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A Year's Experience in an Intermediate Respiratory Care Unit
Cuidados respiratorios intermedios: un año de experiencia
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"etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "Cristóbal" "apellidos" => "Esteban" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "Urko" "apellidos" => "Aguirre" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 3 => array:3 [ "nombre" => "Mikel" "apellidos" => "Egurrola" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 4 => array:3 [ "nombre" => "Lander" "apellidos" => "Altube" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 5 => array:3 [ "nombre" => "Francisco Javier" "apellidos" => "Moraza" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 6 => array:3 [ "nombre" => "Alberto" "apellidos" => "Capelastegui" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Neumología, Hospital de Galdakao, Galdakao, Bizkaia, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Unidad de Investigación-CIBER de Epidemiología y Salud Pública (CIBERESP), Hospital de Galdakao, Galdakao, Bizkaia, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Cuidados respiratorios intermedios: un año de experiencia" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-11-11" "fechaAceptado" => "2009-03-03" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec155502" "palabras" => array:3 [ 0 => "Intermediate respiratory intensive care units" 1 => "Non-invasive mechanical ventilation" 2 => "Respiratory failure" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec155504" "palabras" => array:3 [ 0 => "Unidad de cuidados respiratorios intermedios (UCRI)" 1 => "Ventilación mecánica no invasiva" 2 => "Insuficiencia respiratoria" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to describe the characteristics and results of patients admitted to an intermediate respiratory care unit (IRCU).</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">We performed a 12-month prospective observational study of all the patients admitted to our IRCU during the study period. We analysed sociodemographic and clinical variables, the APACHE-II score, blood gas parameters, hospital stay duration, mortality, and hospital readmission.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">We evaluated 190 patients (64.2% men), with a mean age of 69.4 years. A score of greater than 2 on the Charlson index was recorded in 43.2% of patients. The mean APACHE-II score was 16.3 in the accident and emergency department and 14.3 on entering the IRCU. Fifty percent of the patients were admitted to receive ventilation and, of these, only 6 (5.7%) were admitted to be disconnected from the ventilator. The mean duration of stay in the IRCU was 3.7 days. The readmission rate was 12.7%. Mortality was 12.6% during hospitalisation and 11.6% 90 days after discharge.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The patients admitted to our IRCU were elderly, with considerable comorbidity and high mortality, both during hospitalisation and 90 days after being discharged from hospital. The results revealed no statistically significant differences (mean length of stay, readmission, mortality) according to the type of care administered to the patients (ventilation compared to monitoring).</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p class="elsevierStyleSimplePara elsevierViewall">El objetivo del presente estudio es describir las características y resultados de los pacientes ingresados en una unidad de cuidados respiratorios intermedios (UCRI).</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha realizado un estudio prospectivo y observacional de un año de duración, en el que se estudió a todos los pacientes ingresados en nuestra UCRI durante ese período. Se analizaron variables sociodemográficas, clínicas, escala APACHE-II, evolución gasométrica, duración de la estancia hospitalaria, mortalidad y reingreso hospitalario.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Evaluamos a 190 pacientes (un 64,2% varones), con una edad media de 69,4 años. El 43,2% tenía un índice de Charlson mayor de 2. El APACHE-II fue de 16,3 en el Servicio de Urgencias y de 14,3 al entrar en la UCRI. El 50% de los pacientes ingresó para recibir ventilación, y de ellos sólo 6 (5,7%) ingresaron para la desconexión del ventilador. La duración media de la estancia en la UCRI fue de 3,7 días. La tasa de reingresos fue del 12,7%. La mortalidad fue del 12,6% durante el episodio de hospitalización, y del 11,6% a los 90 días del alta.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Los ingresados en nuestra UCRI son pacientes mayores, con importante comorbilidad y mortalidad elevada, tanto durante el episodio de hospitalización como a los 90 días del alta hospitalaria. No hemos encontrado diferencias estadísticamente significativas en los resultados (estancia media, reingresos, mortalidad) en función del tipo de cuidados (ventilación frente a seguimiento) administrados al paciente.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:33 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Intensive respiratory care unit. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 1 | 5 |
| 2024 October | 50 | 18 | 68 |
| 2024 September | 50 | 15 | 65 |
| 2024 August | 68 | 29 | 97 |
| 2024 July | 26 | 22 | 48 |
| 2024 June | 32 | 23 | 55 |
| 2024 May | 34 | 23 | 57 |
| 2024 April | 19 | 26 | 45 |
| 2024 March | 19 | 13 | 32 |
| 2024 February | 16 | 21 | 37 |
| 2023 August | 0 | 2 | 2 |
| 2023 March | 3 | 3 | 6 |
| 2023 February | 16 | 16 | 32 |
| 2023 January | 17 | 42 | 59 |
| 2022 December | 20 | 25 | 45 |
| 2022 November | 34 | 20 | 54 |
| 2022 October | 21 | 42 | 63 |
| 2022 September | 33 | 25 | 58 |
| 2022 August | 71 | 36 | 107 |
| 2022 July | 65 | 41 | 106 |
| 2022 June | 59 | 25 | 84 |
| 2022 May | 66 | 28 | 94 |
| 2022 April | 15 | 26 | 41 |
| 2022 March | 18 | 39 | 57 |
| 2022 February | 20 | 21 | 41 |
| 2022 January | 12 | 38 | 50 |
| 2021 December | 23 | 49 | 72 |
| 2021 November | 26 | 48 | 74 |
| 2021 October | 23 | 54 | 77 |
| 2021 September | 19 | 63 | 82 |
| 2021 August | 19 | 37 | 56 |
| 2021 July | 13 | 32 | 45 |
| 2021 June | 22 | 48 | 70 |
| 2021 May | 10 | 29 | 39 |
| 2021 April | 9 | 51 | 60 |
| 2021 March | 26 | 22 | 48 |
| 2021 February | 13 | 21 | 34 |
| 2021 January | 10 | 19 | 29 |
| 2020 December | 16 | 21 | 37 |
| 2020 November | 3 | 8 | 11 |
| 2020 October | 8 | 11 | 19 |
| 2020 September | 6 | 12 | 18 |
| 2020 August | 9 | 8 | 17 |
| 2020 July | 15 | 11 | 26 |
| 2020 June | 7 | 11 | 18 |
| 2020 May | 17 | 17 | 34 |
| 2020 April | 13 | 17 | 30 |
| 2020 March | 21 | 11 | 32 |
| 2020 February | 21 | 12 | 33 |
| 2020 January | 20 | 16 | 36 |
| 2019 December | 14 | 14 | 28 |
| 2019 November | 13 | 18 | 31 |
| 2019 October | 4 | 11 | 15 |
| 2019 September | 5 | 14 | 19 |
| 2019 August | 15 | 6 | 21 |
| 2019 July | 13 | 17 | 30 |
| 2019 June | 20 | 4 | 24 |
| 2019 May | 9 | 11 | 20 |
| 2019 April | 26 | 8 | 34 |
| 2019 March | 14 | 17 | 31 |
| 2019 February | 12 | 15 | 27 |
| 2019 January | 7 | 9 | 16 |
| 2018 December | 14 | 13 | 27 |
| 2018 November | 13 | 14 | 27 |
| 2018 October | 17 | 21 | 38 |
| 2018 September | 7 | 9 | 16 |
| 2018 May | 8 | 0 | 8 |
| 2018 April | 3 | 4 | 7 |
| 2018 March | 9 | 4 | 13 |
| 2018 February | 11 | 8 | 19 |
| 2018 January | 3 | 7 | 10 |
| 2017 December | 8 | 4 | 12 |
| 2017 November | 8 | 6 | 14 |
| 2017 October | 4 | 6 | 10 |
| 2017 September | 3 | 10 | 13 |
| 2017 August | 12 | 12 | 24 |
| 2017 July | 6 | 8 | 14 |
| 2017 June | 8 | 16 | 24 |
| 2017 May | 6 | 2 | 8 |
| 2017 April | 3 | 3 | 6 |
| 2017 March | 6 | 16 | 22 |
| 2017 February | 5 | 3 | 8 |
| 2017 January | 1 | 1 | 2 |
| 2016 December | 4 | 6 | 10 |
| 2016 November | 5 | 4 | 9 |
| 2016 October | 5 | 13 | 18 |
| 2016 September | 4 | 5 | 9 |
| 2016 August | 7 | 4 | 11 |
| 2016 July | 7 | 3 | 10 |
| 2016 May | 1 | 0 | 1 |
| 2016 March | 10 | 0 | 10 |
| 2016 February | 8 | 0 | 8 |
| 2016 January | 6 | 0 | 6 |
| 2015 December | 4 | 0 | 4 |
| 2015 October | 63 | 14 | 77 |
| 2015 September | 53 | 8 | 61 |
| 2015 August | 53 | 6 | 59 |
| 2015 July | 121 | 7 | 128 |
| 2015 June | 53 | 6 | 59 |
| 2015 May | 56 | 10 | 66 |
| 2015 April | 52 | 7 | 59 |
| 2015 March | 47 | 7 | 54 |
| 2015 February | 62 | 4 | 66 |
| 2015 January | 30 | 3 | 33 |
| 2014 December | 44 | 3 | 47 |
| 2014 November | 45 | 8 | 53 |
| 2014 October | 54 | 5 | 59 |
| 2014 September | 51 | 7 | 58 |
| 2014 August | 33 | 9 | 42 |
| 2014 July | 48 | 6 | 54 |
| 2014 June | 54 | 11 | 65 |
| 2014 May | 54 | 4 | 58 |
| 2014 April | 61 | 10 | 71 |
| 2014 March | 67 | 11 | 78 |
| 2014 February | 55 | 5 | 60 |
| 2014 January | 49 | 9 | 58 |
| 2013 December | 46 | 6 | 52 |
| 2013 November | 47 | 3 | 50 |
| 2013 October | 43 | 6 | 49 |
| 2013 September | 45 | 7 | 52 |
| 2013 August | 42 | 4 | 46 |
| 2013 July | 55 | 10 | 65 |
| 2013 June | 31 | 8 | 39 |
| 2013 May | 30 | 5 | 35 |
| 2013 April | 17 | 3 | 20 |
| 2013 March | 7 | 3 | 10 |
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