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array:23 [ "pii" => "S0025775300712012" "issn" => "00257753" "doi" => "10.1016/S0025-7753(00)71201-2" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "71201" "copyright" => "Elsevier España, S.L.. Todos los derechos reservados" "copyrightAnyo" => "2000" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2000;114:89-90" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2256 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 2086 "PDF" => 164 ] ] "itemSiguiente" => array:18 [ "pii" => "S0025775300712024" "issn" => "00257753" "doi" => "10.1016/S0025-7753(00)71202-4" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "71202" "copyright" => "Elsevier España, S.L." "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "edi" "cita" => "Med Clin. 2000;114:91-3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1398 "formatos" => array:3 [ "EPUB" => 5 "HTML" => 1268 "PDF" => 125 ] ] "es" => array:7 [ "idiomaDefecto" => true "titulo" => "La presión arterial, la luna, las estrellas…" "tienePdf" => "es" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "91" "paginaFinal" => "93" ] ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Alexandre Roca-Cusachs Coll" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Alexandre" "apellidos" => "Roca-Cusachs Coll" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775300712024?idApp=UINPBA00004N" "url" => "/00257753/0000011400000003/v1_201307291400/S0025775300712024/v1_201307291400/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0025775300712000" "issn" => "00257753" "doi" => "10.1016/S0025-7753(00)71200-0" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "71200" "copyright" => "Elsevier España, S.L." "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2000;114:85-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2307 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 2142 "PDF" => 157 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Presión arterial nocturna y factores de riesgo cardiovascular en pacientes con hipertensión arterial" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "85" "paginaFinal" => "88" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Nocturnal blood pressure and cardiovascular risk factors in hypertensive patients" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Fernando Cobo Martínez, Blas Gil Extremera, Antonia Maldonado Martín, Juan de Dios Luna Castillo, Fabiola Muñoz Parra, Francisca Huertas Hernández, M.<span class="elsevierStyleSup">a</span> Teresa León-Espinosa de los Monteros, M.<span class="elsevierStyleSup">a</span> Fuensanta Ruiz López" "autores" => array:8 [ 0 => array:2 [ "nombre" => "Fernando" "apellidos" => "Cobo Martínez" ] 1 => array:2 [ "nombre" => "Blas" "apellidos" => "Gil Extremera" ] 2 => array:2 [ "nombre" => "Antonia" "apellidos" => "Maldonado Martín" ] 3 => array:2 [ "nombre" => "Juan" "apellidos" => "de Dios Luna Castillo" ] 4 => array:2 [ "nombre" => "Fabiola" "apellidos" => "Muñoz Parra" ] 5 => array:2 [ "nombre" => "Francisca" "apellidos" => "Huertas Hernández" ] 6 => array:2 [ "nombre" => "M.<span class="elsevierStyleSup">a</span>" "apellidos" => "Teresa León-Espinosa de los Monteros" ] 7 => array:2 [ "nombre" => "M.<span class="elsevierStyleSup">a</span>" "apellidos" => "Fuensanta Ruiz López" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775300712000?idApp=UINPBA00004N" "url" => "/00257753/0000011400000003/v1_201307291400/S0025775300712000/v1_201307291400/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Evaluación de las vías de acceso venoso innecesarias en un servicio de urgencias" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "89" "paginaFinal" => "90" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Luis Velasco Díaz, Bernabé Fernández González, Susana García Ríos, Esther Hernández del Corro" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Luis" "apellidos" => "Velasco Díaz" "email" => array:1 [ 0 => "Ivdiaz@ingterbook.net" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Bernabé" "apellidos" => "Fernández González" ] 2 => array:2 [ "nombre" => "Susana" "apellidos" => "García Ríos" ] 3 => array:2 [ "nombre" => "Esther" "apellidos" => "Hernández del Corro" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Urgencias. Hospital Valle del Nalón. Asturias" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "**" "correspondencia" => "Correspondencia: Dr. L. Velasco Díaz. Servicio de Urgencias. Hospital Valle del Nalón. Polígono de Riaño, s/n. 33920 Langreo. Asturias." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Evaluation of unnecessary intravenous cannulation in an emergency department" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1999-08-31" "fechaAceptado" => "1999-11-30" "PalabrasClave" => array:1 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec220566" "palabras" => array:3 [ 0 => "Vía venosa" 1 => "Urgencias médicas" 2 => "Costes hospitalarios" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Determinar la prevalencia decatéteres venosos periféricos innecesariosen un servicio de urgencias.</p> <span class="elsevierStyleSectionTitle">Método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo sobre unamuestra de 1.113 pacientes del total(24.673) que acudieron a urgencias. Se revisaronlas vías venosas canalizadas y sifueron o no utilizadas.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se practicó acceso venoso en202 pacientes (18,15%). En 84 (41,6%)no fue utilizado. El coste económico de lasvías innecesarias ascendió a 10.264,33 euros.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los accesos venosos periféricosfrecuentemente son utilizados innecesariamente,generando un coste de «mala calidad».</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To determine the incidence ofunnecessary cannulations of peripheralveins in an Emergency Department (ED).</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We retrospectively analyzed asample of 1,113 patients from a total of 24,637 who were attended at ED. We reviewedthe cannulations of peripheral veinsand if they was used or not.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">In 202 (18.5%) cases, venous accesswas obtained. In 84 (41.6%) the venousaccess was not used.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The unnecessary use of venouscannulations is a common practice and generatesa substantial added cost of poorquality.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias Bibliográficas" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib00005" "etiqueta" => "1." 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"referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Reduction of unnecessary intravenous use. catheter Internal medicine house staff participate in a successful quality improvement project" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "C.M. Parenti" 1 => "F.A. Lederle" 2 => "C.L. Impola" 3 => "R.L. 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