Study on the clinicopathological correlation in the secondary acute respiratory distress syndrome
Estudio sobre la correlación clínico-patológica en el síndrome de distrés respiratorio agudo secundario
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Romero-Ganuza, C. Gambarrutta-Malfatti, E. Diez de la Lastra-Buigues, M.Á. Marín-Ruiz, V.E. Merlo-González, A.M. Sánchez-Aranzueque Pantoja, F.J. García-Moreno, J. Mazaira-Álvarez" "autores" => array:8 [ 0 => array:2 [ "nombre" => "F.J." "apellidos" => "Romero-Ganuza" ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Gambarrutta-Malfatti" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Diez de la Lastra-Buigues" ] 3 => array:2 [ "nombre" => "M.Á." "apellidos" => "Marín-Ruiz" ] 4 => array:2 [ "nombre" => "V.E." "apellidos" => "Merlo-González" ] 5 => array:2 [ "nombre" => "A.M." "apellidos" => "Sánchez-Aranzueque Pantoja" ] 6 => array:2 [ "nombre" => "F.J." "apellidos" => "García-Moreno" ] 7 => array:2 [ "nombre" => "J." "apellidos" => "Mazaira-Álvarez" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572711700042?idApp=WMIE" "url" => "/21735727/0000003500000001/v1_201212101044/S2173572711700042/v1_201212101044/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "titulo" => "Study on the clinicopathological correlation in the secondary acute respiratory distress syndrome" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "22" "paginaFinal" => "27" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "X. Sarmiento, J. Almirall, J.J. Guardiola, E. Mesalles, L. Labarta, J.L. Mate, M. Soler, J. Klamburg" "autores" => array:8 [ 0 => array:4 [ "nombre" => "X." "apellidos" => "Sarmiento" "email" => array:1 [ 0 => "16155jsm@comb.cat" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Almirall" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "J.J." "apellidos" => "Guardiola" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "E." "apellidos" => "Mesalles" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "L." "apellidos" => "Labarta" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] 5 => array:3 [ "nombre" => "J.L." "apellidos" => "Mate" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 6 => array:3 [ "nombre" => "M." "apellidos" => "Soler" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 7 => array:3 [ "nombre" => "J." "apellidos" => "Klamburg" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Hospital Universitari Germans Trias i Pujol, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Hospital de Mataró, Mataró, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Respiratory Department, University of Louisville, Kentucky (KY), USA" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Unidad de Cuidados Intensivos, Hospital de Huesca, Huesca, Spain" "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Estudio sobre la correlación clínico-patológica en el síndrome de distrés respiratorio agudo secundario" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-03-03" "fechaAceptado" => "2010-08-11" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec10670" "palabras" => array:7 [ 0 => "Respiratory failure" 1 => "Acute respiratory distress syndrome" 2 => "Diffuse alveolar damage" 3 => "Kappa test" 4 => "Necropsy" 5 => "Clinical-pathological study" 6 => "Acute lung injury" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec10671" "palabras" => array:7 [ 0 => "Insuficiencia respiratoria" 1 => "Síndrome de distrés respiratorio agudo" 2 => "Daño alveolar difuso" 3 => "Análisis de kappa" 4 => "Necropsia" 5 => "Estudio clinicopatológico" 6 => "Lesión pulmonar aguda" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">This study has aimed to study the clinicopathological correlation of patients with secondary acute respiratory distress syndrome (ARDS), specifically having extrapulmonary causes.</p> <span class="elsevierStyleSectionTitle">Setting</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A 22 beds intensive care unit.</p> <span class="elsevierStyleSectionTitle">Design</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">An observational study of case series.</p> <span class="elsevierStyleSectionTitle">Patients</span><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Seventeen patients whose death was caused by acute respiratory distress syndrome were included.</p> <span class="elsevierStyleSectionTitle">Intervention</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A systematic histopathological study was made of all the pulmonary lobes of patients who died in our ICU with the clinical diagnosis of secondary ARDS, who had undergone an autopsy between 1999 and 2009. The Kappa analysis was used to analyze the grade of correlation between the clinical and the pathological diagnosis.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The autopsy confirmed to cases of false positive in 17 patients with ARDS (11%). The kappa value was 0.77, so that the concordance analysis was considered to be satisfactory.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The clinical criteria for ARDS correlate well with acute alveolar damage (AAD) in the autopsy study in patients with secondary ARDS, although some false positive cases can be observed.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">El objetivo principal del estudio es analizar la correlación clinicopatológica en el diagnóstico de síndrome de distrés respiratorio agudo (SDRA) de origen extrapulmonar.</p> <span class="elsevierStyleSectionTitle">Diseño</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Se trata de un estudio observacional de una serie de casos.</p> <span class="elsevierStyleSectionTitle">Ámbito</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">UCI de 22 camas de un hospital universitario con 450 camas.</p> <span class="elsevierStyleSectionTitle">Pacientes</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Diecisiete pacientes fallecidos a causa de un SDRA secundario.</p> <span class="elsevierStyleSectionTitle">Intervención</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Análisis histopatológico sistemático de todos los lóbulos pulmonares de pacientes que fallecieron en nuestra UCI con el diagnóstico clínico de SDRA secundario y en los que se realizó necropsia entre los años 1999 y 2009. A fin de analizar el grado de correlación entre el diagnóstico clínico y el patológico se aplicó el análisis de kappa.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">En 17 pacientes con SDRA secundario la necropsia permitió confirmar 2 casos falsos positivos (11%). El valor kappa fue de 0,77, por lo que el análisis de concordancia fue considerado como satisfactorio.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Los criterios clínicos para el diagnóstico de SDRA se correlacionan bien con la presencia de daño alveolar agudo en el estudio patológico necrópsico en pacientes con SDRA secundario, aunque pueden detectarse algunos casos falsos positivos.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:16 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Acute respiratory distress in adults" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "D.G. Ashbaugh" 1 => "D.B. Bigelow" 2 => "T.L. Petty" 3 => "B.E. 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| Year/Month | Html | Total | |
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