Original Articles
Impact of an On-duty Pulmonologist on the Activity of a Respiratory Medicine Department
Miguel Carrera, Alexandre Palou, Ernest Sala, Catalina Balaguer, Mónica de la Peña, Àlvar Agustí
Corresponding author
aagusti@hsd.es
Correspondence: Dr A.G.N. Agustí Servicio de Neumología, Hospital Universitario Son Dureta Andrea Doria, 55 07014 Palma de Mallorca, Islas Baleares, Spain
Correspondence: Dr A.G.N. Agustí Servicio de Neumología, Hospital Universitario Son Dureta Andrea Doria, 55 07014 Palma de Mallorca, Islas Baleares, Spain
Servicio de Neumología, Hospital Universitario Son Dureta, Fundación Caubet-Cimera, Palma de Mallorca, Islas Baleares; CIBER of Respiratory Diseases (CibeRes), ISC III, Ministry of Health, Spain
Read
3684
Timeswas read the article
1671
Total PDF
2013
Total HTML
Share statistics
array:23 [ "pii" => "S1579212908600877" "issn" => "15792129" "doi" => "10.1016/S1579-2129(08)60087-7" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "60087" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica (SEPAR)" "copyrightAnyo" => "2008" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 2008;44:484-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1933 "formatos" => array:3 [ "EPUB" => 98 "HTML" => 1298 "PDF" => 537 ] ] "itemSiguiente" => array:18 [ "pii" => "S1579212908600889" "issn" => "15792129" "doi" => "10.1016/S1579-2129(08)60088-9" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "60088" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica (SEPAR)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 2008;44:489-92" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2150 "formatos" => array:3 [ "EPUB" => 101 "HTML" => 1403 "PDF" => 646 ] ] "en" => array:8 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Special Article</span>" "titulo" => "CIBER of Respiratory Diseases (CibeRes)" "tienePdf" => "en" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "489" "paginaFinal" => "492" ] ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Àlvar Agustí, Francisco Pozo, Paloma Vaquer" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Àlvar" "apellidos" => "Agustí" ] 1 => array:2 [ "nombre" => "Francisco" "apellidos" => "Pozo" ] 2 => array:2 [ "nombre" => "Paloma" "apellidos" => "Vaquer" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212908600889?idApp=UINPBA00003Z" "url" => "/15792129/0000004400000009/v1_201305150400/S1579212908600889/v1_201305150400/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1579212908600865" "issn" => "15792129" "doi" => "10.1016/S1579-2129(08)60086-5" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "60086" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica (SEPAR)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 2008;44:478-83" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3008 "formatos" => array:3 [ "EPUB" => 104 "HTML" => 2208 "PDF" => 696 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Articles</span>" "titulo" => "Effectiveness and Tolerance of Antituberculosis Treatment Regimens Without Isoniazid and Rifampicin: Analysis of 85 Cases" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "478" "paginaFinal" => "483" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "José R. Tost, Rafael Vidal, José Maldonado, Joan A. Caylà" "autores" => array:4 [ 0 => array:2 [ "nombre" => "José R." "apellidos" => "Tost" ] 1 => array:2 [ "nombre" => "Rafael" "apellidos" => "Vidal" ] 2 => array:2 [ "nombre" => "José" "apellidos" => "Maldonado" ] 3 => array:2 [ "nombre" => "Joan A." "apellidos" => "Caylà" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212908600865?idApp=UINPBA00003Z" "url" => "/15792129/0000004400000009/v1_201305150400/S1579212908600865/v1_201305150400/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Articles</span>" "titulo" => "Impact of an On-duty Pulmonologist on the Activity of a Respiratory Medicine Department" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "484" "paginaFinal" => "488" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Miguel Carrera, Alexandre Palou, Ernest Sala, Catalina Balaguer, Mónica de la Peña, Àlvar Agustí" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Miguel" "apellidos" => "Carrera" ] 1 => array:2 [ "nombre" => "Alexandre" "apellidos" => "Palou" ] 2 => array:2 [ "nombre" => "Ernest" "apellidos" => "Sala" ] 3 => array:2 [ "nombre" => "Catalina" "apellidos" => "Balaguer" ] 4 => array:2 [ "nombre" => "Mónica" "apellidos" => "de la Peña" ] 5 => array:4 [ "nombre" => "Àlvar" "apellidos" => "Agustí" "email" => array:1 [ 0 => "aagusti@hsd.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neumología, Hospital Universitario Son Dureta, Fundación Caubet-Cimera, Palma de Mallorca, Islas Baleares; CIBER of Respiratory Diseases (CibeRes), ISC III, Ministry of Health, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr A.G.N. Agustí Servicio de Neumología, Hospital Universitario Son Dureta Andrea Doria, 55 07014 Palma de Mallorca, Islas Baleares, Spain" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-08-16" "fechaAceptado" => "2008-02-05" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec155399" "palabras" => array:3 [ 0 => "Health care quality" 1 => "Continuous care" 2 => "Health care management" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec155398" "palabras" => array:3 [ 0 => "Calidad asistencial" 1 => "Atención continuada" 2 => "Gestión sanitaria" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To evaluate the impact on health care and clinical management of 24-hour coverage by an on-site pulmonologist in a respiratory medicine department.</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">In February 2004, a new respiratory medicine 24-hour duty service was started in our hospital. The activity of the on-duty pulmonologist during the following 12 months was systematically and prospectively recorded. The results were put into perspective by comparing the number of monthly admissions and the mean length of stay during the study period with those of the previous 12-month period.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">During the study period, the on-duty pulmonologist received a mean (SD) of 9.02 (5.27) emergency calls every day, performed 202 diagnostic or therapeutic interventions, and discharged 342 patients. During this period, 1305 patients were admitted to the department (mean length of stay, 8.1 days), whereas in the previous 12 months, with no on-site pulmonologist, 1680 patients were admitted (mean length of stay, 9.0 days). This represents a 22.3% reduction in the annual number of admissions and a reduction in the mean stay by almost 1 day (0.9 days).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The provision of an on-duty pulmonologist was efficient because it facilitated patient turnaround.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Analizar qué impacto asistencial y de gestión clínica tiene la implantación de guardias de presencia física continuada en un servicio de neumología.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">En febrero de 2004 se introdujeron las guardias de neumología en el Hospital Universitario Son Dureta. Durante un año, hasta enero de 2005, se recogió de forma prospectiva y sistemática la actividad realizada por el/la neumólogo/a de guardia. Con objeto de situar estos resultados en perspectiva, se ha comparado el número de ingresos mensuales y su estancia media durante los 12 meses en que se ha dispuesto de guardia de neumología y los 12 meses inmediatamente anteriores.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Durante los 12 meses evaluados, el/la neumólogo/a de guardia recibió una media ± desviación estándar de 9,02 ± 5,27 avisos urgentes cada día, realizó 202 técnicas diagnósticas/terapéuticas y dio de alta a 342 pacientes. Durante este período ingresaron en el servicio 1.305 pacientes (estancia media: 8,1 días), mientras que en los 12 meses previos, sin guardia de la especialidad, habían ingresado en el servicio 1.680 pacientes (estancia media: 9,0 días); esto supone una reducción del 22,3% del número anual de ingresos y una disminución de la estancia media de los pacientes ingresados de prácticamente un día (0,9 días).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La implantación de guardias de neumología ha sido una medida eficiente, que ha contribuido a agilizar la rotación de los pacientes ingresados.</p>" ] ] "NotaPie" => array:1 [ 0 => array:1 [ "nota" => "<p class="elsevierStyleNotepara">Partly funded by ABEMAR and the I3SNS program (Línea de Intensificación de la Investigación).</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:27 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Predictors of inappropriate hospital days in a department of internal medicine" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P Chopard" 1 => "TV Perneger" 2 => "JM Gaspoz" 3 => "C Lovis" 4 => "D Gousset" 5 => "C Rouillard" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Int J Epidemiol" "fecha" => "1998" "volumen" => "27" "paginaInicial" => "513" "paginaFinal" => "519" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9698145" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "Heart National" 1 => "Lung, and Blood Institute" ] ] ] ] ] "host" => array:2 [ 0 => array:1 [ "Libro" => array:4 [ "titulo" => "Morbidity and Mortality: 2002 Chart Book on Cardiovascular, Lung, and Blood Diseases" "fecha" => "May 2002" "editorial" => "U.S. Department of Health and Human Services, NIH, NHLBI" "editorialLocalizacion" => "Bethesda, Maryland" ] ] 1 => array:1 [ "WWW" => array:1 [ "link" => "Available from: http://www.nhlbi.nih.gov/resources/docs/02_chtbk.pdf" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Estudio epidemiológico de la EPOC en España (IBERPOC): reclutamiento y trabajo de campo" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M Miravitlles" 1 => "V Sobradillo" 2 => "C Villasante" 3 => "R Gabriel" 4 => "F Masa" 5 => "C Jiménez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1999" "volumen" => "35" "paginaInicial" => "152" "paginaFinal" => "158" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10330535" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Costs of chronic bronchitis and COPD: a 1-year follow-up study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M Miravitlles" 1 => "C Murio" 2 => "T Guerrero" 3 => "R Gisbert" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Chest" "fecha" => "2003" "volumen" => "123" "paginaInicial" => "78491" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Emergency admissions: what is driving the increase?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "S Kendrick" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Health Serv J" "fecha" => "1995" "volumen" => "105" "paginaInicial" => "26" "paginaFinal" => "28" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10153882" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A prospective study of reasons for prolonged hospitalizations on a general medicine teaching service" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "MR Carey" 1 => "H Sheth" 2 => "RS Braithwaite" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1525-1497.2005.40269.x" "Revista" => array:6 [ "tituloSerie" => "J Gen Intern Med" "fecha" => "2005" "volumen" => "20" "paginaInicial" => "108" "paginaFinal" => "115" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15836542" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Adecuación de los ingresos hospitalarios en un servicio de neumología" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "F Campos Rodríguez" 1 => "I de la Cruz Morón" 2 => "L López Rodríguez" 3 => "A Díaz Martínez" 4 => "M Tejedor Fernández" 5 => "F Muñoz Lucena" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2006" "volumen" => "42" "paginaInicial" => "440" "paginaFinal" => "445" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17040659" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evidence for a link between mortality in acute COPD and hospital type and resources" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "CM Roberts" 1 => "S Barnes" 2 => "D Lowe" 3 => "MG Pearson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "2003" "volumen" => "58" "paginaInicial" => "947" "paginaFinal" => "949" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14586045" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "UK National COPD Audit 2003: impact of hospital resources and organisation of care on patient outcome following admission for acute COPD exacerbation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "LC Price" 1 => "D Lowe" 2 => "HS Hosker" 3 => "K Anstey" 4 => "MG Pearson" 5 => "CM Roberts" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/thx.2005.049940" "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "2006" "volumen" => "61" "paginaInicial" => "837" "paginaFinal" => "842" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16449268" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Variability in the organisation and management of hospital care for COPD exacerbations in the UK" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "H Hosker" 1 => "K Anstey" 2 => "D Lowe" 3 => "M Pearson" 4 => "CM Roberts" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.rmed.2006.08.016" "Revista" => array:6 [ "tituloSerie" => "Respir Med" "fecha" => "2007" "volumen" => "101" "paginaInicial" => "754" "paginaFinal" => "761" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17045788" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Guidelines on critical care services and personnel: recommendations based on a system of categorization of three levels of care" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "MT Haupt" 1 => "CE Bekes" 2 => "RJ Brilli" 3 => "LC Carl" 4 => "AW Gray" 5 => "MS Jastremski" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/01.CCM.0000094227.89800.93" "Revista" => array:6 [ "tituloSerie" => "Crit Care Med" "fecha" => "2003" "volumen" => "31" "paginaInicial" => "2677" "paginaFinal" => "2683" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14605541" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "PJ Pronovost" 1 => "DC Angus" 2 => "T Dorman" 3 => "KA Robinson" 4 => "TT Dremsizov" 5 => "TL Young" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "JAMA" "fecha" => "2002" "volumen" => "288" "paginaInicial" => "2151" "paginaFinal" => "2162" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12413375" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Improved survival with hospitalists in a pediatric intensive care unit" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "PA Tenner" 1 => "H Dibrell" 2 => "RP Taylor" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/01.CCM.0000055376.01875.C3" "Revista" => array:6 [ "tituloSerie" => "Crit Care Med" "fecha" => "2003" "volumen" => "31" "paginaInicial" => "847" "paginaFinal" => "852" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12626995" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib14" "etiqueta" => "14" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Supported discharge shortens hospital stay in patients hospitalised because of an exacerbation of chronic obstructive pulmonary disease (COPD)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E Sala" 1 => "L Alegre" 2 => "M Carrera" 3 => "M Ibars" 4 => "FJ Orriols" 5 => "ML Blanco" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "2001" "volumen" => "17" "paginaInicial" => "1138" "paginaFinal" => "1142" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11491156" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib15" "etiqueta" => "15" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Actividad asistencial" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "Hospital Universitario Son Dureta" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "WWW" => array:1 [ "link" => "Available from: www.hsd.es" ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib16" "etiqueta" => "16" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "When overcrowding paralyzes an emergency department" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "JR Twanmoh" 1 => "GP Cunningham" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Manag Care" "fecha" => "2006" "volumen" => "15" "paginaInicial" => "54" "paginaFinal" => "59" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17168072" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0735109704013403" "estado" => "S300" "issn" => "07351097" ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib17" "etiqueta" => "17" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Resource utilisation, length of hospital stay, and pattern of investigation during acute medical hospital admission" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R McMullan" 1 => "B Silke" 2 => "K Bennett" 3 => "S Callachand" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Postgrad Med J" "fecha" => "2004" "volumen" => "80" "paginaInicial" => "23" "paginaFinal" => "26" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14760174" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib18" "etiqueta" => "18" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Urgencias hospitalarias o colapso crónico: los pacientes crónicos no deberían colapsar urgencias" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "C Domingo" 1 => "V Ortún" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2006" "volumen" => "42" "paginaInicial" => "257" "paginaFinal" => "259" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16827972" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib19" "etiqueta" => "19" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Resultados de dos programas con intervención domiciliaria dirigidos a pacientes con enfermedad pulmonar obstructiva crónica evolucionada" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "T Pascual-Pape" 1 => "JR Badia" 2 => "RM Marrades" 3 => "C Hernández" 4 => "E Ballester" 5 => "C Fornas" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Med Clin (Barc)" "fecha" => "2003" "volumen" => "120" "paginaInicial" => "408" "paginaFinal" => "411" "itemHostRev" => array:3 [ "pii" => "S0300893212000358" "estado" => "S300" "issn" => "03008932" ] ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib20" "etiqueta" => "20" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Efectividad y eficiencia de una consulta monográfica hospitalaria para pacientes con EPOC e insuficiencia respiratoria" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "C Domingo" 1 => "J Sans-Torres" 2 => "J Sola" 3 => "H Espuelas" 4 => "A Marín" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arch Broconeumol" "fecha" => "2006" "volumen" => "42" "paginaInicial" => "104" "paginaFinal" => "112" ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib21" "etiqueta" => "21" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "“Hospital at home” versus hospital care in patients with exacerbations of chronic obstructive pulmonary disease: prospective randomised controlled trial" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "L Davies" 1 => "M Wilkinson" 2 => "S Bonner" 3 => "PMA Calverley" 4 => "RM Angus" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "BMJ" "fecha" => "2000" "volumen" => "321" "paginaInicial" => "1265" "paginaFinal" => "1268" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11082090" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib22" "etiqueta" => "22" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Effects of physician experience on costs and outcomes on an academic general medicine service: results of a trial of hospitalists" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "D Meltzer" 1 => "WG Manning" 2 => "J Morrison" 3 => "MN Shah" 4 => "L Jin" 5 => "T Guth" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Intern Med" "fecha" => "2002" "volumen" => "137" "paginaInicial" => "866" "paginaFinal" => "874" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12458986" "web" => "Medline" ] ] ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib23" "etiqueta" => "23" "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" => "10.1056/NEJM199509283331301" "Revista" => array:7 [ "tituloSerie" => "N Engl J Med" "fecha" => "1995" "volumen" => "333" "paginaInicial" => "817" "paginaFinal" => "822" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7651472" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0735109708007122" "estado" => "S300" "issn" => "07351097" ] ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib24" "etiqueta" => "24" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Early goal-directed therapy in the treatment of severe sepsis and septic shock" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E Rivers" 1 => "B Nguyen" 2 => "S Havstad" 3 => "J Ressler" 4 => "A Muzzin" 5 => "B Knoblich" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJMoa010307" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "2001" "volumen" => "345" "paginaInicial" => "1368" "paginaFinal" => "1377" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11794169" "web" => "Medline" ] ] ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib25" "etiqueta" => "25" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Randomized, prospective trial of noninvasive positive pressure ventilation in acute respiratory failure" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "N Kramer" 1 => "TJ Meyer" 2 => "J Meharg" 3 => "RD Cece" 4 => "NS Hill" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm.151.6.7767523" "Revista" => array:6 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "1995" "volumen" => "151" "paginaInicial" => "1799" "paginaFinal" => "1806" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7767523" "web" => "Medline" ] ] ] ] ] ] ] ] 25 => array:3 [ "identificador" => "bib26" "etiqueta" => "26" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Twenty-four hour presence of physicians in the ICU" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "H Burchardi" 1 => "O Moerer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Crit Care" "fecha" => "2001" "volumen" => "5" "paginaInicial" => "131" "paginaFinal" => "137" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11353929" "web" => "Medline" ] ] ] ] ] ] ] ] 26 => array:3 [ "identificador" => "bib27" "etiqueta" => "27" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "1993. Realización e interpretación de los estudios descriptivos" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M Jenicek" 1 => "R Cleroux" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:5 [ "titulo" => "Epidemiología: principios y técnicas" "paginaInicial" => "77" "paginaFinal" => "96" "edicion" => "1st ed." "serieFecha" => "1993" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000004400000009/v1_201305150400/S1579212908600877/v1_201305150400/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/15792129/0000004400000009/v1_201305150400/S1579212908600877/v1_201305150400/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212908600877?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 2 | 4 |
| 2024 October | 26 | 15 | 41 |
| 2024 September | 30 | 14 | 44 |
| 2024 August | 40 | 35 | 75 |
| 2024 July | 20 | 20 | 40 |
| 2024 June | 31 | 30 | 61 |
| 2024 May | 36 | 36 | 72 |
| 2024 April | 17 | 22 | 39 |
| 2024 March | 15 | 13 | 28 |
| 2024 February | 22 | 13 | 35 |
| 2023 March | 3 | 4 | 7 |
| 2023 February | 15 | 18 | 33 |
| 2023 January | 17 | 33 | 50 |
| 2022 December | 13 | 21 | 34 |
| 2022 November | 15 | 23 | 38 |
| 2022 October | 20 | 35 | 55 |
| 2022 September | 11 | 16 | 27 |
| 2022 August | 25 | 38 | 63 |
| 2022 July | 20 | 45 | 65 |
| 2022 June | 14 | 27 | 41 |
| 2022 May | 15 | 26 | 41 |
| 2022 April | 14 | 26 | 40 |
| 2022 March | 12 | 29 | 41 |
| 2022 February | 12 | 19 | 31 |
| 2022 January | 13 | 35 | 48 |
| 2021 December | 18 | 46 | 64 |
| 2021 November | 13 | 48 | 61 |
| 2021 October | 16 | 49 | 65 |
| 2021 September | 14 | 58 | 72 |
| 2021 August | 7 | 29 | 36 |
| 2021 July | 14 | 27 | 41 |
| 2021 June | 13 | 28 | 41 |
| 2021 May | 12 | 30 | 42 |
| 2021 April | 19 | 36 | 55 |
| 2021 March | 17 | 21 | 38 |
| 2021 February | 13 | 22 | 35 |
| 2021 January | 10 | 12 | 22 |
| 2020 December | 8 | 20 | 28 |
| 2020 November | 8 | 12 | 20 |
| 2020 October | 5 | 9 | 14 |
| 2020 September | 8 | 8 | 16 |
| 2020 August | 9 | 14 | 23 |
| 2020 July | 9 | 13 | 22 |
| 2020 June | 3 | 3 | 6 |
| 2020 May | 11 | 14 | 25 |
| 2020 April | 14 | 20 | 34 |
| 2020 March | 11 | 13 | 24 |
| 2020 February | 11 | 16 | 27 |
| 2020 January | 9 | 17 | 26 |
| 2019 December | 17 | 16 | 33 |
| 2019 November | 11 | 14 | 25 |
| 2019 October | 6 | 10 | 16 |
| 2019 September | 11 | 9 | 20 |
| 2019 August | 13 | 11 | 24 |
| 2019 July | 12 | 11 | 23 |
| 2019 June | 9 | 5 | 14 |
| 2019 May | 8 | 6 | 14 |
| 2019 April | 21 | 26 | 47 |
| 2019 March | 19 | 16 | 35 |
| 2019 February | 13 | 8 | 21 |
| 2019 January | 6 | 10 | 16 |
| 2018 December | 11 | 6 | 17 |
| 2018 November | 22 | 10 | 32 |
| 2018 October | 17 | 18 | 35 |
| 2018 September | 10 | 9 | 19 |
| 2018 May | 3 | 0 | 3 |
| 2018 April | 9 | 8 | 17 |
| 2018 March | 7 | 4 | 11 |
| 2018 February | 5 | 8 | 13 |
| 2018 January | 5 | 8 | 13 |
| 2017 December | 4 | 8 | 12 |
| 2017 November | 4 | 1 | 5 |
| 2017 October | 4 | 5 | 9 |
| 2017 September | 6 | 7 | 13 |
| 2017 August | 6 | 7 | 13 |
| 2017 July | 6 | 7 | 13 |
| 2017 June | 4 | 10 | 14 |
| 2017 May | 5 | 4 | 9 |
| 2017 April | 2 | 5 | 7 |
| 2017 March | 7 | 4 | 11 |
| 2017 February | 0 | 4 | 4 |
| 2017 January | 3 | 3 | 6 |
| 2016 December | 7 | 10 | 17 |
| 2016 November | 6 | 7 | 13 |
| 2016 October | 10 | 6 | 16 |
| 2016 September | 13 | 4 | 17 |
| 2016 August | 15 | 7 | 22 |
| 2016 July | 8 | 5 | 13 |
| 2016 March | 2 | 0 | 2 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 26 | 6 | 32 |
| 2015 September | 28 | 4 | 32 |
| 2015 August | 22 | 6 | 28 |
| 2015 July | 31 | 6 | 37 |
| 2015 June | 27 | 2 | 29 |
| 2015 May | 41 | 5 | 46 |
| 2015 April | 23 | 6 | 29 |
| 2015 March | 16 | 7 | 23 |
| 2015 February | 24 | 2 | 26 |
| 2015 January | 20 | 4 | 24 |
| 2014 December | 19 | 4 | 23 |
| 2014 November | 15 | 6 | 21 |
| 2014 October | 36 | 5 | 41 |
| 2014 September | 20 | 6 | 26 |
| 2014 August | 30 | 8 | 38 |
| 2014 July | 22 | 9 | 31 |
| 2014 June | 36 | 8 | 44 |
| 2014 May | 35 | 8 | 43 |
| 2014 April | 43 | 1 | 44 |
| 2014 March | 52 | 6 | 58 |
| 2014 February | 37 | 9 | 46 |
| 2014 January | 26 | 7 | 33 |
| 2013 December | 29 | 13 | 42 |
| 2013 November | 28 | 7 | 35 |
| 2013 October | 38 | 5 | 43 |
| 2013 September | 31 | 11 | 42 |
| 2013 August | 31 | 3 | 34 |
| 2013 July | 49 | 10 | 59 |
| 2013 June | 34 | 5 | 39 |
| 2013 May | 36 | 8 | 44 |
| 2013 April | 23 | 5 | 28 |
| 2013 March | 6 | 2 | 8 |
Show all
