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          "es" => "<p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">Gr&#225;fico de cajas del valor de pico flujo espiratorio tosido seg&#250;n el &#225;mbito de decanulaci&#243;n&#46; La l&#237;nea representa el valor de corte de 160 l&#47;min&#46; Se observa como este valor no es alcanzado en todos los &#225;mbitos en diferentes proporciones&#44; 46&#44;1&#37; de los pacientes internados en la Unidad de cuidados intensivos&#44; 31&#44;1&#37; en la sala general y el 17&#44;4&#37; en los centros de desvinculaci&#243;n de la ventilaci&#243;n mec&#225;nica y rehabilitaci&#243;n &#40;CDVMR&#41;&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Introducci&#243;n</span><p id="par0005" class="elsevierStylePara elsevierViewall">La decisi&#243;n de retirar la c&#225;nula de traqueostom&#237;a o decanulaci&#243;n est&#225; influenciada por m&#250;ltiples factores&#46; Al ser un proceso complejo&#44; suele guiarse por algoritmos o protocolos&#44; que pueden variar de acuerdo con cada instituci&#243;n y que establecen criterios a alcanzar o superar para poder avanzar hacia la decanulaci&#243;n<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">1&#8211;7</span></a>&#46; Si bien es cierto que no todos los centros se adhieren o desarrollan protocolos de decanulaci&#243;n&#44; la falla decanulaci&#243;n es un evento poco frecuente y seg&#250;n los valores publicados oscila entre el 0 y el 6&#37;<a class="elsevierStyleCrossRefs" href="#bib0180"><span class="elsevierStyleSup">8&#8211;12</span></a>&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Los criterios que suelen estar presentes en la gran mayor&#237;a de los protocolos se resumen en la capacidad de proteger la v&#237;a a&#233;rea a trav&#233;s de una tos eficaz&#44; el buen pasaje de flujo de aire por la v&#237;a a&#233;rea y una funci&#243;n deglutoria adecuada<a class="elsevierStyleCrossRefs" href="#bib0205"><span class="elsevierStyleSup">13&#8211;15</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">La protecci&#243;n de la v&#237;a a&#233;rea se eval&#250;a mediante el estado de conciencia y la capacidad tusigena<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">1&#44;4</span></a>&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">El nivel o estado de la conciencia suele recomendarse como una variable a tener en cuenta antes de decidir decanular a un paciente&#46; Sin embargo&#44; no existe un consenso com&#250;n en cuanto a la forma de evaluarlo y al nivel m&#237;nimo a considerar para predecir el &#233;xito de la decanulaci&#243;n<a class="elsevierStyleCrossRefs" href="#bib0180"><span class="elsevierStyleSup">8&#44;13&#44;14</span></a>&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Con respecto a la capacidad de generar tos&#44; los principales indicadores que suelen evaluarse en el proceso de decanulaci&#243;n son el pico flujo espiratorio tosido &#40;PFET&#41; y la presi&#243;n espiratoria m&#225;xima &#40;PEm&#225;x&#41;&#46; Los valores cl&#237;nicos relevantes para estos predictores suelen ser motivo de controversia ya que&#44; diferentes autores postulan valores dis&#237;miles<a class="elsevierStyleCrossRefs" href="#bib0205"><span class="elsevierStyleSup">13&#44;14</span></a>&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Otro factor relevante es la heterogeneidad de los &#225;mbitos en donde pueden internarse pacientes con traqueostom&#237;a&#44; a saber&#59; unidad de cuidados intensivos &#40;UCI&#41;&#44; guardia o la sala general &#40;SG&#41; y los centros de desvinculaci&#243;n de la ventilaci&#243;n mec&#225;nica y rehabilitaci&#243;n &#40;CDVMR&#41;&#46; En estos &#225;mbitos&#44; generalmente se inicia el proceso de decanulaci&#243;n y en ciertas ocasiones se finaliza<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">16</span></a>&#46; Si bien entre los &#225;mbitos propuestos existen diferencias en las poblaciones y en la complejidad de atenci&#243;n&#44; los criterios de decanulaci&#243;n suelen ser id&#233;nticos o similares<a class="elsevierStyleCrossRefs" href="#bib0220"><span class="elsevierStyleSup">16&#8211;18</span></a>&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Hasta el momento no existen estudios que describan las variables cl&#237;nicas relevantes seg&#250;n el &#225;mbito de internaci&#243;n en donde se encuentre el paciente con traqueostom&#237;a&#46; A ra&#237;z de esto&#44; nos proponemos describir las variables relacionadas con la capacidad de producir tos efectiva y el estado de la conciencia com&#250;nmente utilizadas en el proceso de decanulaci&#243;n y comparar sus valores medidos entre los diferentes &#225;mbitos de atenci&#243;n como la UCI&#44; la SG y los CDVMR&#46; Adem&#225;s de manera secundaria planeamos analizar la evoluci&#243;n de los pacientes una vez decanulados&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Materiales y m&#233;todos</span><p id="par0040" class="elsevierStylePara elsevierViewall">Se realiz&#243; un estudio de tipo multic&#233;ntrico con un dise&#241;o de serie de casos longitudinal y prospectivo&#44; que incluy&#243; 31 UCI &#40;polivalentes&#41; y en 5 CDVMR de Argentina en el per&#237;odo comprendido entre 1 de junio de 2014 al 31 de enero de 2015&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Previo al inicio del reclutamiento cada centro incluido obtuvo la aprobaci&#243;n del comit&#233; de docencia e investigaci&#243;n y del comit&#233; de &#233;tica correspondiente a la instituci&#243;n&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">La muestra qued&#243; definida por los siguientes criterios de elegibilidad&#58;</p><p id="par0055" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Criterios de inclusi&#243;n</span>&#58; pacientes mayores de 18 a&#241;os&#44; con traqueostom&#237;a realizada durante la internaci&#243;n para el caso de la UCI y la SG y que hayan ingresado ya traqueostomizados en los CDVMR&#44; adem&#225;s deb&#237;an encontrarse desvinculados de la ventilaci&#243;n mec&#225;nica y aptos para ser decanulados &#40;pacientes con decisi&#243;n de decanular por el equipo tratante&#41;&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Criterios de exclusi&#243;n</span>&#58; pacientes que nunca hayan sido decanulados&#46; Pacientes decanulados cuyos datos provengan de centros que no realicen las mediciones de PEm&#225;x y PFET mediante la t&#233;cnica deseada por este estudio&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Criterios de eliminaci&#243;n</span>&#58; datos faltantes en las tres variables de resultado principal&#46; En caso de datos faltantes de una o dos variables de resultado principales &#40;GCS&#44; PFET o PEm&#225;x&#41; el paciente solo se excluy&#243; para el an&#225;lisis de la variable con el dato faltante&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Variables de estudio</span><p id="par0070" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Predictivas</span>&#58; edad&#44; sexo&#44; <span class="elsevierStyleItalic">Score</span> de Charlson al ingreso&#44; antecedentes relacionados&#44; motivo de ingreso a la UCI&#44; tipo de procedimiento para realizar la traqueostom&#237;a &#40;percut&#225;neo o quir&#250;rgico&#41;&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Todos los pacientes fueron seguidos como m&#225;ximo 30 d&#237;as despu&#233;s de la decanulaci&#243;n y se registraron las variables de evoluci&#243;n&#44; a saber&#59; falla de decanulaci&#243;n &#40;recanulaci&#243;n dentro de los 7 d&#237;as de decanulado por cualquier motivo&#41;&#44; d&#237;as con traqueostom&#237;a &#40;desde que se realiza la traqueostom&#237;a hasta que se decanula al paciente&#41;&#44; d&#237;as totales de internaci&#243;n &#40;desde el ingreso a la UCI y&#47;o CDVMR hasta alcanzar un criterio de finalizaci&#243;n del estudio&#44; a saber&#59; &#243;bito&#44; alta domicilio&#44; derivaci&#243;n a otro centro o fin de seguimiento 30 d&#237;as desde la decanulaci&#243;n&#41; y mortalidad a los 30 d&#237;as&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Variables independientes</span>&#58; &#225;mbito de decanulaci&#243;n &#40;UCI&#44; SG o CDVMR&#41;&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Variables de resultado</span>&#58; estado de conciencia medido por el score de coma de Glasgow &#40;GCS&#41;&#44; capacidad tus&#237;gena valorada mediante PFET y PEm&#225;x&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Procedimientos</span><p id="par0090" class="elsevierStylePara elsevierViewall">Los pacientes fueron clasificados en los diferentes niveles de atenci&#243;n seg&#250;n el lugar donde se realiz&#243; la decanulaci&#243;n&#44; resultando tres niveles diferentes de atenci&#243;n a saber&#59; pacientes decanulados en UCI&#44; SG y CDVMR&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Al ser un estudio observacional y pragm&#225;tico no se solicit&#243; la modificaci&#243;n de los protocolos habituales de medici&#243;n que utilizaban los centros intervinientes&#46; De todas formas&#44; se solicit&#243; a los centros que describieran el m&#233;todo de medici&#243;n utilizado para el PFET&#44; la PEm&#225;x y el GCS&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Con el objetivo de homogenizar las mediciones y que estas sean comparables&#44; solo se consider&#243; para el an&#225;lisis los pacientes provenientes de los centros que hayan medido las variables de resultado siguiendo los procedimientos descriptos en el <a class="elsevierStyleCrossRef" href="#sec0060">Anexo 1 &#40;ver material adicional en su versi&#243;n electr&#243;nica&#41;</a>&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">An&#225;lisis estad&#237;stico</span><p id="par0105" class="elsevierStylePara elsevierViewall">Las variables categ&#243;ricas se expresan como recuento absoluto y porcentaje&#46; Las variables medidas en escala num&#233;rica discreta o continua se presentan con medidas de tendencia central y dispersi&#243;n seg&#250;n la distribuci&#243;n encontrada&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">Se realizaron pruebas de bondad de ajuste mediante test de Kolmogorov-Smirnov&#46; La igualdad de varianzas se estableci&#243; mediante el estad&#237;stico de Levenne&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Para las comparaciones entre los diferentes niveles de atenci&#243;n se utiliz&#243; el test de X<span class="elsevierStyleSup">2</span> para la comparaci&#243;n de variables nominales y el test de Kruskal-Wallis para las comparaciones de variables continuas entre los diferentes niveles de atenci&#243;n&#46; Para identificar los pares con diferencias significativas se realiz&#243; un an&#225;lisis post hoc mediante la prueba de Dunn&#39;s - Bonferroni de comparaci&#243;n por pares para las variables continuas y el test de diferencia de proporciones para las variables categ&#243;ricas&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Por &#250;ltimo&#44; se categoriz&#243; a los pacientes seg&#250;n hayan o no alcanzado el criterio de corte propuesto &#40;GCS 8 puntos&#44; PFET 160l&#47;m y PEm&#225;x 40cmH<span class="elsevierStyleInf">2</span>O&#41; y se compar&#243; la distribuci&#243;n de las variables de evoluci&#243;n mediante la prueba U de Mann-Whitney para las variables continuas y el test exacto de Fisher para las variables nominales&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">Todos los an&#225;lisis estad&#237;sticos se realizaron utilizando el programa estad&#237;stico&#44; IBM SPSS Statistics for Windows Versi&#243;n 22&#46;0 &#40;Armonk&#44; NY&#58; IBM Corp&#41;&#46; Se consider&#243; significativo un p-valor &#60; 0&#44;05&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Resultados</span><p id="par0130" class="elsevierStylePara elsevierViewall">Se estudiaron 207 pacientes provenientes de 36 centros de investigaci&#243;n&#46; De estos&#44; 31 correspond&#237;an a UCI o SG y 5 a CDVMR &#40;<a class="elsevierStyleCrossRef" href="#sec0060">Anexo 1</a>&#41;&#46; La <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a> describe el flujo de pacientes durante el estudio&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0135" class="elsevierStylePara elsevierViewall">Las caracter&#237;sticas de la muestra y de cada grupo por separado se observa en la <a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0140" class="elsevierStylePara elsevierViewall">Se encontraron diferencias estad&#237;sticamente significativas en el PFET y en el puntaje GCS entre los diferentes &#225;mbitos de atenci&#243;n &#40;p&#61;0&#44;028 y p&#60;0&#44;01&#44; respectivamente&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0145" class="elsevierStylePara elsevierViewall">En las variables de evoluci&#243;n se observ&#243; diferencias significativas en los d&#237;as con traqueostom&#237;a &#40;UCI&#44; Mn 26 d&#237;as&#59; SG Mn de 30 d&#237;as&#59; CDVMR Mn de 56 d&#237;as&#44; p&#60;0&#44;01&#41;&#44; los d&#237;as de internaci&#243;n &#40;UCI&#44; Mn 53 d&#237;as&#59; SG Mn de 57 d&#237;as&#59; CDVMR Mn de 129&#44;5 d&#237;as&#44; p&#60;0&#44;01&#41; y el n&#250;mero de pacientes que se externaron a domicilio &#40;UCI 81 pacientes &#91;38&#44;9&#37;&#93;&#59; SG 24 pacientes &#91;11&#44;5&#37;&#93;&#59; CDVMR 10<a class="elsevierStyleCrossRefs" href="#bib0160"><span class="elsevierStyleSup">4&#44;8</span></a>&#59; p&#61;0&#44;02&#41;&#46; No se observaron diferencias en la cantidad de pacientes que presentaron falla de decanulaci&#243;n al igual que en la mortalidad a los 30 d&#237;as&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">En la <a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a> se presenta las comparaciones post hoc entre los diferentes &#225;mbitos de internaci&#243;n&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0155" class="elsevierStylePara elsevierViewall">La <a class="elsevierStyleCrossRef" href="#tbl0020">tabla 4</a> presenta la comparaci&#243;n de las variables de evoluci&#243;n categorizando a los pacientes en grupos seg&#250;n hayan o no alcanzado los criterios de corte para el PFET y la PEm&#225;x&#46; No se analiz&#243; la variable GCS ya que ning&#250;n paciente se decanul&#243; por debajo del punto de corte definido&#46; Adem&#225;s&#44; se representan gr&#225;ficamente en la <a class="elsevierStyleCrossRef" href="#fig0010">figura 2</a> la mediana del GCS con sus respectivos m&#225;ximos y m&#237;nimos seg&#250;n el &#225;mbito de internaci&#243;n&#46; La <a class="elsevierStyleCrossRef" href="#fig0015">figura 3</a> y la <a class="elsevierStyleCrossRef" href="#fig0020">figura 4</a> muestran los diagramas de caja del PFET y la PEm&#225;x seg&#250;n el &#225;mbito de internaci&#243;n&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Discusi&#243;n</span><p id="par0160" class="elsevierStylePara elsevierViewall">Como principal hallazgo hemos observado que los valores de PFET y PEm&#225;x de muchos pacientes no alcanzaron los puntos de corte propuestos por la literatura &#40;160 l&#47;min y 40<span class="elsevierStyleHsp" style=""></span>cmH2O&#44; respectivamente&#41;&#46; Por otro lado&#44; el punto de corte para el GCS reportado por la bibliograf&#237;a s&#237; fue respetado en todas las decanulaciones<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">1&#44;13&#44;19&#8211;22</span></a>&#46; Adem&#225;s&#44; fue notorio encontrar que los valores del GCS y PFET evaluados previamente a la decanulaci&#243;n son significativamente diferentes seg&#250;n el &#225;mbito de internaci&#243;n donde se realice el retiro de la c&#225;nula&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">Contrariamente a lo observado con el PEFT&#44; la PEm&#225;x present&#243; diferencias seg&#250;n el &#225;mbito de decanulaci&#243;n&#44; lo cual podr&#237;a responder al procedimiento utilizado para la obtenci&#243;n de ambas variables&#46; Mientras que la medici&#243;n del PFT es esfuerzo dependiente&#44; en la medici&#243;n de la PEm&#225;x&#44; con el uso de una v&#225;lvula unidireccional&#44; se prescinde en cierta medida del esfuerzo voluntario del paciente<a class="elsevierStyleCrossRefs" href="#bib0235"><span class="elsevierStyleSup">19&#8211;22</span></a>&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">El &#225;mbito de internaci&#243;n donde se observaron los valores de PFET m&#225;s bajos fue la UCI&#46; Esto podr&#237;a ser razonable debido a que los pacientes generalmente se encuentran en recuperaci&#243;n de un per&#237;odo agudo y suelen cursar con una condici&#243;n altamente prevalente como la debilidad adquirida en la UCI en donde se ha descrito la alteraci&#243;n tanto de la fuerza muscular perif&#233;rica como respiratoria<a class="elsevierStyleCrossRefs" href="#bib0255"><span class="elsevierStyleSup">23&#8211;25</span></a>&#46;</p><p id="par0175" class="elsevierStylePara elsevierViewall">Todos los investigadores del estudio refirieron considerar para la evaluaci&#243;n de la decanulaci&#243;n el punto de corte de PFET de 160 l&#47;min propuesto por Bach y Saporito<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">13</span></a>&#46; De todas formas pudo observarse que en todos los &#225;mbitos de internaci&#243;n se decanularon pacientes con valores inferiores al punto de corte propuesto&#46; De forma similar&#44; pero en una poblaci&#243;n de pacientes postoperatorios de neurocirug&#237;a Chan et al&#46; definieron un valor de PFET sensiblemente inferior de 29 l&#47;min asociado a la decanulaci&#243;n exitosa<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">14</span></a>&#46; La diferencia entre ambos estudios creemos radica en la metodolog&#237;a utilizada para la medici&#243;n&#46; En el estudio de Chan et al&#46; no se control&#243; la posible fuga de aire alrededor de la c&#225;nula&#44; lo cual podr&#237;a subestimar el valor real del PFET en estos pacientes&#46; A ra&#237;z de esta debilidad procedimental hemos elegido como valor de referencia el valor de 160 l&#47;m propuesto por Bach que adem&#225;s se encuentra ampliamente aceptado en la pr&#225;ctica diaria<a class="elsevierStyleCrossRefs" href="#bib0180"><span class="elsevierStyleSup">8&#44;13</span></a>&#46; Por lo antes expuesto y considerando que la tasa de falla de decanulaci&#243;n habitual ronda entre el 0&#37; al 6&#37;<a class="elsevierStyleCrossRefs" href="#bib0165"><span class="elsevierStyleSup">5&#44;8&#44;9&#44;12&#44;26</span></a>&#44; nos surge la necesidad de replantear el valor de PFET l&#237;mite para considerarlo como predictor para una decanulaci&#243;n exitosa&#46;</p><p id="par0180" class="elsevierStylePara elsevierViewall">Otros autores evaluaron la fuerza de la tos&#44; mediante la presi&#243;n m&#225;xima espiratoria generada por la musculatura respiratoria&#46; Ceriana et al&#46; evaluaron de forma prospectiva el punto de corte de PEm&#225;x &#62; a 40<span class="elsevierStyleHsp" style=""></span>cm H<span class="elsevierStyleInf">2</span>O en un protocolo de decanulaci&#243;n<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">1</span></a>&#46; Santus et al&#46; proponen un algoritmo cualicuantitativo donde tambi&#233;n ponderan el valor de la capacidad tus&#237;gena evaluada mediante la PEm&#225;x y adoptan el mismo l&#237;mite para definir la conducta<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">27</span></a>&#46; En nuestro estudio no hubo diferencias en el valor de PEm&#225;x con respecto a la tasa de decanulaci&#243;n entre los diferentes &#225;mbitos&#46; Este hallazgo contradictorio podr&#237;a explicarse a lo expuesto previamente en referencia al uso de v&#225;lvula unidireccional para la medici&#243;n de la PEm&#225;x&#46;</p><p id="par0185" class="elsevierStylePara elsevierViewall">Las diferencias observadas en el GCS entre la SG con respecto a UCI y CDVMR sugieren que en la SG se toleran valores del GCS m&#225;s bajos para la decanulaci&#243;n con respecto a la UCI&#46; Esta observaci&#243;n&#44; creemos&#44; puede reflejar diferentes etapas en el curso de la evoluci&#243;n de un paciente que sobrepasa su etapa cr&#237;tica&#46; Se podr&#237;a pensar que los pacientes que son externados de la UCI a una sala de internaci&#243;n generalmente ya tuvieron intentos de decanulaci&#243;n frustra&#46; Este hecho puntual podr&#237;a condicionar a tolerar un estado de conciencia con menor puntaje al momento de decanular&#46; Esto podr&#237;a variar en aquellos pacientes que son derivados con traqueostom&#237;a a un CDVMR donde los objetivos de tratamiento y los tiempos de internaci&#243;n difieren con respecto a la SG&#46; Adem&#225;s&#44; el paciente es recategorizado en &#171;cr&#243;nicamente enfermo&#187; lo cual podr&#237;a resultar en considerar criterios m&#225;s estrictos para una decanulaci&#243;n&#46; Este t&#243;pico no se ha discutido en la bibliograf&#237;a encontrada&#46;</p><p id="par0190" class="elsevierStylePara elsevierViewall">En nuestro estudio el GCS al momento de la decanulaci&#243;n no estuvo por debajo del punto de corte elegido en ninguno de los &#225;mbitos evaluados&#46; Este hallazgo refuerza lo que postulan diversos autores como Stelfox et al&#46; quienes recolectaron la opini&#243;n de expertos en manejo de pacientes con traqueostom&#237;a y el estado de conciencia result&#243; ser uno de los determinantes al momento de una decanulaci&#243;n segura<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">8</span></a>&#46; Hernandez et al&#46; encontraron mayor tiempo a la decanulaci&#243;n en quienes presentaban un GCS &#60;13 puntos<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">28</span></a>&#46; En otro estudio con pacientes neuroquir&#250;rgicos Chan et al&#46; valoraron el GCS previo a la decanulaci&#243;n y lo relacionaron con el &#233;xito en la decanulaci&#243;n&#46; Los autores concluyen que si bien el valor del GCS no aumenta el riesgo de fallar la decanulaci&#243;n s&#237; existe una tendencia que sugiere que los pacientes que fallaron ten&#237;an un menor valor de GCS &#40;p&#61;0&#44;06&#41;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">14</span></a>&#46; Resumiendo&#44; si bien los valores observados o elegidos para definir estado de conciencia var&#237;an entre los diversos autores&#44; todos consideran para la decanulaci&#243;n la evaluaci&#243;n del estado de conciencia mediante el GCS a la hora de una decanulaci&#243;n segura&#46;</p><p id="par0195" class="elsevierStylePara elsevierViewall">Las variables de evoluci&#243;n de la serie de pacientes decanulados mostraron los resultados esperados&#46; La mortalidad y la falla de decanulaci&#243;n no fueron significativas entre los diferentes &#225;mbitos&#46; Esto concuerda con otros autores que postulan que una vez que el paciente se encuentra desvinculado y apto para la decanulaci&#243;n el lugar donde se haga la decanulaci&#243;n no influir&#237;a en el resultado de la misma<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">27</span></a>&#46; Contrario a esto existen estudios que atribuyen una mayor mortalidad a las decanulaciones realizadas en la sala general<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">28&#44;29</span></a>&#46;</p><p id="par0200" class="elsevierStylePara elsevierViewall">Tanto los d&#237;as de internaci&#243;n como los d&#237;as a la decanulaci&#243;n resultaron significativamente mayores en la sala general y en los CDVMR&#46; Esto puede explicarse en que suelen ser &#225;mbitos de derivaci&#243;n que le suceden a la estancia en la UCI&#46;</p><p id="par0205" class="elsevierStylePara elsevierViewall">Para finalizar&#44; al comparar la evoluci&#243;n de los pacientes seg&#250;n hayan sido decanulados cumpliendo o no los criterios propuestos por la bibliograf&#237;a<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">1&#44;8&#44;13&#44;27</span></a>&#44; observamos que los sujetos que no cumpl&#237;an con estos par&#225;metros pose&#237;an m&#225;s d&#237;as de internaci&#243;n&#44; m&#225;s d&#237;as a la decanulaci&#243;n y una cantidad mayor de ellos lograba el alta a domicilio&#46; Sin embargo&#44; esta diferencia no result&#243; estad&#237;sticamente significativa entre todos los escenarios&#46;</p><p id="par0210" class="elsevierStylePara elsevierViewall">El estudio presenta limitaciones que deben ser tenidas en cuenta&#46; En primer lugar&#44; cabe destacar la falta de un grupo control &#40;pacientes no decanulados&#41; que nos permitiera realizar una comparaci&#243;n en las variables utilizadas com&#250;nmente para guiar la decanulaci&#243;n y poder as&#237;&#44; definir los criterios diagn&#243;sticos de las variables estudiadas&#46; Otra limitaci&#243;n radica en la variabilidad de los dispositivos utilizados para la medici&#243;n del pico flujo espiratorio tosido ya que varios centros no contaron con neumotac&#243;grafos para la medici&#243;n del pico flujo y utilizaron sensores de pico flujo mec&#225;nicos&#46; Por otro lado&#44; los valores de PFET pudieron ser subestimados debido a que no se control&#243; la fuga periostoma al momento de la medici&#243;n&#44; a diferencia de la PEm&#225;x donde se sobreinfl&#243; el bal&#243;n para las mediciones&#46;</p><p id="par0215" class="elsevierStylePara elsevierViewall">A pesar de las limitaciones expuestas creemos que la fortaleza del estudio radica en la presentaci&#243;n de datos que son utilizados en la pr&#225;ctica cotidiana por centros referentes en manejo de pacientes con traqueostom&#237;a&#46; Si bien la decanulaci&#243;n puede ser guiada por una mayor cantidad de variables&#44; varios autores coinciden en que la fuerza de la tos y el estado de conciencia suelen ser las variables con mayor peso para decidir la decanulaci&#243;n<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">1&#44;8&#44;27</span></a>&#46;</p><p id="par0220" class="elsevierStylePara elsevierViewall">Es necesario que estos resultados sean evaluados de manera prospectiva mediante estudios controlados a fin de establecer criterios de eficacia para las variables propuestas&#46; Sugerimos que es importante evaluar la seguridad de la decanulaci&#243;n pero considerando que la permanencia innecesaria de la c&#225;nula de traqueostom&#237;a puede producir complicaciones&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Conclusi&#243;n</span><p id="par0225" class="elsevierStylePara elsevierViewall">En este estudio se observaron diferencias en los valores de PFET y GCS entre los diferentes &#225;mbitos en los que se realiza el retiro de la c&#225;nula de traqueostom&#237;a&#46; Una considerable cantidad de pacientes fueron decanulados con valores de PFET y PEm&#225;x por debajo de los puntos de corte sugeridos por la literatura como predictores de falla&#46; Ning&#250;n paciente de nuestra serie fue decanulado con un score de coma de Glasgow menor a 8 puntos&#44; lo que refleja la importancia del estado de conciencia al momento de decidir la decanulaci&#243;n&#46; El seguimiento de esta serie refleja el prolongado tiempo de presencia de c&#225;nula de traqueostom&#237;a y que la decanulaci&#243;n est&#225; asociada a una mayor chance de ser externado a domicilio&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Autor&#237;a&#47;colaboradores</span><p id="par0230" class="elsevierStylePara elsevierViewall">Ladislao D&#237;az Ballve&#58; particip&#243; en la concepci&#243;n&#44; el dise&#241;o del estudio&#44; adquisici&#243;n de datos&#44; el an&#225;lisis y la interpretaci&#243;n de los datos&#46; Adem&#225;s del borrador del art&#237;culo o la revisi&#243;n cr&#237;tica del contenido intelectual y la aprobaci&#243;n definitiva de la versi&#243;n que se presenta&#46;</p><p id="par0235" class="elsevierStylePara elsevierViewall">Dar&#237;o Villalba&#58; particip&#243; en la concepci&#243;n&#44; el dise&#241;o del estudio&#44; adquisici&#243;n de datos&#44; el an&#225;lisis y la interpretaci&#243;n de los datos&#46; Adem&#225;s del borrador del art&#237;culo o la revisi&#243;n cr&#237;tica del contenido intelectual y la aprobaci&#243;n definitiva de la versi&#243;n que se presenta&#46;</p><p id="par0240" class="elsevierStylePara elsevierViewall">Mauro Andreu&#58; particip&#243; en la concepci&#243;n&#44; el dise&#241;o del estudio&#44; adquisici&#243;n de datos&#44; el an&#225;lisis y la interpretaci&#243;n de los datos&#46; Adem&#225;s del borrador del art&#237;culo o la revisi&#243;n cr&#237;tica del contenido intelectual y la aprobaci&#243;n definitiva de la versi&#243;n que se presenta&#46;</p><p id="par0245" class="elsevierStylePara elsevierViewall">Miguel Escobar&#58; particip&#243; en la concepci&#243;n&#44; el dise&#241;o del estudio y la interpretaci&#243;n de los datos&#46; Adem&#225;s de la revisi&#243;n cr&#237;tica del contenido intelectual y la aprobaci&#243;n definitiva de la versi&#243;n que se presenta&#46;</p><p id="par0250" class="elsevierStylePara elsevierViewall">Gast&#243;n Morel Vulliez&#58; particip&#243; en la concepci&#243;n&#44; el dise&#241;o del estudio y la interpretaci&#243;n de los datos&#46; Adem&#225;s de la revisi&#243;n cr&#237;tica del contenido intelectual y la aprobaci&#243;n definitiva de la versi&#243;n que se presenta&#46;</p><p id="par0255" class="elsevierStylePara elsevierViewall">Janina Lebus&#58; particip&#243; en la concepci&#243;n&#44; el dise&#241;o del estudio&#44; la adquisici&#243;n de datos y la interpretaci&#243;n de los datos&#46; Adem&#225;s&#44; de la revisi&#243;n cr&#237;tica del contenido intelectual y la aprobaci&#243;n definitiva de la versi&#243;n que se presenta&#46;</p><p id="par0260" class="elsevierStylePara elsevierViewall">Emilio Rositi&#58; particip&#243; en la concepci&#243;n&#44; el dise&#241;o del estudio&#44; adquisici&#243;n de datos y la interpretaci&#243;n de los datos&#46; Adem&#225;s de la revisi&#243;n cr&#237;tica del contenido intelectual y la aprobaci&#243;n definitiva de la versi&#243;n que se presenta&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">Conflicto de intereses</span><p id="par0265" class="elsevierStylePara elsevierViewall">Los autores declaran no tener ning&#250;n conflicto de intereses&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Describir las variables relacionadas con la capacidad tus&#237;gena efectiva y el estado de la conciencia medidas previo a la decanulaci&#243;n y comparar sus valores medidos entre los diferentes &#225;mbitos de atenci&#243;n como la Unidad de Cuidados Intensivos &#40;UCI&#41;&#44; sala general y centros de desvinculaci&#243;n de la ventilaci&#243;n mec&#225;nica y rehabilitaci&#243;n &#40;CDVMR&#41;&#46; Secundariamente analizar la evoluci&#243;n de los pacientes una vez decanulados&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Dise&#241;o</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Serie de casos&#44; longitudinal y prospectiva&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">&#193;mbito</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Multic&#233;ntrico 31 UCI &#40;polivalentes&#41; y en 5 CDVMR&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Pacientes</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Adultos traqueostomizados previos a la decanulaci&#243;n&#46;</p></span> <span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Mediciones</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Presi&#243;n espiratoria m&#225;xima&#44; pico flujo espiratorio tosido &#40;PFET&#41;&#44; Glasgow Coma Scale &#40;GCS&#41;&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Resultados</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Doscientos siete pacientes decanulados&#44; 124 &#40;60&#37;&#41; en UCI&#44; 59 &#40;28&#37;&#41; en sala general y 24 &#40;12&#37;&#41; en CDVMR&#46; El PFET present&#243; diferencias entre los pacientes &#40;UCI 110 - 190 l&#47;min versus CDVMR 167&#44;5 - 232&#44;5 l&#47;min&#59; p&#60;0&#44;01&#41;&#46; El GCS fue diferente entre la sala general &#40;9 -15&#41; versus UCI &#40;10- 15&#41; y CDVMR &#40;12 - 15&#41;&#59; p&#60;0&#44;01 y p&#60;0&#44;01&#44; respectivamente&#46; Hubo diferencias en los d&#237;as de internaci&#243;n &#40;p&#60;0&#44;01&#41;&#44; los d&#237;as con traqueostom&#237;a &#40;&#60;0&#44;01&#41; y la cantidad de pacientes derivados a domicilio &#40;p&#61;0&#44;02&#41; entre los distintos escenarios&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Conclusi&#243;n</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Existen diferencias en los valores medidos de PFET y GCS entre los diferentes &#225;mbitos&#46; Una considerable cantidad de pacientes son decanulados con valores de PFET y presi&#243;n espiratoria m&#225;xima por debajo de los puntos de corte sugeridos como predictores de falla en la literatura&#46; Ning&#250;n paciente de nuestra serie fue decanulado con un SCG &#60;8 puntos&#44; esto refleja la importancia que le otorga el equipo tratante al estado de conciencia al momento de la decanulaci&#243;n&#46;</p></span>"
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            "titulo" => "Dise&#241;o"
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            "titulo" => "&#193;mbito"
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Objective</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">To describe the variables related to effective cough capacity and the state of consciousness measured prior to decannulation and compare their measured values between the different areas of care such as the Intensive Care Unit &#40;ICU&#41;&#44; General ward and Mechanical Ventilation Weaning and Rehabilitation Centers &#40;MVWRC&#41;&#46; Secondarily analyze the evolution of patients once decannulated&#46;</p></span> <span id="abst0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Design</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Case series&#44; longitudinal and prospective&#46;</p></span> <span id="abst0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Scope</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Multicentric 31 ICUs &#40;polyvalent&#41; and 5 MVWRC&#46;</p></span> <span id="abst0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Patients</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Tracheostomized adults prior to decannulation&#46;</p></span> <span id="abst0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Measurements</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Maximum expiratory pressure&#44; peak expiratory flow coughed &#40;PEFC&#41;&#44; Glasgow Coma Scale &#40;GCS&#41;&#46;</p></span> <span id="abst0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Results</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Two hundred and seven decannulated patients&#44; 124 &#40;60&#37;&#41; in ICU&#44; 59 &#40;28&#37;&#41; General ward and 24 &#40;12&#37;&#41; in MVWRC&#46; The PEFC presented differences between the patients &#40;ICU 110 - 190 l&#47;min versus MVWRC 167&#46;5 - 232&#46;5 l&#47;min&#44; p &#60;&#46;01&#41;&#46; The GCS was different between General ward &#40;9 -15&#41; versus ICU &#40;10-15&#41; and MVWRC &#40;12-15&#41;&#59; p &#60;&#46;01 and p &#60;&#46;01&#44; respectively&#46; There were differences in the days of hospitalization &#40;p &#60;&#46;01&#41;&#44; days with tracheostomy &#40;&#60;0&#46;01&#41; and the number of patients referred at home &#40;p &#61;&#46;02&#41; between the different scenarios&#46;</p></span> <span id="abst0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Conclusion</span><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">There are differences in the values of PEFC and GCS observed when decannulating between different areas&#46; A considerable number of patients are decannulated with values of PEFC and maximum expiratory pressure below the suggested cut-off points as predictors of failure in the literature&#46; No patient in our series was decanulated with an GCS &#60;8&#44; this reflects the importance that the treating team gives to the state of consciousness prior to decannulation&#46;</p></span>"
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            "titulo" => "Material suplementario"
            "identificador" => "sec0060"
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                "apendice" => "<p id="par0280" class="elsevierStylePara elsevierViewall">Investigadores por centro</p> <p id="par0285" class="elsevierStylePara elsevierViewall">D&#237;az-Ballve Ladislao y Tur&#243;n Gonzalo <span class="elsevierStyleItalic">&#40;Hospital Nacional Alejandro Posadas&#44; El Palomar&#44; Buenos Aires&#41;</span>&#59; Villalba Dar&#237;o <span class="elsevierStyleItalic">&#40;Cl&#237;nica Basilea&#44; CABA&#41;</span>&#59; Escobar Miguel&#44; Morel-Vulliez Gast&#243;n&#44; Rositi Emilio y Gussoni Mariana <span class="elsevierStyleItalic">&#40;Centro Parque&#44; CABA&#41;</span>&#59; Lebus Janina <span class="elsevierStyleItalic">&#40;Cl&#237;nica La Sagrada Familia&#44; CABA&#41;</span>&#59; Falduti Alejandra <span class="elsevierStyleItalic">&#40;Hospital Juan A&#46; Fern&#225;ndez&#44; CABA&#41;</span>&#59; Tenasczuk Karina <span class="elsevierStyleItalic">&#40;Alta Complejidad en Red&#44; Hospital El Cruce&#44; Dr&#46; N&#233;stor C&#46; Kirchner&#44; Lomas de Zamora&#44; Buenos Aires&#41;</span>&#59; Reinoso Mayra <span class="elsevierStyleItalic">&#40;Hospital Italiano de Buenos Aires&#44; CABA&#41;</span>&#59; Quijano Agustina y Bustamante Paola <span class="elsevierStyleItalic">&#40;Cl&#237;nica de Internaci&#243;n Aguda en Rehabilitaci&#243;n y Cirug&#237;a &#91;CIAREC&#93;&#44; CABA&#41;</span>&#59; Di Pierro Mercedes <span class="elsevierStyleItalic">&#40;Hospital Regional Dr&#46; Ram&#243;n Carrillo&#44; Ciudad de Santiago del Estero&#44; Santiago del Estero&#41;</span>&#59; Santini Marcela <span class="elsevierStyleItalic">&#40;Cl&#237;nica Pasteur&#44; Ciudad de Neuqu&#233;n&#44; Neuqu&#233;n&#41;</span>&#59; Borello Silvina y Aguirre Mariana <span class="elsevierStyleItalic">&#40;Hospital Donaci&#243;n Francisco Santojanni&#44; CABA&#41;</span>&#44; Gracia Guadalupe <span class="elsevierStyleItalic">&#40;Sanatorio Colegiales&#44; CABA&#41;</span>&#59; Setten Mariano <span class="elsevierStyleItalic">&#40;Centro de Educaci&#243;n M&#233;dica e Investigaciones Cl&#237;nicas &#171;Norberto Quirno&#187; &#91;CEMIC&#93;&#44; CABA&#41;</span>&#59; Di-Nardo Soledad <span class="elsevierStyleItalic">&#40;Cl&#237;nica Santa Isabel&#44; CABA&#41;</span>&#59; Navarro Emiliano <span class="elsevierStyleItalic">&#40;Hospital Carlos G&#46; Durand&#44; CABA&#41;</span>&#59; Ruggeri Federico <span class="elsevierStyleItalic">&#40;Hospital Escuela Jos&#233; de San Mart&#237;n&#44; Cdad&#46; de Corrientes Provincia de Corrientes&#41;</span>&#59; Camargo Marcel&#44; Franco Leandro&#44; Funes Juan&#44; Garc&#237;a Luciano y Sosa Adriana <span class="elsevierStyleItalic">&#40;Hospital San Luis&#44; Ciudad de San Luis&#44; San Luis&#41;</span>&#59; Uberti Mariano <span class="elsevierStyleItalic">&#40;Cl&#237;nica San Agust&#237;n&#44; Ciudad de Neuqu&#233;n&#44; Neuqu&#233;n&#41;</span>&#59; Mogadouro Mariela <span class="elsevierStyleItalic">&#40;Sanatorio de La Trinidad Palermo&#44; CABA&#41;</span>&#59; Rapetti Leticia <span class="elsevierStyleItalic">&#40;Hospital Universitario UAI&#44; CABA&#41;</span>&#59; Baqueiro Ayelen <span class="elsevierStyleItalic">&#40;Hospital Regional Art&#233;mides Zatti&#44; Viedma&#44; R&#237;o Negro&#41;</span>&#59; Garz&#243;n Gustavo <span class="elsevierStyleItalic">&#40;Sanatorio Nuestra Se&#241;ora del Rosario&#44; San salvador de Jujuy&#44; Jujuy&#41;</span>&#59; Cervantes Violeta <span class="elsevierStyleItalic">&#40;Hospital Mar&#237;a Ferrer&#44; CABA&#41;</span>&#59; Revelli Rosana <span class="elsevierStyleItalic">&#40;Hospital Privado Universitario&#44; Cdad&#46; de C&#243;rdoba&#44; C&#243;rdoba&#41;</span>&#59; Moreno Mart&#237;n <span class="elsevierStyleItalic">&#40;Hospital Regional&#44; Comodoro Rivadavia&#44; Chubut&#41;</span>&#59; Hassan Ana Paula <span class="elsevierStyleItalic">&#40;Hospital Zonal&#44; Esquel&#44; Chubut&#41;</span>&#59; Busico Marina <span class="elsevierStyleItalic">&#40;Cl&#237;nica Olivos - SMG&#44; Olivos&#44; Provincia de Buenos Aires&#41;</span>&#59; Luponio Marcelo <span class="elsevierStyleItalic">&#40;Hospital Julio C&#46; Perrando&#44; Resistencia&#44; Chaco&#41;</span>&#59; Gelabert Deborah <span class="elsevierStyleItalic">&#40;Hospital &#211;scar Alende&#44; Mar del Plata&#44; Buenos Aires&#41;</span>&#59; Gonz&#225;lez Luis <span class="elsevierStyleItalic">&#40;Cl&#237;nica ALCLA&#44; CABA&#41;</span>&#59; Rojas Vanesa <span class="elsevierStyleItalic">&#40;HIGA Petrona Villegas de Cordero&#44; San Fernando&#44; Buenos Aires&#41;</span>&#59; Kaspar Guillermina <span class="elsevierStyleItalic">&#40;Instituto de Investigaciones M&#233;dicas Alfredo A&#46; Lanari&#44; CABA&#41;</span>&#59; Veronesi Magdalena <span class="elsevierStyleItalic">&#40;Cl&#237;nica Altergarten&#44; CABA&#41;</span>&#59; Verduguez Marta <span class="elsevierStyleItalic">&#40;Hospital Simplemente Evita&#44; Gonz&#225;lez Cat&#225;n&#44; Buenos Aires&#41;</span>&#59; Seguil Yanina <span class="elsevierStyleItalic">&#40;Hospital Municipal de Trauma y Emergencias Dr&#46; Federico Abete&#46; Malvinas Argentinas&#44; Buenos Aires&#41;</span>&#59; Ter&#225;n Eduardo <span class="elsevierStyleItalic">&#40;Hospital Central&#44; Ciudad de Mendoza&#44; Mendoza&#41;</span>&#46;</p>"
                "etiqueta" => "B&#46;1"
                "titulo" => "Anexo 2 Investigadores que participaron por cada centro de investigaci&#243;n"
                "identificador" => "sec0065"
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          "es" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Flujograma de pacientes del estudio&#46;</p>"
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          "es" => "<p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">Gr&#225;fico de m&#225;ximos y m&#237;nimos del score de coma Glasgow previo a la decanulaci&#243;n seg&#250;n el &#225;mbito de decanulaci&#243;n&#46; N&#237;ng&#250;n paciente fue decanulado con un valor del score de coma Glasgow menor a 8 puntos&#44; este valor est&#225; representado por la discontinua&#46; Esto fue igual para todos los &#225;mbitos tanto la Unidad de cuidados intensivos&#44; la sala general y los centros de desvinculaci&#243;n de la ventilaci&#243;n mec&#225;nica y rehabilitaci&#243;n&#46;</p>"
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          "es" => "<p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">Gr&#225;fico de cajas del valor de pico flujo espiratorio tosido seg&#250;n el &#225;mbito de decanulaci&#243;n&#46; La l&#237;nea representa el valor de corte de 160 l&#47;min&#46; Se observa como este valor no es alcanzado en todos los &#225;mbitos en diferentes proporciones&#44; 46&#44;1&#37; de los pacientes internados en la Unidad de cuidados intensivos&#44; 31&#44;1&#37; en la sala general y el 17&#44;4&#37; en los centros de desvinculaci&#243;n de la ventilaci&#243;n mec&#225;nica y rehabilitaci&#243;n &#40;CDVMR&#41;&#46;</p>"
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sexo femenino&#44; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">77 &#40;37&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">40 &#40;32&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">30 &#40;50&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">7 &#40;29&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Score de Charlson&#44; Mn &#40;Q<span class="elsevierStyleInf">25</span>-Q<span class="elsevierStyleInf">75</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1 &#40;0-3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1 &#40;0-3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#44;7 &#40;1-4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">2 &#40;0&#44;12-3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ant&#46; respiratorios&#44; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">42 &#40;20&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">26 &#40;21&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">7 &#40;11&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9 &#40;37&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ant&#46; cardiovasculares&#44; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">99 &#40;47&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">62 &#40;50&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">27 &#40;45&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10 &#40;41&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ant&#46; neurol&#243;gicos&#44; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">34 &#40;16&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">20 &#40;16&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">9 &#40;15&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">5 &#40;20&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ant&#46; metab&#243;licos&#44; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">65 &#40;31&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">42 &#40;33&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">17 &#40;28&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">6 &#40;25&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ant&#46; psiqui&#225;tricos&#44; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12 &#40;5&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">8 &#40;6&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">4 &#40;6&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ant&#46; oncol&#243;gicos&#44; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">18 &#40;8&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">11 &#40;8&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3 &#40;5&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">4 &#40;16&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ant&#46; tabaquista&#44; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">67 &#40;32&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">43 &#40;34&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">17 &#40;28&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">7 &#40;29&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ODC&#44; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">2 &#40;1&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1 &#40;0&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1 &#40;4&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Motivo de ingreso en UCI</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">M&#233;dico&#44; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">87 &#40;41&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">60 &#40;48&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">16 &#40;27&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">11 &#40;45&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Quir&#250;rgico de urgencia&#44; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">46 &#40;22&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">27 &#40;21&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">17 &#40;28&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2 &#40;8&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Quir&#250;rgico programado&#44; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">30 &#40;14&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">20 &#40;16&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">8 &#40;13&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2 &#40;8&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Trauma&#44; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5 &#40;2&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;3&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;4&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Trauma con TEC&#44; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">40 &#40;19&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14 &#40;11&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18 &#40;30&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;33&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">TQT percut&#225;nea&#44; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">91 &#40;43&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">70 &#40;56&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12 &#40;20&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9 &#40;15&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Motivo realizaci&#243;n de TQT</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">TQT precoz&#44; n &#40;&#37;&#41;<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">79 &#40;38&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">47&#40;37&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">21&#40;35&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#40;55&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Destete prolongado&#44; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">54 &#40;26&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30&#40;24&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#40;33&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;20&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">VMP&#44; n &#40;&#37;&#41;<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">39 &#40;19&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30 &#40;24&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;13&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;5&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Extubaciones fallidas&#44; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">23 &#40;11&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&#40;9&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#40;11&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#40;20&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">OVA&#44; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9 &#40;4&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6 &#40;4&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;5&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Aquellos pacientes que hayan estado en ventilaci&#243;n mec&#225;nica durante m&#225;s de 21 d&#237;as<span class="elsevierStyleItalic">&#46;</span></p>"
            ]
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Variable&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Estad&#237;stico&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">SG&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">CDVMR&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">P</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">PFET &#40;l&#47;min&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Md&#40;Q<span class="elsevierStyleInf">25</span>-<span class="elsevierStyleInf">75</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">152&#44;5 &#40;110-190&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">177 &#40;117-214&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">200 &#40;167&#44;5-232&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;02&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">PEm&#225;x &#40;cmH<span class="elsevierStyleInf">2</span>O&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Md&#40;Q<span class="elsevierStyleInf">25</span>-<span class="elsevierStyleInf">75</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">60 &#40;40-80&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">56 &#40;40-62&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">62&#44;5 &#40;43&#44;7 &#8211; 75&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;36&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">GCS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Md&#40;M&#225;x-Min&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&#160;&#40;10-15&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10 &#40;9-15&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15 &#40;12-15&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#60;0&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">D&#237;as a la decanulaci&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Md&#40;Q<span class="elsevierStyleInf">25</span>-<span class="elsevierStyleInf">75</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26 &#40;14 - 41&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30 &#40;20 - 47&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">56 &#40;32 - 91&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">D&#237;as de internaci&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Md&#40;Q<span class="elsevierStyleInf">25</span>-<span class="elsevierStyleInf">75</span>&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">38 &#40;38 - 83&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">53 &#40;39 - 86&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">83 &#40;76 - 130&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Falla de decanulaci&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Alta domiciliaria&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">81 &#40;38&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24 &#40;11&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10 &#40;4&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;02&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Mortalidad a los 30 d&#237;as&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7 &#40;3&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;42&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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              ]
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        "descripcion" => array:1 [
          "es" => "<p id="spar0115" class="elsevierStyleSimplePara elsevierViewall">Variables de resultado</p>"
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      6 => array:8 [
        "identificador" => "tbl0015"
        "etiqueta" => "Tabla 3"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
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        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at3"
            "detalle" => "Tabla "
            "rol" => "short"
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        "tabla" => array:3 [
          "leyenda" => "<p id="spar0130" class="elsevierStyleSimplePara elsevierViewall">Todos los pares se compararron con la prueba de Dunn&#39;s-Bonferroni p&#60;0&#44;05 excepto en las que se indica&#46;</p><p id="spar0150" class="elsevierStyleSimplePara elsevierViewall">CDVMR&#58; centro de desvinculaci&#243;n ventilaci&#243;n mec&#225;nica y rehabilitaci&#243;n&#59; GCS&#58; Escala de Coma de Glasgow&#59; PFET&#58; pico flujo espiratorio tosido&#59; UCI&#58; unidad de cuidados intensivos&#59; SG&#58; sala general&#46;</p>"
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            0 => array:2 [
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">Lugar de decanulaci&#243;n</span></th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">p</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="3" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">PFETMd &#40;Q<span class="elsevierStyleInf">25-75</span>&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">UCI 152&#44;5 &#40;110-190&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">SG177 &#40;117-214&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;198&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">UCI 152&#44;5 &#40;110-190&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">CDVMR200 &#40;167&#44;5-232&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">SG 177 &#40;117-214&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">CDVMR200 &#40;167&#44;5-232&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;159&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="3" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">GCSMd &#40;M&#225;x - Min&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">UCI 15 &#40;10-15&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">SG10 &#40;9-15&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">UCI 15 &#40;10-15&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">CDVMR15 &#40;12-15&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;211&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">SG 10 &#40;9-15&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">CDVMR15 &#40;12-15&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="3" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">D&#237;as a decanulaci&#243;nMd &#40;Q<span class="elsevierStyleInf">25-75</span>&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">UCI26 &#40;14-41&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">SG30 &#40;20-47&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">UCI26 &#40;14-41&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">CDVMR56 &#40;32-91&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#44;01&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">CDVMR56 &#40;32-91&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#60;0&#44;01&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " rowspan="3" align="left" valign="\n
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                  \t\t\t\t">UCI38 &#40;38-83&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;89&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">UCI38 &#40;38-83&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">CDVMR83 &#40;76-130&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#60;0&#44;01&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">SG53 &#40;39-86&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">CDVMR83 &#40;76-130&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#60;0&#44;01&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " rowspan="3" align="left" valign="\n
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                  \t\t\t\t">Alta domiciliaria a los 30 d&#237;as&#44; n&#40;&#37;&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a></td><td class="td" title="\n
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                  \t\t\t\t">UCI81 &#40;38&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">SG24 &#40;11&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">CDVMR10 &#40;4&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;03&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">SG24 &#40;11&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">CDVMR10 &#40;4&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;93&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">N&#46;<span class="elsevierStyleSup">o</span>&#46; &#40;&#37;&#41; o mediana &#91;Q<span class="elsevierStyleInf">25</span>-Q<span class="elsevierStyleInf">75</span>&#93;</th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">UCI</th><th class="td" title="\n
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                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">PFET n&#61; 81</th><th class="td" title="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">PFET n&#61; 37</th><th class="td" title="\n
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                  \t\t\t\t  " colspan="3" align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">PFET n&#61;20</th></tr><tr title="table-row"><th class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">&#8805;</span> 160 l&#47;m&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#60; 160 l&#47;m&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#8805; 160 l&#47;m&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#60; 160 l&#47;m&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#8805; 160 l&#47;m&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#60; 160 l&#47;m&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">D&#237;as a la decanulaci&#243;n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">20&#44;5 &#91;13 - 36&#93;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">33 &#91;19 - 46&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">0&#44;04</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">36&#44;5 &#91;20 - 47&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24 &#91;19 - 38&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">0&#44;77</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">56 &#91;31 - 77&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">51 &#91;51&#44;2 - 71&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">0&#44;45</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">D&#237;as de internaci&#243;n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">49 &#91;31 - 66&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">77&#44;5 &#91;53 - 98&#93;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">&#60;0&#44;01</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">57 &#91;30 - 77&#93;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">54 &#91;43 - 76&#93;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">0&#44;32</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">97 &#91;73 - 150&#93;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">135 &#91;119 - 163&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">0&#44;79</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Falla de decanulaci&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;2&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;2&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">0&#44;49</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;2&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;2&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">0&#44;99</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">NA</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Alta domiciliaria&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31 &#40;38&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22 &#40;27&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">0&#44;06</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7 &#40;19&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;10&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">0&#44;99</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;10&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6 &#40;30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">0&#44;53</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Mortalidad&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;2&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5 &#40;6&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">0&#44;26</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;5&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">0&#44;51</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">NA</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">PEm&#225;x n&#61;94</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">PEm&#225;x n&#61;48</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">PEm&#225;x n&#61;22</th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#8805; 40 cmH<span class="elsevierStyleInf">2</span>O&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#60; 40 cmH<span class="elsevierStyleInf">2</span>O&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">P&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#8805; 40 cmH<span class="elsevierStyleInf">2</span>O&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#60; 40 cmH<span class="elsevierStyleInf">2</span>O&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">P&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#8805; 40 cmH<span class="elsevierStyleInf">2</span>O&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#60; 40 cmH<span class="elsevierStyleInf">2</span>O&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">P&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">D&#237;as a la decanulaci&#243;n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">25 &#91;13&#44;5 - 44&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31 &#91;21&#44;5 - 49&#44;5&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">0&#44;17</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">28 &#91;21&#44;2 - 49&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">32 &#91;18&#44;5 - 37&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">0&#44;57</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">51 &#91;31 - 72&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">140 &#91;132 - 197&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">&#60;0&#44;01</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">D&#237;as de internaci&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">52 &#91;36&#44;5 - 90&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">74 &#91;54&#44;5 - 92&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">0&#44;17</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">55&#44;5 &#91;39 - 86&#44;7&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">51 &#91;33 - 59&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">0&#44;33</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">123 &#91;67 - 150&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">221 &#91;200 - 257&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">&#60;0&#44;01</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Falla de decanulaci&#243;n&nbsp;\t\t\t\t\t\t\n
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