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        "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 &#40;IRCU&#41;&#46;</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&#46; We analysed sociodemographic and clinical variables&#44; the APACHE-II score&#44; blood gas parameters&#44; hospital stay duration&#44; mortality&#44; and hospital readmission&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">We evaluated 190 patients &#40;64&#46;2&#37; men&#41;&#44; with a mean age of 69&#46;4 years&#46; A score of greater than 2 on the Charlson index was recorded in 43&#46;2&#37; of patients&#46; The mean APACHE-II score was 16&#46;3 in the accident and emergency department and 14&#46;3 on entering the IRCU&#46; Fifty percent of the patients were admitted to receive ventilation and&#44; of these&#44; only 6 &#40;5&#46;7&#37;&#41; were admitted to be disconnected from the ventilator&#46; The mean duration of stay in the IRCU was 3&#46;7 days&#46; The readmission rate was 12&#46;7&#37;&#46; Mortality was 12&#46;6&#37; during hospitalisation and 11&#46;6&#37; 90 days after discharge&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The patients admitted to our IRCU were elderly&#44; with considerable comorbidity and high mortality&#44; both during hospitalisation and 90 days after being discharged from hospital&#46; The results revealed no statistically significant differences &#40;mean length of stay&#44; readmission&#44; mortality&#41; according to the type of care administered to the patients &#40;ventilation compared to monitoring&#41;&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">El objetivo del presente estudio es describir las caracter&#237;sticas y resultados de los pacientes ingresados en una unidad de cuidados respiratorios intermedios &#40;UCRI&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha realizado un estudio prospectivo y observacional de un a&#241;o de duraci&#243;n&#44; en el que se estudi&#243; a todos los pacientes ingresados en nuestra UCRI durante ese per&#237;odo&#46; Se analizaron variables sociodemogr&#225;ficas&#44; cl&#237;nicas&#44; escala APACHE-II&#44; evoluci&#243;n gasom&#233;trica&#44; duraci&#243;n de la estancia hospitalaria&#44; mortalidad y reingreso hospitalario&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Evaluamos a 190 pacientes &#40;un 64&#44;2&#37; varones&#41;&#44; con una edad media de 69&#44;4 a&#241;os&#46; El 43&#44;2&#37; ten&#237;a un &#237;ndice de Charlson mayor de 2&#46; El APACHE-II fue de 16&#44;3 en el Servicio de Urgencias y de 14&#44;3 al entrar en la UCRI&#46; El 50&#37; de los pacientes ingres&#243; para recibir ventilaci&#243;n&#44; y de ellos s&#243;lo 6 &#40;5&#44;7&#37;&#41; ingresaron para la desconexi&#243;n del ventilador&#46; La duraci&#243;n media de la estancia en la UCRI fue de 3&#44;7 d&#237;as&#46; La tasa de reingresos fue del 12&#44;7&#37;&#46; La mortalidad fue del 12&#44;6&#37; durante el episodio de hospitalizaci&#243;n&#44; y del 11&#44;6&#37; a los 90 d&#237;as del alta&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Los ingresados en nuestra UCRI son pacientes mayores&#44; con importante comorbilidad y mortalidad elevada&#44; tanto durante el episodio de hospitalizaci&#243;n como a los 90 d&#237;as del alta hospitalaria&#46; No hemos encontrado diferencias estad&#237;sticamente significativas en los resultados &#40;estancia media&#44; reingresos&#44; mortalidad&#41; en funci&#243;n del tipo de cuidados &#40;ventilaci&#243;n frente a seguimiento&#41; administrados al paciente&#46;</p>"
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Original article
A Year's Experience in an Intermediate Respiratory Care Unit
Cuidados respiratorios intermedios: un año de experiencia
Myriam Aburtoa,
Corresponding author
, Cristóbal Estebana, Urko Aguirreb, Mikel Egurrolaa, Lander Altubea, Francisco Javier Morazaa, Alberto Capelasteguia
a Servicio de Neumología, Hospital de Galdakao, Galdakao, Bizkaia, Spain
b Unidad de Investigación-CIBER de Epidemiología y Salud Pública (CIBERESP), Hospital de Galdakao, Galdakao, Bizkaia, Spain
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          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#8270;"
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    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Cuidados respiratorios intermedios&#58; un a&#241;o de experiencia"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2008-11-11"
    "fechaAceptado" => "2009-03-03"
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      "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 &#40;UCRI&#41;"
            1 => "Ventilaci&#243;n mec&#225;nica no invasiva"
            2 => "Insuficiencia respiratoria"
          ]
        ]
      ]
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    "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 &#40;IRCU&#41;&#46;</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&#46; We analysed sociodemographic and clinical variables&#44; the APACHE-II score&#44; blood gas parameters&#44; hospital stay duration&#44; mortality&#44; and hospital readmission&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">We evaluated 190 patients &#40;64&#46;2&#37; men&#41;&#44; with a mean age of 69&#46;4 years&#46; A score of greater than 2 on the Charlson index was recorded in 43&#46;2&#37; of patients&#46; The mean APACHE-II score was 16&#46;3 in the accident and emergency department and 14&#46;3 on entering the IRCU&#46; Fifty percent of the patients were admitted to receive ventilation and&#44; of these&#44; only 6 &#40;5&#46;7&#37;&#41; were admitted to be disconnected from the ventilator&#46; The mean duration of stay in the IRCU was 3&#46;7 days&#46; The readmission rate was 12&#46;7&#37;&#46; Mortality was 12&#46;6&#37; during hospitalisation and 11&#46;6&#37; 90 days after discharge&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The patients admitted to our IRCU were elderly&#44; with considerable comorbidity and high mortality&#44; both during hospitalisation and 90 days after being discharged from hospital&#46; The results revealed no statistically significant differences &#40;mean length of stay&#44; readmission&#44; mortality&#41; according to the type of care administered to the patients &#40;ventilation compared to monitoring&#41;&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">El objetivo del presente estudio es describir las caracter&#237;sticas y resultados de los pacientes ingresados en una unidad de cuidados respiratorios intermedios &#40;UCRI&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha realizado un estudio prospectivo y observacional de un a&#241;o de duraci&#243;n&#44; en el que se estudi&#243; a todos los pacientes ingresados en nuestra UCRI durante ese per&#237;odo&#46; Se analizaron variables sociodemogr&#225;ficas&#44; cl&#237;nicas&#44; escala APACHE-II&#44; evoluci&#243;n gasom&#233;trica&#44; duraci&#243;n de la estancia hospitalaria&#44; mortalidad y reingreso hospitalario&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Evaluamos a 190 pacientes &#40;un 64&#44;2&#37; varones&#41;&#44; con una edad media de 69&#44;4 a&#241;os&#46; El 43&#44;2&#37; ten&#237;a un &#237;ndice de Charlson mayor de 2&#46; El APACHE-II fue de 16&#44;3 en el Servicio de Urgencias y de 14&#44;3 al entrar en la UCRI&#46; El 50&#37; de los pacientes ingres&#243; para recibir ventilaci&#243;n&#44; y de ellos s&#243;lo 6 &#40;5&#44;7&#37;&#41; ingresaron para la desconexi&#243;n del ventilador&#46; La duraci&#243;n media de la estancia en la UCRI fue de 3&#44;7 d&#237;as&#46; La tasa de reingresos fue del 12&#44;7&#37;&#46; La mortalidad fue del 12&#44;6&#37; durante el episodio de hospitalizaci&#243;n&#44; y del 11&#44;6&#37; a los 90 d&#237;as del alta&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Los ingresados en nuestra UCRI son pacientes mayores&#44; con importante comorbilidad y mortalidad elevada&#44; tanto durante el episodio de hospitalizaci&#243;n como a los 90 d&#237;as del alta hospitalaria&#46; No hemos encontrado diferencias estad&#237;sticamente significativas en los resultados &#40;estancia media&#44; reingresos&#44; mortalidad&#41; en funci&#243;n del tipo de cuidados &#40;ventilaci&#243;n frente a seguimiento&#41; administrados al paciente&#46;</p>"
      ]
    ]
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Article information
ISSN: 15792129
Original language: English
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