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Evaluation of a Home Hospitalization Program in Patients With Exacerbations of Chronic Obstructive Pulmonary Disease
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"apellidos" => "Díaz Lobato" "email" => array:1 [ 0 => "sdl01m@nacom.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" => "F." "apellidos" => "González Lorenzo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "M.A." "apellidos" => "Gómez Mendieta" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 3 => array:3 [ "nombre" => "S." "apellidos" => "Mayoralas Alises" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 4 => array:3 [ "nombre" => "I." "apellidos" => "Martín Arechabala" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] 5 => array:3 [ "nombre" => "C." "apellidos" => "Villasante Fernández-Montes" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Neumología, Hospital Universitario La Paz, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Neumología, Hospital de Móstoles, Móstoles, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "Departamento de Nuevos Desarrollos, Carburos Metálicos, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. S. Díaz Lobato. Federico García Lorca, 2, portal 7, 2.° A. 28770 Madrid. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-04-08" "fechaAceptado" => "2004-05-04" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec153641" "palabras" => array:4 [ 0 => "Chronic obstructive pulmonary disease" 1 => "COPD" 2 => "Home hospitalization" 3 => "Early discharge" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec153642" "palabras" => array:3 [ 0 => "Enfermedad pulmonar obstructiva crónica agudizada" 1 => "EPOC" 2 => "Hospitalización domiciliaria. Alta temprana" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">We carried out a randomized controlled trial to evaluate the efficacy of a home hospitalization (HH) program for patients hospitalized for exacerbation of chronic obstructive pulmonary disease (COPD).</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">Patients who were clinically stable and had stable arterial blood gases were randomized to the conventional hospitalization group or the HH group.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Of the 88 patients evaluated, 40 (20 in each group) were enrolled. No differences were observed in baseline characteristics, in clinical recovery, or arterial blood gases between the 2 groups at discharge. At 1-month follow up there were no differences in mortality or in the number of readmissions. The mean length of hospitalization in patients with HH was 9.2 days (4 days in hospital and 5 days at home), compared to 12.2 days in patients with conventional hospitalization.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Our results show that a hospital-supervised HH program including the participation of pneumologists and nursing staff allows for the recovery of patients hospitalized for exacerbation of COPD who have stable symptoms and arterial blood gases with no increase in the rate of readmission, relapse, or therapeutic failure.</p><p class="elsevierStyleSimplePara elsevierViewall">Evaluación de un programa de hospitalización domiciliaria en pacientes con EPOC agudizada</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha realizado un estudio prospectivo, controlado y aleatorizado en grupos paralelos con el fin de evaluar la eficacia de un programa de hospitalización domiciliaria (HD) en pacientes ingresados en el hospital por agudización de la enfermedad pulmonar obstructiva crónica (EPOC).</p> <span class="elsevierStyleSectionTitle">Pacientes Y Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Los pacientes que cumplían criterios de estabilidad clínica y gasométrica al tercer día se aleatorizaron al grupo de hospitalización convencional o al grupo HD.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">De los 88 pacientes valorados se incluyó a 40 (20 en cada grupo). No se apreciaron diferencias en las características basales, en la recuperación clínica ni en la gasometría al alta entre ambos grupos. Al mes de seguimiento no hubo diferencias en la mortalidad ni en el número de read-misiones. La estancia media de los pacientes con HD fue de 9,2 días (4 días en el hospital y 5 días en su domicilio), frente a los 12,2 días que permanecieron los pacientes en el hospital.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Nuestros resultados demuestran que un programa de HD controlado desde el hospital, con participación de neumólogos y personal de enfermería, en enfermos ingresados con exacerbación de la EPOC que cumplen unos requisitos de estabilidad clínica y gasométrica, permite la recuperación del paciente sin un aumento en la tasa de reingresos, recaídas o fracasos terapéuticos.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:32 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "2002: un buen año capicúa para la EPOC" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R Rodríguez Roisín" 1 => "JL Álvarez-Sala" 2 => "V Sobradillo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 5 | 7 |
| 2024 October | 30 | 14 | 44 |
| 2024 September | 29 | 16 | 45 |
| 2024 August | 51 | 52 | 103 |
| 2024 July | 29 | 22 | 51 |
| 2024 June | 26 | 20 | 46 |
| 2024 May | 35 | 23 | 58 |
| 2024 April | 16 | 25 | 41 |
| 2024 March | 14 | 15 | 29 |
| 2024 February | 16 | 21 | 37 |
| 2023 September | 0 | 3 | 3 |
| 2023 March | 1 | 1 | 2 |
| 2023 February | 12 | 18 | 30 |
| 2023 January | 18 | 24 | 42 |
| 2022 December | 22 | 25 | 47 |
| 2022 November | 15 | 15 | 30 |
| 2022 October | 18 | 45 | 63 |
| 2022 September | 12 | 26 | 38 |
| 2022 August | 16 | 41 | 57 |
| 2022 July | 14 | 35 | 49 |
| 2022 June | 29 | 32 | 61 |
| 2022 May | 40 | 24 | 64 |
| 2022 April | 32 | 25 | 57 |
| 2022 March | 27 | 31 | 58 |
| 2022 February | 15 | 24 | 39 |
| 2022 January | 24 | 28 | 52 |
| 2021 December | 18 | 34 | 52 |
| 2021 November | 32 | 33 | 65 |
| 2021 October | 25 | 40 | 65 |
| 2021 September | 17 | 39 | 56 |
| 2021 August | 15 | 30 | 45 |
| 2021 July | 19 | 24 | 43 |
| 2021 June | 16 | 28 | 44 |
| 2021 May | 18 | 28 | 46 |
| 2021 April | 43 | 76 | 119 |
| 2021 March | 16 | 16 | 32 |
| 2021 February | 19 | 13 | 32 |
| 2021 January | 12 | 19 | 31 |
| 2020 December | 12 | 12 | 24 |
| 2020 November | 16 | 14 | 30 |
| 2020 October | 13 | 6 | 19 |
| 2020 September | 8 | 10 | 18 |
| 2020 August | 7 | 6 | 13 |
| 2020 July | 13 | 11 | 24 |
| 2020 June | 11 | 4 | 15 |
| 2020 May | 12 | 17 | 29 |
| 2020 April | 16 | 14 | 30 |
| 2020 March | 10 | 17 | 27 |
| 2020 February | 21 | 16 | 37 |
| 2020 January | 13 | 21 | 34 |
| 2019 December | 17 | 9 | 26 |
| 2019 November | 10 | 15 | 25 |
| 2019 October | 6 | 6 | 12 |
| 2019 September | 9 | 10 | 19 |
| 2019 August | 9 | 9 | 18 |
| 2019 July | 15 | 19 | 34 |
| 2019 June | 9 | 6 | 15 |
| 2019 May | 11 | 13 | 24 |
| 2019 April | 45 | 26 | 71 |
| 2019 March | 13 | 27 | 40 |
| 2019 February | 9 | 12 | 21 |
| 2019 January | 4 | 7 | 11 |
| 2018 December | 15 | 18 | 33 |
| 2018 November | 10 | 17 | 27 |
| 2018 October | 12 | 13 | 25 |
| 2018 September | 7 | 11 | 18 |
| 2018 May | 9 | 0 | 9 |
| 2018 April | 4 | 7 | 11 |
| 2018 March | 1 | 4 | 5 |
| 2018 February | 6 | 7 | 13 |
| 2018 January | 2 | 5 | 7 |
| 2017 December | 3 | 6 | 9 |
| 2017 November | 5 | 5 | 10 |
| 2017 October | 8 | 5 | 13 |
| 2017 September | 7 | 11 | 18 |
| 2017 August | 8 | 7 | 15 |
| 2017 July | 5 | 8 | 13 |
| 2017 June | 12 | 22 | 34 |
| 2017 May | 5 | 4 | 9 |
| 2017 April | 3 | 3 | 6 |
| 2017 March | 1 | 27 | 28 |
| 2017 February | 2 | 3 | 5 |
| 2017 January | 3 | 3 | 6 |
| 2016 December | 16 | 10 | 26 |
| 2016 November | 13 | 8 | 21 |
| 2016 October | 17 | 6 | 23 |
| 2016 September | 23 | 8 | 31 |
| 2016 August | 17 | 4 | 21 |
| 2016 July | 9 | 4 | 13 |
| 2016 March | 1 | 0 | 1 |
| 2016 February | 1 | 0 | 1 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 33 | 1 | 34 |
| 2015 September | 43 | 11 | 54 |
| 2015 August | 38 | 11 | 49 |
| 2015 July | 35 | 4 | 39 |
| 2015 June | 37 | 5 | 42 |
| 2015 May | 40 | 6 | 46 |
| 2015 April | 29 | 7 | 36 |
| 2015 March | 29 | 6 | 35 |
| 2015 February | 28 | 4 | 32 |
| 2015 January | 34 | 5 | 39 |
| 2014 December | 26 | 3 | 29 |
| 2014 November | 23 | 5 | 28 |
| 2014 October | 29 | 8 | 37 |
| 2014 September | 30 | 4 | 34 |
| 2014 August | 33 | 8 | 41 |
| 2014 July | 31 | 5 | 36 |
| 2014 June | 49 | 5 | 54 |
| 2014 May | 59 | 7 | 66 |
| 2014 April | 49 | 6 | 55 |
| 2014 March | 54 | 12 | 66 |
| 2014 February | 38 | 6 | 44 |
| 2014 January | 30 | 6 | 36 |
| 2013 December | 44 | 6 | 50 |
| 2013 November | 34 | 9 | 43 |
| 2013 October | 41 | 6 | 47 |
| 2013 September | 46 | 11 | 57 |
| 2013 August | 41 | 8 | 49 |
| 2013 July | 44 | 15 | 59 |
| 2013 June | 38 | 13 | 51 |
| 2013 May | 28 | 4 | 32 |
| 2013 April | 18 | 5 | 23 |
| 2013 March | 8 | 2 | 10 |
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