2 => "P Jubert"
                            3 => "B &#193;lvarez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Infect Dis"
                        "fecha" => "1996"
                        "volumen" => "23"
                        "paginaInicial" => "723"
                        "paginaFinal" => "728"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8909834"
                            "web" => "Medline"
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                      ]
                    ]
                  ]
                ]
              ]
            ]
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Comparative validation of prognostic rules for community-acquired pneumonia in an elderly population"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "S Ewig"
                            1 => "T Kleinfeld"
                            2 => "T Bauer"
                            3 => "K Seifert"
                            4 => "H Schafer"
                            5 => "N Goke"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "1999"
                        "volumen" => "14"
                        "paginaInicial" => "370"
                        "paginaFinal" => "375"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Neumon&#237;a adquirida en la comunidad en el anciano inmunocompetente que requiere hospitalizaci&#243;n&#46; Cuadro cl&#237;nico&#44; factores pron&#243;sticos y tratamiento"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "F Sald&#237;as"
                            1 => "A O&#39;Brien"
                            2 => "A Gederlini"
                            3 => "G Far&#237;as"
                            4 => "A D&#237;az"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2003"
                        "volumen" => "39"
                        "paginaInicial" => "333"
                        "paginaFinal" => "340"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12890400"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Community-acquired pneumonia in the elderly&#58; Spanish multicentre study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "R Zalaca&#237;n"
                            1 => "A Torres"
                            2 => "R Celis"
                            3 => "J Blanquer"
                            4 => "J Aspa"
                            5 => "L Esteban"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "2003"
                        "volumen" => "21"
                        "paginaInicial" => "294"
                        "paginaFinal" => "302"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12608444"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A comparison of nursing home-acquired pneumonia patients with patients with community-acquired pneumonia and nursing home patients without pneumonia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "TJ Marie"
                            1 => "W Blanchard"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Geriatr Soc"
                        "fecha" => "1997"
                        "volumen" => "45"
                        "paginaInicial" => "50"
                        "paginaFinal" => "55"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8994487"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Differences in aetiology of pneumonia in nursing home and community patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "JL Garb"
                            1 => "RB Brown"
                            2 => "JR Garb"
                            3 => "RW Tuthill"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1978"
                        "volumen" => "240"
                        "paginaInicial" => "2169"
                        "paginaFinal" => "2172"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/359845"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Community-acquired pneumonia in older patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "JP Janssens"
                            1 => "L Gauthey"
                            2 => "F Herrmann"
                            3 => "L Tkatch"
                            4 => "JP Michel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Geriatr Soc"
                        "fecha" => "1996"
                        "volumen" => "44"
                        "paginaInicial" => "539"
                        "paginaFinal" => "544"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8617902"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A prospective comparison of nursing home acquired pneumonia with community acquired pneumonia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "WS Lim"
                            1 => "JT MacFarlane"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "2001"
                        "volumen" => "18"
                        "paginaInicial" => "362"
                        "paginaFinal" => "368"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11529297"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evidence-based guidelines for management of nursing home-acquired pneumonia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E Hutt"
                            1 => "AM Kramer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Fam Pract"
                        "fecha" => "2002"
                        "volumen" => "51"
                        "paginaInicial" => "709"
                        "paginaFinal" => "716"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12184969"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A pilot study of the Functional Living Index-Cancer &#40;FLIC&#41; scale assessment of quality of life for metastatic lung cancer patients&#46; A Cooperative Oncology Group Study &#40;ECOG&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "DM Finkelstein"
                            1 => "BR Cassileth"
                            2 => "PD Bonomi"
                            3 => "JC Ruckdeschel"
                            4 => "EZ Ezdinli"
                            5 => "JM Wolter"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Clin Oncol"
                        "fecha" => "1988"
                        "volumen" => "11"
                        "paginaInicial" => "630"
                        "paginaFinal" => "633"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3055933"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Functional evaluation&#58; the Barthel index"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "FI Mahoney"
                            1 => "DW Barthel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "State Med J"
                        "fecha" => "1965"
                        "volumen" => "14"
                        "paginaInicial" => "61"
                        "paginaFinal" => "65"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15"
              "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:6 [
                            0 => "MJ Fine"
                            1 => "TE Auble"
                            2 => "DM Yealy"
                            3 => "BH Hanusa"
                            4 => "LA Weissfeld"
                            5 => "DE Singer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "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"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Defining prognostic factors in the elderly with community acquired pneumonia&#58; a case controlled study of patients aged &#62;75 years"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "WS Lim"
                            1 => "JT MacFarlane"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "2001"
                        "volumen" => "17"
                        "paginaInicial" => "200"
                        "paginaFinal" => "205"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11334120"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Guidelines for the management of community-acquired pneumonia in adults admitted to hospital"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "The British Thoracic Society"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Br J Hosp Med"
                        "fecha" => "1993"
                        "volumen" => "49"
                        "paginaInicial" => "346"
                        "paginaFinal" => "350"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Duration of length of stay in pneumonia&#58; influence of clinical factors and hospital type"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "R Men&#233;ndez"
                            1 => "MJ Cremades"
                            2 => "E Mart&#237;nez-Morag&#243;n"
                            3 => "JJ Soler"
                            4 => "S Reyes"
                            5 => "M Perpi&#241;&#225;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "2003"
                        "volumen" => "22"
                        "paginaInicial" => "643"
                        "paginaFinal" => "648"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14582918"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Process of care performance&#44; patient characteristics&#44; and outcomes in elderly patients hospitalized with community-acquired or nursing home-acquired pneumonia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "TP Meehan"
                            1 => "JM Chua-Reyes"
                            2 => "J Tate"
                            3 => "KM Prestwood"
                            4 => "JD Scinto"
                            5 => "MK Petrillo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2002"
                        "volumen" => "117"
                        "paginaInicial" => "1378"
                        "paginaFinal" => "1385"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10807825"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hospitalized community-acquired pneumonia in the elderly"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "V Kaplan"
                            1 => "DC Angus"
                            2 => "MF Griffin"
                            3 => "G Clermont"
                            4 => "RS Watson"
                            5 => "WT Lindezwirble"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/ajrccm.165.6.2103038"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Respir Crit Care Med"
                        "fecha" => "2002"
                        "volumen" => "165"
                        "paginaInicial" => "766"
                        "paginaFinal" => "772"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11897642"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
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