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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El objetivo de este trabajo es conocer el empleo que de la oxigenoterapia se hace en los servicios de cirug&#237;a general &#40;SCG&#41;&#44; medicina interna &#40;SMl&#41; y neumolog&#237;a &#40;SN&#41; del Hospital General Yag&#252;e de Burgos y la adherencia de los pacientes al tratamiento&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo transversal&#46; Se revisaron las historias cl&#237;nicas en 2 d&#237;as al azar&#44; con un mes de intervalo&#46; En los pacientes con oxigenoterapia se analizaron las &#243;rdenes m&#233;dicas y de enfermer&#237;a&#44; rese&#241;ando&#58; diagn&#243;stico&#44; flujo&#44; v&#237;a&#44; forma &#40;continua-discontinua&#41; de administraci&#243;n de 02&#44; as&#237; como la concordancia de ambas entre s&#237; y con lo que utilizaba el paciente&#46; A todos se les realiz&#243; pulsioximetr&#237;a basal&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se incluyeron 101 pacientes en el estudio&#46; El diagn&#243;stico m&#225;s frecuente f&#252;e EPOC&#46; La indicaci&#243;n se realiz&#243; por criterios gasom&#233;tricos en 62&#44;5&#37; pacientes SMI&#44; 73&#44;1&#37; SN y 23&#37; SCG&#46; La v&#237;a y el flujo de administraci&#243;n constaban mayorita-riamente en SMI y SN&#44; no as&#237; en SCG&#44; pero solamente en 2 pacientes del estudio figuraba la forma de administraci&#243;n&#46; Hallamos coincidencia entre &#243;rdenes m&#233;dicas y de enfermer&#237;a en 26&#44;8&#37; pacientes SMI&#44; 60&#37; SN y 5&#44;3&#37; SCG y la v&#237;a de administraci&#243;n era la que usaba el paciente en 80&#37; SN&#44; 42&#44;9&#37; SMI y 10&#44;5&#37; SCG&#46; Los pacientes usaban ox&#237;geno menos d&#237;as de los prescritos &#40;cociente d&#237;as de indicaci&#243;n&#47;d&#237;as de uso &#61; 1 en 54&#44;5&#37;&#41;&#46; En la pulsioximetr&#237;a basal 64&#44;1&#37; pacientes SMI&#44; 30&#37; SN y 73&#44;6&#37; SCG&#44; ten&#237;an saturaci&#243;n de o2 &#62; 91&#37;&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">As&#237;&#44; destacan como conclusiones el escaso rigor en la indicaci&#243;n&#44; control y cumplimiento de la oxigenoterapia&#46; Gran n&#250;mero de pacientes en los que pudiera replantearse la terap&#233;utica&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To determine how oxygen therapy is being used in general surgery &#40;GS&#41;&#44; internal medicine &#40;IM&#41; and pneumology &#40;PN&#41; units of Hospital General Yag&#252;e in Burgos &#40;Spain&#41;&#44; as well as to study patient compliance with treatment&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Cross-sectional descriptive study&#46; Case histories taken on 2 randomly chosen days one month apart were reviewed&#46; For patients receiving oxygen therapy we analyzed both physician and nursing records on diagnosis&#44; flow&#44; route&#44; form of oxygen administration &#40;continuous-discontinuous&#41;&#44; determining the agreement of medical records with what was actual ly used by the patient&#46; Baseline pulse oxymetry readings were available for all patients&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">One hundred one patients were enrolled in the study&#46; The most frequently recorded diagnosis was chronic obstructive pulmonary disease &#40;COPD&#41;&#46; Therapy was prescribed based on gasometric criteria in 62&#46;5&#37; of IM patients&#44; 73&#46;1&#37; of PN patients and 23&#37; of GS patients&#46; The route and flow were recorded mainly in IM and PN wards&#44; but not in GS&#59; form of administration&#44; however&#44; was recorded for only 2 patients&#46; We found agreement between physician and nursing orders in 26&#46;8&#37; in the IM ward&#44; in 60&#37; in the PN unit and in 5&#46;3&#37; of GS cases&#46; The administrative route ordered was that which was actually used in 80&#37; in PN 42&#46;9&#37; in IM and 10&#46;5&#37; in GS&#46; The patients received oxygen fewer days than prescribed &#40;a coefficient of 1 for days ordered&#47;days used in 54&#46;5&#37;&#41;&#46; Oxygen saturation revealed by baseline pulse oxymetry surpassed 91&#37; in 64&#46;1&#37; of IM patients&#44; in 30&#37; of PN patients and in 73&#46;6&#37; of GS patients&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Oxygen therapy is not rigorously prescribed&#44; controlled or carried out&#46; Therapy could be questioned and reconsidered in many patients&#46;</p></span>"
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Vol. 31. Issue 4.
Pages 147-150 (April 1995)
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Vol. 31. Issue 4.
Pages 147-150 (April 1995)
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Oxigenoterapia hospitalaria: ¿rutina o desconocimiento?
Oxygen therapy in the hospital: routine or poorly understood?
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J. Terán Santos*,1
* Neumólogo. Sección de Neumología. Hospital General Yagüe. Burgos
E. Arrojo Arias, M.C. Aldecoa Álvarez-Santullano, M.P. Nieto Sánchez, L. Benito Ortiz, M.L. Sáiz Monzón, P. Crespo Fidalgo, M.C. Díaz Díaz
Médicos residentes. Unidad Docente de Medicina Familiar y Comunitaria. Hospital General Yagüe. Burgos
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El objetivo de este trabajo es conocer el empleo que de la oxigenoterapia se hace en los servicios de cirugía general (SCG), medicina interna (SMl) y neumología (SN) del Hospital General Yagüe de Burgos y la adherencia de los pacientes al tratamiento.

Estudio descriptivo transversal. Se revisaron las historias clínicas en 2 días al azar, con un mes de intervalo. En los pacientes con oxigenoterapia se analizaron las órdenes médicas y de enfermería, reseñando: diagnóstico, flujo, vía, forma (continua-discontinua) de administración de 02, así como la concordancia de ambas entre sí y con lo que utilizaba el paciente. A todos se les realizó pulsioximetría basal.

Se incluyeron 101 pacientes en el estudio. El diagnóstico más frecuente füe EPOC. La indicación se realizó por criterios gasométricos en 62,5% pacientes SMI, 73,1% SN y 23% SCG. La vía y el flujo de administración constaban mayorita-riamente en SMI y SN, no así en SCG, pero solamente en 2 pacientes del estudio figuraba la forma de administración. Hallamos coincidencia entre órdenes médicas y de enfermería en 26,8% pacientes SMI, 60% SN y 5,3% SCG y la vía de administración era la que usaba el paciente en 80% SN, 42,9% SMI y 10,5% SCG. Los pacientes usaban oxígeno menos días de los prescritos (cociente días de indicación/días de uso = 1 en 54,5%). En la pulsioximetría basal 64,1% pacientes SMI, 30% SN y 73,6% SCG, tenían saturación de o2 > 91%.

Así, destacan como conclusiones el escaso rigor en la indicación, control y cumplimiento de la oxigenoterapia. Gran número de pacientes en los que pudiera replantearse la terapéutica.

Palabras clave:
Oxigenoterapia hospitalaria
Pulsioximetría

To determine how oxygen therapy is being used in general surgery (GS), internal medicine (IM) and pneumology (PN) units of Hospital General Yagüe in Burgos (Spain), as well as to study patient compliance with treatment.

Cross-sectional descriptive study. Case histories taken on 2 randomly chosen days one month apart were reviewed. For patients receiving oxygen therapy we analyzed both physician and nursing records on diagnosis, flow, route, form of oxygen administration (continuous-discontinuous), determining the agreement of medical records with what was actual ly used by the patient. Baseline pulse oxymetry readings were available for all patients.

One hundred one patients were enrolled in the study. The most frequently recorded diagnosis was chronic obstructive pulmonary disease (COPD). Therapy was prescribed based on gasometric criteria in 62.5% of IM patients, 73.1% of PN patients and 23% of GS patients. The route and flow were recorded mainly in IM and PN wards, but not in GS; form of administration, however, was recorded for only 2 patients. We found agreement between physician and nursing orders in 26.8% in the IM ward, in 60% in the PN unit and in 5.3% of GS cases. The administrative route ordered was that which was actually used in 80% in PN 42.9% in IM and 10.5% in GS. The patients received oxygen fewer days than prescribed (a coefficient of 1 for days ordered/days used in 54.5%). Oxygen saturation revealed by baseline pulse oxymetry surpassed 91% in 64.1% of IM patients, in 30% of PN patients and in 73.6% of GS patients.

Oxygen therapy is not rigorously prescribed, controlled or carried out. Therapy could be questioned and reconsidered in many patients.

Key words:
Hospital oxygen therapy
Pulse oximetry
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Copyright © 1995. Sociedad Española de Neumología y Cirugía Torácica
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