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Martínez-Melgar, M.A. Romera, R. Ruiz de Luna, N. De La Calle, J.M. Borrallo" "autores" => array:6 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Chamorro" ] 1 => array:2 [ "nombre" => "J.L." "apellidos" => "Martínez-Melgar" ] 2 => array:2 [ "nombre" => "M.A." "apellidos" => "Romera" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Ruiz de Luna" ] 4 => array:2 [ "nombre" => "N." "apellidos" => "De La Calle" ] 5 => array:2 [ "nombre" => "J.M." "apellidos" => "Borrallo" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569100795982?idApp=WMIE" "url" => "/02105691/0000002400000006/v1_201304241157/S0210569100795982/v1_201304241157/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "La patología cerebrovascular aguda en las Áreas de Cuidados Críticos y Urgencias de Andalucía. Análisis clínicos-epidemiológicos y de práctica médica. Proyecto EVASCAN" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "257" "paginaFinal" => "263" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "P. Navarrete Navarro, A. Garcíw Alcántara, F. Murillo Cabezas, G. Vázquez Mata, S. Fernández Fern´ndez, J.M. Jiménez Moragas, I. Galindo Ángel, R. Rivera Fernández, J.M. Domínguez Roldán, E. Pino de Moya, B. Nacle López, M.<span class="elsevierStyleSup">a</span> A. Muñoz Sánchez" "autores" => array:12 [ 0 => array:3 [ "nombre" => "P. Navarrete" "apellidos" => "Navarro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "A. Garcíw" "apellidos" => "Alcántara" ] 2 => array:2 [ "nombre" => "F. Murillo" "apellidos" => "Cabezas" ] 3 => array:2 [ "nombre" => "G. Vázquez" "apellidos" => "Mata" ] 4 => array:2 [ "nombre" => "S. Fernández" "apellidos" => "Fern´ndez" ] 5 => array:2 [ "nombre" => "J.M. Jiménez" "apellidos" => "Moragas" ] 6 => array:2 [ "nombre" => "I. Galindo" "apellidos" => "Ángel" ] 7 => array:2 [ "nombre" => "R. Rivera" "apellidos" => "Fernández" ] 8 => array:2 [ "nombre" => "J.M. Domínguez" "apellidos" => "Roldán" ] 9 => array:2 [ "nombre" => "E. Pino de" "apellidos" => "Moya" ] 10 => array:2 [ "nombre" => "B. Nacle" "apellidos" => "López" ] 11 => array:2 [ "nombre" => "M.<span class="elsevierStyleSup">a</span> A. Muñoz" "apellidos" => "Sánchez" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Dr. P. Navarrete Navarro. Unidad Central de Recogida de Datos y Secretaría. Servicio de Cuidados Críticos y Urgencias. Hospital Universitario Virgen de las Nieves. Carretra de Jaén, s/n. 18015 Granada." ] ] ] 1 => array:3 [ "autoresLista" => "Grupo Evascan" "autores" => array:1 [ 0 => array:3 [ "nombre" => "Grupo" "apellidos" => "Evascan" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Relación de componentes del grupo: ANEXO 1." "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Acute Cerebrovascular Disease in Andalousian Critical Care and Emergency Areas. An Analysis on Clinical, Epidemiological and Medical Practice Aspects. Evascan Project" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2000-03-23" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras Clave" "identificador" => "xpalclavsec82341" "palabras" => array:3 [ 0 => "enfermedad cerebrovascular aguda" 1 => "epidemiología" 2 => "tratamiento" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec82342" "palabras" => array:4 [ 0 => "Acute stroke" 1 => "cerebrovascular disease" 2 => "epidemiology" 3 => "management" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Estudio en Andalucía de la epidemiología de la enfermedad cerebrovascular aguda (ECVA), su práctica médica y resultados, identificando áreas de mejora.</p> <span class="elsevierStyleSectionTitle">Método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio observacional prospectivo en 27 hospitales, de muestreo consecutivo en pacientes ingresados en Urgencias y Unidades de Cuidados Intensivos (UCI) aplicando tres cortes transversales mensuales de 24 horas de duración (días 5,15 y 25) del 5 de marzo al 25 de agosto de 1998. Criterios de inclusión: perfil clínico agudo compatible con tomografía computarizada (TC) diagnóstica.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Población de Urgencias: n = 347,81% origen isquémico, edad 71% > 65 años, factores de riesgo: 55,8% con hipertensión arterial y 16,5% con fibrilación auricular. Medios de acceso al hospital : 48,7% medios propios. Tiempo de inicio de los síntomas a su llegada en Urgencias (T1) < 3 h, tiempo de ingreso en Urgencias - TC (T2): 56,8% < 3 h. Población de UCI: n = 133 (16/27 UCI y 5,9% total pacientes), 83,9% origen hemorrágico, edad < 65 años en 67,3%, medios acceso: 43,8% por el 061. Tiempos: T1 64,4% < 3h y T2 79,8% < 3 h. APACHE III 63,2 (29,2), consumos de recursos estancia: 12 (9,5) días, ventilación mecánica: 74,2%. Mortalidad hospitalaria: 33,3% y 53 % a los 12 meses.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La ECVA de origen isquémico queda demorada en su manejo respecto a la forma hemorrágica. Los tiempos y circuitos de manejo intra y extrahospitalarios deben reducirse. En las UCI de hospitales de referencia ingresa la ECVA hemorrágica, globalmente es una causa de ingreso muy baja, caracterizada por una alta gravedad y consumos de recursos así como muy elevada mortalidad evolutiva.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To study the epidemiology, the healthcare chain and the resource management of stroke patients in Andalousia, identifying areas of improvement.</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A prospective observational study in 27 hospitals. Patients: they were included in the study via consecutive sampling in three crosssectional 24 h-studies (days 5,15 and 25). Period: from 5/3/98 to 25/8/98. Inclusion criteria: acute compatible clinical profile plus CT diagnosis.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Emergency Area population : n = 347, 81% hemorrhagic etiology, age 71% > 65 years, risk factors : hypertension in 55.8% and atrial fibrilation in 16.5%. Transport means: 48.7% own means. Hospital delay from stroke onset (T1) < 3 h, CT screening delay from emergency admission (T2): 56.8% < 3 h. ICU population: sample ICU: n = 133, (16/27 ICU and 5.9% of total patients) 83.9% hemorrhagic stroke, age < 65 years in 67.3%. Transport means to hospital : 43.8% Mobile ICU, T1 : 64.4% < 3h and T2 : 79.8% < 3 h. Severity score : APACHE III 63.2 (29.2), ICU length of stay: 12 (9.5) d, mechanical ventilation: 74.2%. Hospital mortality: 33.3% and 53 % at 1 year.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Hospital arrival delays and CT screening must be reduced, above all in ischemic patients. Transport means are related to initial clinical severity. ACVD currently admitted to Andalusian ICU, third level hospital above all, are hemorrhagic strokes and are characterized by high severity, resource consumption, and hospital and 12 month after mortality.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:19 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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año/Mes | Html | Total | |
---|---|---|---|
2024 Noviembre | 7 | 16 | 23 |
2024 Octubre | 50 | 67 | 117 |
2024 Septiembre | 45 | 41 | 86 |
2024 Agosto | 66 | 55 | 121 |
2024 Julio | 32 | 45 | 77 |
2024 Junio | 48 | 45 | 93 |
2024 Mayo | 48 | 39 | 87 |
2024 Abril | 49 | 45 | 94 |
2024 Marzo | 51 | 55 | 106 |
2024 Febrero | 40 | 47 | 87 |
2024 Enero | 31 | 47 | 78 |
2023 Diciembre | 42 | 64 | 106 |
2023 Noviembre | 35 | 36 | 71 |
2023 Octubre | 28 | 36 | 64 |
2023 Septiembre | 46 | 40 | 86 |
2023 Agosto | 32 | 29 | 61 |
2023 Julio | 39 | 31 | 70 |
2023 Junio | 36 | 18 | 54 |
2023 Mayo | 25 | 22 | 47 |
2023 Abril | 34 | 33 | 67 |
2023 Marzo | 57 | 53 | 110 |
2023 Febrero | 42 | 40 | 82 |
2023 Enero | 45 | 31 | 76 |
2022 Diciembre | 43 | 38 | 81 |
2022 Noviembre | 53 | 51 | 104 |
2022 Octubre | 55 | 38 | 93 |
2022 Septiembre | 46 | 47 | 93 |
2022 Agosto | 45 | 53 | 98 |
2022 Julio | 28 | 46 | 74 |
2022 Junio | 35 | 44 | 79 |
2022 Mayo | 40 | 42 | 82 |
2022 Abril | 40 | 46 | 86 |
2022 Marzo | 34 | 51 | 85 |
2022 Febrero | 32 | 35 | 67 |
2022 Enero | 36 | 53 | 89 |
2021 Diciembre | 33 | 55 | 88 |
2021 Noviembre | 53 | 50 | 103 |
2021 Octubre | 46 | 48 | 94 |
2021 Septiembre | 49 | 39 | 88 |
2021 Agosto | 50 | 39 | 89 |
2021 Julio | 33 | 46 | 79 |
2021 Junio | 49 | 62 | 111 |
2021 Mayo | 55 | 43 | 98 |
2021 Abril | 113 | 120 | 233 |
2021 Marzo | 116 | 29 | 145 |
2021 Febrero | 100 | 25 | 125 |
2021 Enero | 92 | 37 | 129 |
2020 Diciembre | 74 | 30 | 104 |
2020 Noviembre | 46 | 36 | 82 |
2020 Octubre | 73 | 24 | 97 |
2020 Septiembre | 44 | 25 | 69 |
2020 Agosto | 46 | 21 | 67 |
2020 Julio | 47 | 22 | 69 |
2020 Junio | 46 | 24 | 70 |
2020 Mayo | 42 | 34 | 76 |
2020 Abril | 40 | 29 | 69 |
2020 Marzo | 25 | 24 | 49 |
2020 Febrero | 117 | 37 | 154 |
2020 Enero | 37 | 25 | 62 |
2019 Diciembre | 54 | 41 | 95 |
2019 Noviembre | 53 | 22 | 75 |
2019 Octubre | 51 | 28 | 79 |
2019 Septiembre | 27 | 28 | 55 |
2019 Agosto | 42 | 36 | 78 |
2019 Julio | 28 | 30 | 58 |
2019 Junio | 26 | 26 | 52 |
2019 Mayo | 53 | 63 | 116 |
2019 Abril | 20 | 26 | 46 |
2019 Marzo | 20 | 27 | 47 |
2019 Febrero | 45 | 31 | 76 |
2019 Enero | 26 | 42 | 68 |
2018 Diciembre | 37 | 30 | 67 |
2018 Noviembre | 28 | 33 | 61 |
2018 Octubre | 23 | 37 | 60 |
2018 Septiembre | 7 | 15 | 22 |
2018 Agosto | 21 | 9 | 30 |
2018 Julio | 9 | 17 | 26 |
2018 Junio | 8 | 10 | 18 |
2018 Mayo | 10 | 9 | 19 |
2018 Abril | 10 | 9 | 19 |
2018 Marzo | 9 | 8 | 17 |
2018 Febrero | 7 | 7 | 14 |
2018 Enero | 10 | 10 | 20 |
2017 Diciembre | 6 | 5 | 11 |
2017 Noviembre | 8 | 8 | 16 |
2017 Octubre | 9 | 9 | 18 |
2017 Septiembre | 10 | 6 | 16 |
2017 Agosto | 8 | 8 | 16 |
2017 Julio | 10 | 9 | 19 |
2017 Junio | 18 | 21 | 39 |
2017 Mayo | 15 | 10 | 25 |
2017 Abril | 17 | 9 | 26 |
2017 Marzo | 4 | 1 | 5 |
2017 Febrero | 7 | 2 | 9 |
2017 Enero | 10 | 4 | 14 |
2016 Diciembre | 26 | 8 | 34 |
2016 Noviembre | 35 | 7 | 42 |
2016 Octubre | 33 | 20 | 53 |
2016 Septiembre | 34 | 25 | 59 |
2016 Agosto | 41 | 21 | 62 |
2016 Julio | 19 | 22 | 41 |