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Análisis de las causas y los factores asociados al reingreso hospitalario en politraumatismo leve-moderado: estudio observacional
Analysis of causes and factors associated with hospital readmission in mild and moderate polythraumatism: An observational study
N. Alegreta,
Corresponding author
nuriaalegret@hotmail.com

Autor para correspondencia.
, A.-M. Vargasa, A. Vallea, J. Martíneza, E. Rabanedaa, X. Oncinsb
a Servicio de Anestesiología y Reanimación, Corporación Sanitaria Parc Taulí, Sabadell, Barcelona, España
b Servicio de Traumatología, Corporación Sanitaria Parc Taulí, Sabadell, Barcelona, España
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          "es" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">C&#243;digo PPT&#46;</p> <p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Fuente&#58; CatSalut&#46; Instrucci&#243;n 04&#47;2011&#44; Ordenaci&#243;n y configuraci&#243;n del modelo organizativo y dispositivos para la atenci&#243;n inicial a la persona paciente traum&#225;tico grave&#46;</p> <p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">FR&#58; frecuencia respiratoria&#59; FX&#58; fractura&#59; GSC&#58; Glasgow Coma Scale&#59; PAS&#58; presi&#243;n arterial sist&#243;lica&#59; PPT&#58; paciente politraumatizado&#59; RTS&#58; Revised Trauma Score&#46;</p>"
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En 2004 representaron &#36; 17&#44;4 mil millones &#40;17&#37;&#41; de los pagos hospitalarios de Medicare &#40;EEE&#46; UU&#46;&#41;<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">2&#44;5&#44;6</span></a>&#46; La tasa de reingresos no planificados a los 30<span class="elsevierStyleHsp" style=""></span>d&#237;as ha sido validada como un indicador de calidad para la evaluaci&#243;n comparativa de los Trauma Centers<a class="elsevierStyleCrossRefs" href="#bib0125"><span class="elsevierStyleSup">4&#44;5&#44;7</span></a>&#44; ya que eval&#250;a el funcionamiento del servicio de salud mediante una monitorizaci&#243;n a largo plazo<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">1</span></a>&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Los traumatismos representan una carga importante para la sociedad en t&#233;rminos de morbilidad y costes asociados&#44; y son la principal causa de mortalidad en menores de 40 a&#241;os<a class="elsevierStyleCrossRefs" href="#bib0125"><span class="elsevierStyleSup">4&#44;6</span></a>&#46; Se han realizado esfuerzos considerables para reducir su mortalidad<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">4</span></a>&#44; pero en la actualidad se busca mejorar los resultados no fatales&#44; incluido el reingreso no planificado<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">4</span></a>&#46; La tasa de RT en pacientes con politraumatismos &#40;PPT&#41; se estima entre el 4&#44;3-y el 15&#37;<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">2&#44;6&#44;8-11</span></a>&#59; aun as&#237;&#44; la literatura al respecto es escasa<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">6</span></a>&#46; En 1997&#44; el grupo de Battistella public&#243; el primer estudio de reingreso hospitalario en PPT<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">12</span></a>&#44; a partir del cual surge numerosa literatura en centros de EE&#46; UU&#46; y Canad&#225;&#44; limit&#225;ndose la mayor&#237;a de las publicaciones a RT en un mismo hospital o a diagn&#243;sticos espec&#237;ficos<a class="elsevierStyleCrossRefs" href="#bib0135"><span class="elsevierStyleSup">6&#44;9</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Se ha evidenciado que los pacientes que reconsultaron tras sufrir un traumatismo fueron catalogados inicialmente como traumatismos sin riesgo vital&#44; ya que aquellos que requieren intervenci&#243;n quir&#250;rgica&#44; ingreso en la Unidad de Cuidados Intensivos u hospitalizaci&#243;n disminuyen de forma significativa la tasa de RT<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">8</span></a>&#44; debido al manejo integral multidisciplinar&#44; disminuyendo las complicaciones secundarias y la tasa de reconsultas<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">2&#44;9</span></a>&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Los factores de riesgo identificados en otros estudios para la RT en PPT son&#58; edad&#44; Injury Severity Score &#40;ISS&#41;&#44; hospitalizaci&#243;n&#44; solicitud de alta voluntaria y la presencia de comorbilidades<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">8&#44;9</span></a>&#46; Los motivos de RT m&#225;s frecuentemente descritos son&#58; sobreinfecci&#243;n de heridas&#44; descompensaci&#243;n de enfermedades subyacentes&#44; problemas musculoesquel&#233;ticos&#44; trombosis venosa profunda &#40;TVP&#41; y alteraciones psiqui&#225;tricas<a class="elsevierStyleCrossRefs" href="#bib0125"><span class="elsevierStyleSup">4&#44;6&#44;8&#44;9&#44;14</span></a>&#46; Sin embargo&#44; se sigue considerando que los datos son todav&#237;a insuficientes en nuestro medio por proceder de sistemas sanitarios y sociales distintos&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">El objetivo principal de nuestro estudio fue identificar aquellos factores relacionados con la RT y las razones de dichas reconsultas tras presentar politraumatismos leves-moderados en nuestra &#225;rea&#44; puesto que su conocimiento es clave en el desarrollo de intervenciones para reducir el coste y la morbilidad<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">2&#44;4</span></a>&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Material y m&#233;todo</span><p id="par0030" class="elsevierStylePara elsevierViewall">Se dise&#241;&#243; un estudio observacional retrospectivo entre julio del 2012 y junio del 2017&#46; A partir de noviembre del 2011 se implant&#243; en Catalu&#241;a el C&#243;digo PPT&#44; quedando definidas las prioridades de activaci&#243;n como muestra en la <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a>&#46; En nuestro estudio&#44; se recogieron las prioridades 2 y 3&#44; quedando excluidos aquellos pacientes que precisaron ingreso en la Unidad de Cr&#237;ticos o que fueron fallecimiento durante la atenci&#243;n primaria&#46; El estudio fue presentado y aceptado por el Comit&#233; de &#201;tica e Investigaci&#243;n Cl&#237;nica&#44; de la Corporaci&#243;n Sanitaria Universitaria Parc Taul&#237;&#44; con el n&#250;mero de referencia 2016631&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Variables estudiadas</span><p id="par0035" class="elsevierStylePara elsevierViewall">La obtenci&#243;n de datos se realiz&#243; mediante la revisi&#243;n de la historia cl&#237;nica hospitalaria y se ampli&#243; con la revisi&#243;n de la historia cl&#237;nica compartida de Catalu&#241;a &#40;HC3&#41; &#40;CatSalut&#44; Departamento de Salud&#44; Generalitat de Catalunya&#41;&#44; que ofrece acceso al historial de consultas del paciente en hospitales p&#250;blicos y centros de atenci&#243;n primaria dentro de la comunidad aut&#243;noma&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Se registraron las siguientes variables&#58; sexo&#44; edad&#44; mecanismo lesional&#44; antecedentes patol&#243;gicos y psiqui&#225;tricos relevantes&#44; &#237;ndice de gravedad del traumatismo o ISS&#44; estancia hospitalaria y procedimientos realizados durante la primera atenci&#243;n&#46; Posteriormente&#44; se hizo una b&#250;squeda a trav&#233;s de las herramientas anteriormente descritas de las reconsultas en urgencias y centros de atenci&#243;n primaria durante los 30 d&#237;as posteriores al alta hospitalaria&#59; de ellas&#44; se recogieron las siguientes variables&#58; fecha&#44; motivo de reconsulta&#44; estancia hospitalaria durante el reingreso&#44; diagn&#243;stico tard&#237;o&#44; presencia de lesiones ocultas en el primer ingreso y procedimientos realizados durante el segundo ingreso&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">An&#225;lisis estad&#237;stico</span><p id="par0045" class="elsevierStylePara elsevierViewall">El an&#225;lisis estad&#237;stico se realiz&#243; mediante el programa SPSS software&#174; versi&#243;n 23&#46;0 &#40;International Business Madines Corp&#46;&#44; Armonk&#44; NY&#44; EE&#46; UU&#46;&#41;&#46; El an&#225;lisis descriptivo de las variables cuantitativas se presenta en forma de mediana y rango intercuart&#237;lico por no presentar una distribuci&#243;n normal&#44; las variables cualitativas se presentan en forma de frecuencia y porcentaje&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Asimismo&#44; se realiz&#243; un an&#225;lisis univariante mediante la chi al cuadrado de Pearson para las variables cualitativas y la agrupaci&#243;n en rangos de las cuantitativas&#44; siendo la variable respuesta la reconsulta a los 30 d&#237;as&#46; Se presentan la odds ratio y su intervalo de confianza del 95&#37;&#46; Posteriormente&#44; se ha construido su modelo multivariante de regresi&#243;n log&#237;stica&#46; Se defini&#243; la significaci&#243;n estad&#237;stica cuando la p fue inferior a 0&#44;05&#46;</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Resultados</span><p id="par0055" class="elsevierStylePara elsevierViewall">Se incluye a un total de 1&#46;013 pacientes afectados de PPT en el per&#237;odo de estudio&#44; el 96&#44;5&#37; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>978&#41; con criterios de prioridad 2 y el 3&#44;5&#37; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>35&#41; prioridad 3&#44; entre julio del 2012 y junio del 2017&#46; Los datos demogr&#225;ficos se exponen en la <a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#46; La mediana de edad es de 38 a&#241;os &#40;5-96 a&#241;os&#41;&#44; la mediana para ISS de 3 puntos &#40;0-25 puntos&#41; y la mediana para la estancia hospitalaria inicial fue de un d&#237;a &#40;1-66 d&#237;as&#41;&#46; Se registr&#243; un fallecimiento &#40;0&#44;1&#37;&#41; secundario a traumatismo craneoencef&#225;lico&#46; Cabe destacar que un 3&#44;7&#37; de los pacientes &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>37&#41; fue trasladado a centros privados dependientes de mutuas deportivas o de accidentes para completar su tratamiento inicial&#46; &#218;nicamente un 0&#44;3&#37; pidi&#243; el alta voluntaria &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0060" class="elsevierStylePara elsevierViewall">Un 18&#44;3&#37; de los pacientes &#40;n &#61; 185&#41; realizaron RT&#59; la mediana de d&#237;as en los que se realiz&#243; dicha RT es de 7 d&#237;as &#40;1-30&#41;&#46; Las causas de RT se exponen en la <a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#46; Un 24&#44;9&#37; de los pacientes que reconsultaron presentaron lesiones ocultas no diagnosticadas en la atenci&#243;n inicial&#44; de entre las que destacan las de regi&#243;n tor&#225;cica con un 4&#44;9&#37; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>9&#41;&#44; extremidad superior un 5&#44;9&#37; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>11&#41; y extremidad inferior un 5&#44;9&#37; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>11&#41;&#46; Recibieron tratamiento quir&#250;rgico el 9&#44;7&#37; de los pacientes que reconsultaron &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>18&#41;&#44; de los cuales el 77&#44;8&#37; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>14&#41; de procedimientos fueron urgencias diferidas que se programaron con antelaci&#243;n&#46; Requirieron ingreso en planta de hospitalizaci&#243;n durante la reconsulta un total de 19 pacientes &#40;10&#44;3&#37;&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0065" class="elsevierStylePara elsevierViewall">Los resultados del an&#225;lisis de asociaci&#243;n de las variables iniciales con la reconsulta a los 30 d&#237;as&#44; as&#237; como el modelo multivariante de regresi&#243;n log&#237;stica&#44; se muestran en la <a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a>&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Discusi&#243;n</span><p id="par0070" class="elsevierStylePara elsevierViewall">Las RT suelen asociarse a altas precoces&#44; d&#233;ficits cualitativos en la atenci&#243;n hospitalaria recibida o bajo cumplimiento del tratamiento por parte del paciente<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">1</span></a>&#46; Otros factores&#44; como la facilidad de acceso al sistema sanitario&#44; no est&#225;n relacionados con la calidad de la atenci&#243;n pero pueden interferir en la tasa de reingresos<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">1</span></a>&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Tradicionalmente&#44; la calidad de los programas de traumatismo se ha evaluado en t&#233;rminos de mortalidad&#44; lo que ha llevado a notables incrementos en la supervivencia&#46; Sin embargo&#44; en la actualidad&#44; se busca mejorar otros par&#225;metros<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">14</span></a>&#44; puesto que la disminuci&#243;n de los reingresos evitables podr&#237;a aumentar la calidad de vida del paciente y el estado financiero del sistema<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">11</span></a>&#46; Por una parte&#44; el impacto de las p&#233;rdidas econ&#243;micas generadas por la poblaci&#243;n con traumatismo &#40;hombres j&#243;venes en su mayor&#237;a&#41; puede ser importante&#44; sobre todo en lo referente a per&#237;odos de ausencia laboral<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">1</span></a>&#46; Por otra&#44; se calcula un gasto medio por reconsulta en el servicio de urgencias de 1&#46;233 USD<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">3</span></a>&#46; Es por ello que la administraci&#243;n americana ha empezado a penalizar a los hospitales con tasas de reingreso elevadas<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">3</span></a>&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">La tasa de reconsulta tras politraumatismo leve-moderado de nuestra muestra es del 18&#44;3&#37;&#44; siendo superior a las tasas descritas en la literatura 4&#44;3-15&#37;<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">8&#44;15</span></a>&#59; en nuestro estudio&#44; hemos incluido en este grupo aquellas visitas programadas en urgencias o en centros de atenci&#243;n primaria para cura de heridas&#44; retirada de puntos o intervenciones diferidas&#44; representando aproximadamente un 13&#37; del total de RT &#40;n &#61; 24&#41;&#46; Tambi&#233;n debemos tener en cuenta que pese a estar descrito que el 23-64&#37; de RT son en centros distintos del que realiza la atenci&#243;n inicial<a class="elsevierStyleCrossRefs" href="#bib0150"><span class="elsevierStyleSup">9&#44;10</span></a>&#44; la mayor&#237;a de los estudios publicados los valoran en un &#250;nico centro&#59; contrariamente&#44; nosotros hemos tenido en cuenta todas las reconsultas a nivel ambulatorio y en hospitales p&#250;blicos en Catalu&#241;a&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">En cuanto a los factores asociados a RT en nuestra muestra&#44; pese a no presentar significaci&#243;n estad&#237;stica&#44; la edad presenta una tendencia semejante a la descrita en la literatura&#44; increment&#225;ndose la tasa de reingreso a edades m&#225;s avanzadas<a class="elsevierStyleCrossRefs" href="#bib0150"><span class="elsevierStyleSup">9&#44;10&#44;15&#44;16</span></a>&#46; El grupo de Lee et al&#46; presenta resultados espec&#237;ficos para poblaci&#243;n anciana&#44; destacando que el 15-20&#37; de los pacientes &#8805; 65 a&#241;os con traumatismos considerados como menores presentan limitaciones de movilidad&#44; actividad f&#237;sica y social previas<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">15</span></a>&#46; A menudo&#44; a estos pacientes se les da el alta hospitalaria sin recibir instrucciones ni seguimiento&#44; puesto que no existe una planificaci&#243;n espec&#237;fica<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">15</span></a>&#46; Contrariamente a los resultados de otros grupos&#44; donde el sexo femenino es factor de riesgo independiente para la RT<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">10&#44;16</span></a>&#44; en nuestra muestra no existe dicha asociaci&#243;n&#46; En cuanto a los mecanismos de acci&#243;n&#44; otros grupos obtienen resultados significativos para mecanismos no penetrantes<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">10</span></a>&#59; en nuestra serie representan el 100&#37;&#44; no pudiendo establecerse asociaciones&#46; Cabe destacar la asociaci&#243;n significativa&#44; tanto en el an&#225;lisis univariante como en el multivariante&#44; de los traumatismos tras accidente de motocicleta&#44; bicicleta y precipitaci&#243;n&#47;ca&#237;da con la RT&#44; destacando el riesgo tras sufrir un accidente ciclista&#44; con una OR 2&#44;26&#46; Esta asociaci&#243;n ha sido descrita tambi&#233;n por otros grupos&#44; incluy&#233;ndola en traumatismos relacionados con actividades recreativas &#40;ciclismo o esqu&#237;&#41;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">15</span></a>&#44; con tasas de RT m&#225;s elevadas que las colisiones de autom&#243;viles<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">15</span></a>&#46; La gravedad del traumatismo&#44; valorada mediante el ISS&#44; es un factor predictor de RT<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">13&#44;16</span></a>&#44; algunos grupos describen una menor tasa de RT para ISS &#8804; 15<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">8&#44;17</span></a>&#59; contrariamente otros describen mayores tasas de RT asociadas a traumatismos m&#225;s leves ISS &#8804; 9<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">10</span></a>&#59; en nuestro caso&#44; no se observa una asociaci&#243;n significativa con esta variable pese a existir una tendencia m&#225;s en consonancia los primeros&#46; La existencia de comorbilidades previas ha sido claramente relacionada con RT en PPT en varios estudios&#44; si bien dependiendo de la muestra tienen m&#225;s peso unos u otros factores de riesgo&#44; destacan&#58; hipertensi&#243;n arterial &#40;HTA&#41;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">8</span></a>&#44; enfermedad pulmonar obstructiva cr&#243;nica &#40;EPOC&#41;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">13</span></a>&#44; diabetes mellitus &#40;describi&#233;ndose el triple de reingresos asociados a este factor de riesgo&#41;<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">2&#44;8&#44;14</span></a>&#44; anemia<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">17</span></a> e insuficiencia card&#237;aca &#40;aumentando en este caso un 1&#44;5 la tasa de reingreso&#41;<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">2&#44;17</span></a>&#46; En nuestra muestra&#44; &#250;nicamente presentan una asociaci&#243;n significativa en el modelo multivariante los antecedentes de HTA y EPOC&#44; con OR 1&#44;83 y 1&#44;98&#44; respectivamente&#46; En cuanto a la asociaci&#243;n entre los procedimientos recibidos durante la atenci&#243;n inicial y la RT&#44; no hemos encontrado datos en la literatura&#44; pero nuestra muestra identifica una asociaci&#243;n significativa entre aquellos pacientes que requirieron inmovilizaci&#243;n de fracturas en la atenci&#243;n inicial &#40;OR 1&#44;99&#41; y la RT&#59; esto puede deberse a que algunos de estos pacientes requirieron una cirug&#237;a diferida de las mismas&#46; De la misma forma&#44; se observa una tendencia a la baja tasa de RT en pacientes que reciben tratamiento quir&#250;rgico y hospitalizaci&#243;n en planta durante la atenci&#243;n inicial&#44; esta &#250;ltima significativa en el an&#225;lisis multivariante con OR 0&#44;56&#44; present&#225;ndose como un factor protector&#44; lo cual estar&#237;a en consonancia con datos que aseguran que el hecho de recibir un tratamiento multidisciplinar a nivel hospitalario disminuye el &#237;ndice de RT<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">13</span></a>&#46; En la misma l&#237;nea&#44; los d&#237;as de estancia hospitalaria inicial parecen tener relaci&#243;n con la RT pese a no presentar significaci&#243;n estad&#237;stica&#59; en nuestra muestra&#44; la tendencia de mayor tasa de RT en pacientes con estancias inferiores a 48 h en el departamento de urgencias&#46; Contrariamente&#44; los datos de la literatura describen un aumento de RT asociada a estancias hospitalarias<span class="elsevierStyleHsp" style=""></span>&#62; 7 d&#237;as<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">8&#44;10&#44;14</span></a>&#59; explicamos estas diferencias&#44; en primer lugar&#44; porque estos estudios incluyen a toda la poblaci&#243;n traum&#225;tica no &#250;nicamente la leve-moderada y&#44; en segundo lugar&#44; podr&#237;a indicarnos altas demasiado precoces en nuestro centro o sin establecer controles posteriores adecuados&#46; Se describe tambi&#233;n un mayor n&#250;mero de RT &#40;17&#44;12&#37;&#41;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">18</span></a> en pacientes que solicitaron el alta voluntaria<a class="elsevierStyleCrossRefs" href="#bib0150"><span class="elsevierStyleSup">9&#44;19</span></a>&#46; En nuestra serie &#250;nicamente el 0&#46;3&#37; de los pacientes solicit&#243; alta voluntaria&#44; no presentando significaci&#243;n estad&#237;stica&#46; La literatura describe tambi&#233;n el destino tras el alta como factor de riesgo para RT&#44; mostrando que los pacientes trasladados a lugares diferentes del domicilio habitual&#44; como centros de convalecencia&#44; rehabilitaci&#243;n o residencias de ancianos con cuidados de enfermer&#237;a especializada&#44; eran estad&#237;sticamente m&#225;s propensos a RT<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">8&#44;11</span></a>&#46; En nuestra muestra no se ha obtenido dicha variable&#44; pero parece tener relaci&#243;n con otros factores ya descritos&#44; como edad avanzada&#44; comorbilidades y gravedad del traumatismo<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">11</span></a>&#46; La literatura americana presenta asociaci&#243;n respecto al estatus socioecon&#243;mico y la tasa de reingresos<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">20</span></a>&#59; creemos que este modelo no se ajusta a nuestra realidad&#44; as&#237; que tomando como referencia literatura canadiense&#44; donde el acceso al sistema sanitario es libre y gratuito<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">4</span></a>&#44; se observa que los pacientes que sufren &#171;privaci&#243;n material&#187;&#44; definida como bajo nivel educativo&#44; elevada tasa de desempleo e ingresos bajos&#44; no presentan asociaci&#243;n con la tasa de RT&#46; Al contrario&#44; aquellos pacientes que sufren &#171;privaci&#243;n social&#187;&#44; definida como pacientes que viven solos y con soporte familiar bajo&#44; presentan un mayor riesgo de RT tras un traumatismo<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">4</span></a>&#46; En nuestra serie&#44; no hemos valorado variables socioecon&#243;micas asociadas a RT&#44; por lo que no podemos establecer asociaciones de este tipo&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">En cuanto a los motivos de RT&#44; hay claras diferencias entre nuestros resultados y los presentados en la literatura&#46; En nuestro caso&#44; el dolor osteomuscular represent&#243; el principal motivo de RT en urgencias &#40;61&#44;6&#37;&#41;&#59; si bien est&#225; descrito entre las principales causas de RT en pacientes con fracturas tras el alta posquir&#250;rgica &#40;10&#37;&#41;<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">3</span></a>&#44; son pocos los estudios de RT en PPT que valoran las RT asociadas a este factor&#59; los que lo hacen presentan una incidencias del 10&#44;5-22&#44;29&#37;<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">8&#44;9</span></a>&#46; Cabe destacar que la presencia de lesiones ocultas no diagnosticadas en nuestra atenci&#243;n inicial es del 24&#44;9&#37;&#44; lo que contribuye a RT por dolor&#46; La mejora del control del dolor es un par&#225;metro modificable a nivel hospitalario en el ingreso centinela<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">3</span></a>&#44; de forma que con una actuaci&#243;n simple nuestro grupo podr&#237;a reducir la RT&#46; Para ello se requerir&#237;a por una parte una revisi&#243;n secundaria m&#225;s sistem&#225;tica y la homogenizaci&#243;n de las pautas analg&#233;sicas de los pacientes que reciben el alta tras el traumatismo&#46; Ser&#237;a esencial el enfoque multidisciplinar de esta tarea&#46; Por otra parte&#44; la principal causa de reingreso descrita en la literatura es la infecci&#243;n &#40;7&#44;4-31&#44;1&#37;&#41; a nivel local &#40;celulitis&#44; infecciones postoperatorias y de dispositivo&#41;<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">2&#44;5&#44;8-11</span></a>&#59; en nuestra serie&#44; representa el 15&#44;1&#37; de los motivos de RT&#46; Los reingresos por tromboembolia pulmonar o TVP en nuestra serie son nulos&#44; si bien otros grupos los describen como la segunda causa de RT&#44; con una incidencia del 11&#37;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">5</span></a>&#46; En cuanto a las RT por descompensaci&#243;n de la enfermedad de base&#44; representan un 6&#44;4&#37; en enfermedad m&#233;dica y un 2&#44;7&#37; en enfermedad psiqui&#225;trica en nuestra muestra&#44; representando en otros grupos el 2&#44;4-19&#44;3&#37; para enfermedad m&#233;dica &#40;principalmente descompensaciones cardiorrespiratorias en pacientes de edad avanzada&#41;<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">2&#44;5&#44;6&#44;8&#44;11</span></a> y el 9-11&#37; para de enfermedad psiqui&#225;trica<a class="elsevierStyleCrossRefs" href="#bib0150"><span class="elsevierStyleSup">9&#44;10</span></a>&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Nuestro trabajo presenta claras limitaciones&#59; el hecho de que en nuestro entorno no existan organismos como The Canadian Institute for Health Information o el US National Quality Forum&#44; que publican de forma rutinaria datos sobre las tasas de reingreso para mejorar calidad de la atenci&#243;n<a class="elsevierStyleCrossRefs" href="#bib0130"><span class="elsevierStyleSup">5&#44;6</span></a>&#44; hace que inevitablemente se pierdan datos&#46; En nuestro caso&#44; hemos tenido acceso a nuestros ingresos centinela&#44; pudiendo concluir el seguimiento &#250;nicamente de pacientes atendidos en centros p&#250;blicos de Catalu&#241;a&#44; perdiendo los datos de aquellos pacientes transferidos a centros dependientes de mutuas deportivas&#44; laborales o de tr&#225;fico&#44; as&#237; como de los pacientes que acudieron a centros privados para sus RT o que se encontraban de visita en nuestra &#225;rea durante el episodio centinela y posteriormente se desplazaron a otras comunidades&#46; El hecho de no haber encontrado literatura sobre RT para PPT en poblaciones y sistemas sanitarios similares al espa&#241;ol hace que puedan existir grandes diferencias entre la poblaci&#243;n descrita en la literatura y la nuestra&#46; Por ello&#44; nuestros resultados podr&#237;an servir como punto de partida&#44; pero ser&#237;a necesaria la existencia de bases de datos a nivel nacional para obtener datos epidemiol&#243;gicos m&#225;s precisos&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Los datos obtenidos deben ponernos sobre aviso dado el elevado n&#250;mero de RT que se objetivan&#46; Parece claro que el alta de pacientes que han sufrido traumatismos leves o moderados deber&#237;a planificarse de otra forma&#44; con un enfoque multidisciplinar que incluya&#58; una revisi&#243;n secundaria sistem&#225;tica para disminuir la tasa de lesiones ocultas&#44; una homogenizaci&#243;n y mejora en el tratamiento analg&#233;sico de los pacientes dados de alta a domicilio&#44; en el que se incluyan f&#225;rmacos de mayor potencia&#44; rescates analg&#233;sicos y unas pautas de cuidados y curas de heridas que disminuyan la tasa de sobreinfecci&#243;n<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">1</span></a>&#46; Parece que tambi&#233;n podr&#237;a ser relevante el seguimiento telef&#243;nico a las 72 h del alta&#44; reforzando las pautas de tratamiento en el grupo de pacientes con mayor riesgo de RT y con buenos resultados en otros grupos<a class="elsevierStyleCrossRefs" href="#bib0210"><span class="elsevierStyleSup">21&#44;22</span></a>&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">En conclusi&#243;n&#44; en nuestra experiencia&#44; las RT en PPT leve-moderado son multifactoriales&#44; debi&#233;ndose a&#58; d&#233;ficits cualitativos de la atenci&#243;n inicial&#44; falta de coordinaci&#243;n entre equipos&#44; planificaci&#243;n inadecuada del alta y falta de estrategias de prevenci&#243;n secundaria&#46; Nuestro trabajo muestra una asociaci&#243;n entre la tasa de RT y factores como&#58; el mecanismo lesional&#44; la presencia de comorbilidades como HTA y EPOC&#44; la inmovilizaci&#243;n de fracturas y el ingreso en planta de hospitalizaci&#243;n durante la primera atenci&#243;n&#46; Se necesita investigaci&#243;n adicional para entender el papel espec&#237;fico desempe&#241;ado por cada uno de ellos&#46; Del mismo modo parece que la implementaci&#243;n de intervenciones simples al alta podr&#237;a disminuir de forma clara la incidencia de RT en nuestro entorno&#44; pero para su valoraci&#243;n global y extrapolaci&#243;n a otras poblaciones deber&#237;an dise&#241;arse estudios multic&#233;ntricos que incluyan un mayor n&#250;mero de pacientes&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Financiaci&#243;n</span><p id="par0110" class="elsevierStylePara elsevierViewall">No se ha recibido ning&#250;n tipo de financiaci&#243;n para este estudio&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Conflictos de intereses</span><p id="par0115" class="elsevierStylePara elsevierViewall">No existen conflictos de inter&#233;s por parte de ninguno de los autores&#46;</p></span></span>"
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              "titulo" => "Material y m&#233;todo"
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              "titulo" => "An&#225;lisis estad&#237;stico"
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          "identificador" => "sec0025"
          "titulo" => "Resultados"
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          "identificador" => "sec0030"
          "titulo" => "Discusi&#243;n"
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        8 => array:2 [
          "identificador" => "sec0035"
          "titulo" => "Financiaci&#243;n"
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        9 => array:2 [
          "identificador" => "sec0040"
          "titulo" => "Conflictos de intereses"
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        10 => array:1 [
          "titulo" => "Bibliograf&#237;a"
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    "fechaRecibido" => "2019-04-02"
    "fechaAceptado" => "2019-07-29"
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        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec1205523"
          "palabras" => array:5 [
            0 => "Politraumatismo"
            1 => "Reingreso hospitalario"
            2 => "Factores de riesgo"
            3 => "Alta del paciente"
            4 => "Calidad asistencial"
          ]
        ]
      ]
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        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec1205522"
          "palabras" => array:5 [
            0 => "Polytrauma"
            1 => "Patient readmission"
            2 => "Risk factors"
            3 => "Patient discharge"
            4 => "Quality in healthcare"
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    "resumen" => array:2 [
      "es" => array:3 [
        "titulo" => "Resumen"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introducci&#243;n</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Las reconsultas o reingresos hospitalarios tempranos &#40;RT&#41; ocurren durante los 30 d&#237;as posteriores al alta&#44; son comunes y con un elevado coste econ&#243;mico&#44; asoci&#225;ndose a un descenso en la calidad asistencial del proceso&#46; La tasa de RT en pacientes con politraumatismos &#40;PPT&#41; se estima entre el 4&#44;3 y el 15&#37;&#46; El objetivo de este estudio fue identificar aquellos factores asociados al RT y sus caracter&#237;sticas tras presentar traumatismos leves-moderados en nuestra &#225;rea de referencia&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Material y m&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio observacional retrospectivo&#44; donde se analiz&#243; los resultados de los pacientes con PPT leves o moderados ingresados entre julio del 2012 y junio del 2017 en nuestro centro y sus RT&#46; Se recogieron variables demogr&#225;ficas&#44; diagn&#243;stico&#44; procedimientos y caracter&#237;sticas de los reingresos tras el alta&#46; Posteriormente a un estudio bivariante&#44; se realiz&#243; un an&#225;lisis multivariado con un test de regresi&#243;n log&#237;stica para determinar los factores de riesgo de RT&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se incluy&#243; a 1&#46;013 pacientes&#44; con una edad mediana de 38 a&#241;os&#44; Injury Severity Score &#40;ISS&#41; de 3 puntos y estancia hospitalaria inicial de un d&#237;a&#46; Reingresaron 185 pacientes &#40;18&#44;3&#37;&#41;&#46; Los factores independientes asociados a RT fueron los siguientes&#58; mecanismo lesional &#40;especialmente el accidente de bicicleta &#91;OR 2&#44;26&#93;&#41;&#44; comorbilidades &#40;destacando HTA &#91;OR 1&#44;83&#93; y EPOC &#91;OR 1&#44;98&#93;&#41;&#44; la inmovilizaci&#243;n de fracturas &#40;OR 1&#44;99&#41; y el ingreso a planta de hospitalizaci&#243;n en la atenci&#243;n inicial &#40;OR 0&#44;56&#41;&#46; Las causas m&#225;s frecuentes de RT fueron&#58; mal control del dolor en el 61&#44;6&#37;&#44; infecci&#243;n de la herida en el 5&#44;1&#37;&#44; curas programadas e intervenciones diferidas en el 12&#44;9&#37;&#44; descompensaci&#243;n de alguna de las enfermedades m&#233;dicas del paciente en el 6&#44;4&#37; y descompensaci&#243;n psiqui&#225;trica en el 2&#44;7&#37;&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusi&#243;n</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Las RT en PPT leve-moderado son multifactoriales&#59; nuestros resultados muestran una asociaci&#243;n entre factores como el mecanismo lesional&#44; presencia de comorbilidades&#44; ingreso en planta y los procedimientos realizados en el episodio centinela con la tasa de RT&#46; La implementaci&#243;n de intervenciones simples al alta podr&#237;a disminuir de forma clara su incidencia&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0005"
            "titulo" => "Introducci&#243;n"
          ]
          1 => array:2 [
            "identificador" => "abst0010"
            "titulo" => "Material y m&#233;todo"
          ]
          2 => array:2 [
            "identificador" => "abst0015"
            "titulo" => "Resultados"
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          3 => array:2 [
            "identificador" => "abst0020"
            "titulo" => "Conclusi&#243;n"
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      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Early readmissions &#40;ER&#41; occur during the 30 days after discharge&#44; ER are common and expensive&#44; associated with a decrease in the quality of care&#46; The rate of ER in polytraumatic patients &#40;PTP&#41; is estimated between 4&#46;3-15&#37;&#46; Our objective was to identify those factors associated with ER and its characteristics after suffering mild-moderate trauma in our area&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Material and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">This is a retrospective observational study&#44; including data of patients with &#40;PTP&#41; mild or moderate admitted between July 2012 and June 2017 in our institution and their ER in public hospitals and&#47;or outpatient centers&#46; Demographic variables&#44; diagnoses&#44; procedures and characteristics of readmissions were collected&#46; After a bivariant analysis was done&#44; a Logistic regression had benn performed to determine risk factors for ER&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">1013 patients were included&#44; with median age of 38 years&#44; ISS of 3 points and initial hospital stay of 1 day&#46; 185 patients were readmitted &#40;18&#46;3&#37;&#41;&#46; Independent factors associated with ER were&#58; injury mechanism&#44; especially bicycle accident &#40;OR 2&#46;26&#41;&#44; comorbidities highlighting HBP &#40;OR 1&#46;83&#41; and COPD &#40;OR 1&#46;98&#41;&#44; fracture immobilization &#40;OR 1&#46;99&#41; and hospital admission in the initial care &#40;OR 0&#46;56&#41;&#46; The causes of ER were&#58; pain 61&#46;6&#37;&#44; wound infection 15&#46;1&#37;&#44; scheduled cures and deferred interventions 12&#46;97&#37;&#44; medical 6&#46;4&#37; and psychiatric decompensation&#46; 2&#46;7&#37;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The ERs in mild-moderate PTP are multifactorial&#44; our results show an association between factors such as injury mechanism&#44; the presence of comorbidities and the procedures performed in the sentinel episode and the rate of ER&#46; The implementation of simple interventions at discharge could reduce its incidence clearly&#46;</p></span>"
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            "titulo" => "Results"
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          3 => array:2 [
            "identificador" => "abst0040"
            "titulo" => "Conclusion"
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        "etiqueta" => "Figura 1"
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        "descripcion" => array:1 [
          "es" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">C&#243;digo PPT&#46;</p> <p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Fuente&#58; CatSalut&#46; Instrucci&#243;n 04&#47;2011&#44; Ordenaci&#243;n y configuraci&#243;n del modelo organizativo y dispositivos para la atenci&#243;n inicial a la persona paciente traum&#225;tico grave&#46;</p> <p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">FR&#58; frecuencia respiratoria&#59; FX&#58; fractura&#59; GSC&#58; Glasgow Coma Scale&#59; PAS&#58; presi&#243;n arterial sist&#243;lica&#59; PPT&#58; paciente politraumatizado&#59; RTS&#58; Revised Trauma Score&#46;</p>"
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          "leyenda" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">DM&#58; diabetes mellitus&#59; EPOC&#58; enfermedad pulmonar obstructiva cr&#243;nica&#59; HTA&#58; hipertensi&#243;n arterial&#59; IQ&#58; intervenci&#243;n quir&#250;rgica&#59; ISS&#58; Injury Severity Score&#59; IV&#58; intravenosa&#59; PSQ&#58; psiqui&#225;tricos&#46;</p>"
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#8804; 17 a&#241;os&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>45-64 a&#241;os&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">241&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">23&#44;8&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"><span class="elsevierStyleHsp" style=""></span>&#8805; 65 a&#241;os&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">105&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>HTA&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">117&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">11&#44;5&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
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Cardiopat&#237;a&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\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>EPOC&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Coagulopat&#237;a&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Mecanismo lesional</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Accidente coche&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Accidente moto&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Accidente bicicleta&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Precipitaci&#243;n&#47;ca&#237;da&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Otros&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#8804; 15&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#62; 16&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Procedimientos</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Analgesia IV&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">100&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Cura&#47;sutura herida&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Inmovilizaci&#243;n fractura&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">124&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>IQ&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">120&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">11&#44;8&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Consulta Medicina Interna&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Consulta Psiquiatr&#237;a&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Ingreso planta&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">171&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">D&#237;as de estancia hospitalaria</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60; 2 d&#237;as&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">722&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>2-3 d&#237;as&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">138&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">13&#44;6&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"><span class="elsevierStyleHsp" style=""></span>4-7 d&#237;as&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">66&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&#44;5&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"><span class="elsevierStyleHsp" style=""></span>&#60; 7 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">85&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&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "leyenda" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">IQ&#58; intervenci&#243;n quir&#250;rgica&#59; TVP&#58; trombosis venosa profunda&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\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">Variable&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">N&#46;&#176;&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
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#37;&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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Mal control del dolor&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">114&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">61&#44;6&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">Infecci&#243;n de la herida&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">28&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&#44;1&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">Cura programada o IQ diferida&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&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">13&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">Descompensaci&#243;n enfermedad m&#233;dica de base&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&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&#44;5&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">Descompensaci&#243;n psiqui&#225;trica&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&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&#44;7&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">TVP&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&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&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">Otras causas&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&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&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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        "tipo" => "MULTIMEDIATABLA"
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          "leyenda" => "<p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">DM&#58; diabetes mellitus&#59; EPOC&#58; enfermedad pulmonar obstructiva cr&#243;nica&#59; HTA&#58; hipertensi&#243;n arterial&#59; IC&#58; intervalo de confianza&#59; ISS&#58; Injury Severity Score&#59; OR&#58; odds ratio&#59; Ref&#46;&#58; referencia&#46;</p>"
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              "tabla" => array:1 [
                0 => """
                  <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">&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="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">No reingreso &#8804; 30 d&#237;as</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">S&#237; reingreso &#8804; 30 d&#237;as</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">Modelo&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">Univariante&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">Modelo&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">Multivariante&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr><tr title="table-row"><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">Variables&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">n&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">&#37;&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">n&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">&#37;&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">Odds ratio &#40;IC del 95&#37;&#41;&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">Odds ratio &#40;IC del 95&#37;&#41;&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  " colspan="9" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Sexo</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"><span class="elsevierStyleHsp" style=""></span>Masculino&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">579&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">81&#44;4&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">132&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">18&#44;6&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;611&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">Ref&#46;&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">&#8211;&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">&#8211;&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"><span class="elsevierStyleHsp" style=""></span>Femenino&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">250&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">82&#44;8&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&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"><span class="elsevierStyleItalic">Mecanismo lesional</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Accidente coche&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">Ref&#46;&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">Ref&#46;&nbsp;\t\t\t\t\t\t\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"><span class="elsevierStyleHsp" style=""></span>Accidente moto&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 ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Accidente bicicleta&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">68&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#44;26 &#40;1&#44;27-4&#44;05&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Atropello&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">86&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;21 &#40;0&#44;65-2&#44;27&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Precipitado&#47;ca&#237;da&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">135&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Otros&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">19&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;81 &#40;0&#44;65-5&#44;07&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;86 &#40;0&#44;65-5&#44;29&#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="9" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Comorbilidades</span></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
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>HTA&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">86&nbsp;\t\t\t\t\t\t\n
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                  """
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      "titulo" => "Bibliograf&#237;a"
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        0 => array:2 [
          "identificador" => "bibs0015"
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            0 => array:3 [
              "identificador" => "bib0110"
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                    0 => array:2 [
                      "titulo" => "Readmissions due to traffic accidents at a general hospital"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "L&#46; Paiva"
                            1 => "D&#46;A&#46;T&#46; Monteiro"
                            2 => "D&#46;A&#46; Pompeo"
                            3 => "M&#46;A&#46; Ciol"
                            4 => "R&#46;A&#46;S&#46; Dantas"
                            5 => "L&#46;A&#46; Rossi"
                          ]
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                      ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1590/0104-1169.0242.2623"
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Lat Am Enfermagem&#46;"
                        "fecha" => "2015"
                        "volumen" => "23"
                        "paginaInicial" => "693"
                        "paginaFinal" => "699"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26444172"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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            1 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Trauma patient readmissions&#58; Why do they come back for more&#63;"
                      "autores" => array:1 [
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                          "etal" => true
                          "autores" => array:6 [
                            0 => "L&#46;B&#46; Petrey"
                            1 => "R&#46;J&#46; Weddle"
                            2 => "B&#46; Richardson"
                            3 => "R&#46; Gilder"
                            4 => "M&#46; Reynolds"
                            5 => "M&#46; Bennett"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/TA.0000000000000844"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Trauma Acute Care Surg&#46;"
                        "fecha" => "2015"
                        "volumen" => "79"
                        "paginaInicial" => "717"
                        "paginaFinal" => "725"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26496096"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Readmissions after treatment of distal radius fractures"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C&#46;M&#46; Curtin"
                            1 => "T&#46; Hernandez-Boussard"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jhsa.2014.07.041"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Hand Surg Am&#46;"
                        "fecha" => "2014"
                        "volumen" => "39"
                        "paginaInicial" => "1926"
                        "paginaFinal" => "1932"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25257486"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0125"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "B&#46; Cisse"
                            1 => "L&#46; Moore"
                            2 => "B&#46;L&#46;B&#46; Kuimi"
                            3 => "T&#46;V&#46; Porgo"
                            4 => "A&#46; Boutin"
                            5 => "A&#46; Lavoie"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.injury.2015.11.034"
                      "Revista" => array:6 [
                        "tituloSerie" => "Impact of socio-economic status on unplanned readmission following injury&#58; A multicenter cohort study Injury&#46;"
                        "fecha" => "2016"
                        "volumen" => "47"
                        "paginaInicial" => "1083"
                        "paginaFinal" => "1090"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26746984"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0130"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Use of a modified american college of surgeons trauma quality improvement program to enhance 30-day post-trauma readmission detection"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46;S&#46; Shapiro"
                            1 => "A&#46; Umer"
                            2 => "W&#46;T&#46; Marshall"
                            3 => "K&#46; Hansen"
                            4 => "E&#46; Boucher"
                            5 => "A&#46; Emmanuel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jamcollsurg.2016.02.008"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Coll Surg&#46;"
                        "fecha" => "2016"
                        "volumen" => "222"
                        "paginaInicial" => "865"
                        "paginaFinal" => "869"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27016899"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0135"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Rates&#44; patterns&#44; and determinants of unplanned readmission after traumatic injury&#58; A multicenter cohort study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "L&#46; Moore"
                            1 => "H&#46;T&#46; Stelfox"
                            2 => "A&#46;F&#46; Turgeon"
                            3 => "A&#46;B&#46; Nathens"
                            4 => "N&#46; Le Sage"
                            5 => "M&#46; &#201;mond"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Ann Surg&#46;"
                        "fecha" => "2014"
                        "volumen" => "259"
                        "paginaInicial" => "374"
                        "paginaFinal" => "380"
                      ]
                    ]
                  ]
                ]
              ]
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            6 => array:3 [
              "identificador" => "bib0140"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hospital readmission rates&#58; Signal of failure or success&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Laudicella"
                            1 => "P&#46; li Donni"
                            2 => "P&#46;C&#46; Smith"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jhealeco.2013.06.004"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Health Econ&#46;"
                        "fecha" => "2013"
                        "volumen" => "32"
                        "paginaInicial" => "909"
                        "paginaFinal" => "921"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23938273"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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              "identificador" => "bib0145"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Early unplanned hospital readmission after acute traumatic injury&#58; The experience at a state-designated level-I trauma center"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "L&#46;M&#46; Copertino"
                            1 => "J&#46;E&#46; McCormack"
                            2 => "D&#46;N&#46; Rutigliano"
                            3 => "E&#46;C&#46; Hung"
                            4 => "M&#46;J&#46; Shapiro"
                            5 => "J&#46;A&#46; Vosswinkel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.amjsurg.2014.06.026"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Surg&#46;"
                        "fecha" => "2015"
                        "volumen" => "209"
                        "paginaInicial" => "268"
                        "paginaFinal" => "273"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25194759"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0150"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The truth about trauma readmissions"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "O&#46;A&#46; Olufajo"
                            1 => "Z&#46; Cooper"
                            2 => "B&#46;K&#46; Yorkgitis"
                            3 => "P&#46;A&#46; Najjar"
                            4 => "D&#46; Metcalfe"
                            5 => "J&#46;M&#46; Havens"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.amjsurg.2015.09.018"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Surg&#46;"
                        "fecha" => "2016"
                        "volumen" => "211"
                        "paginaInicial" => "649"
                        "paginaFinal" => "655"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26822268"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0155"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Risk factors and costs associated with nationwide nonelective readmission after trauma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Parreco"
                            1 => "J&#46; Buicko"
                            2 => "N&#46; Cortolillo"
                            3 => "N&#46; Namias"
                            4 => "R&#46; Rattan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/TA.0000000000001505"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Trauma Acute Care Surg&#46;"
                        "fecha" => "2017"
                        "volumen" => "83"
                        "paginaInicial" => "126"
                        "paginaFinal" => "134"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28422906"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0160"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Discharge destination and readmission rates in older trauma patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "D&#46;S&#46; Strosberg"
                            1 => "B&#46;C&#46; Housley"
                            2 => "D&#46; Vazquez"
                            3 => "A&#46; Rushing"
                            4 => "S&#46; Steinberg"
                            5 => "C&#46; Jones"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jss.2016.07.015"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Surg Res&#46;"
                        "fecha" => "2017"
                        "volumen" => "207"
                        "paginaInicial" => "27"
                        "paginaFinal" => "32"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27979485"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0165"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hospital readmission after trauma&#58; An analysis of outpatient complications"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "F&#46;D&#46; Battistella"
                            1 => "S&#46;Z&#46; Torabian"
                            2 => "K&#46;M&#46; Siadatan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/00005373-199706000-00004"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Trauma&#46;"
                        "fecha" => "1997"
                        "volumen" => "42"
                        "paginaInicial" => "1012"
                        "paginaFinal" => "1017"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9210533"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0170"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Early hospital readmission in the trauma population&#58; Are the risk factors different&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46;S&#46; Morris"
                            1 => "J&#46; Rohrbach"
                            2 => "L&#46;M&#46;T&#46; Sundaram"
                            3 => "S&#46; Sonnad"
                            4 => "B&#46; Sarani"
                            5 => "J&#46; Pascual"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.injury.2013.04.029"
                      "Revista" => array:6 [
                        "tituloSerie" => "Injury&#46;"
                        "fecha" => "2014"
                        "volumen" => "45"
                        "paginaInicial" => "56"
                        "paginaFinal" => "60"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23726120"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0175"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Derivation and validation of a quality indicator for 30-day unplanned hospital readmission to evaluate trauma care"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
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                            1 => "H&#46;T&#46; Stelfox"
                            2 => "A&#46;F&#46; Turgeon"
                            3 => "A&#46;B&#46; Natens"
                            4 => "A&#46; Lavoie"
                            5 => "G&#46; Bourgeois"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/TA.0000000000000202"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Trauma Acute Care Surg&#46;"
                        "fecha" => "2014"
                        "volumen" => "76"
                        "paginaInicial" => "1310"
                        "paginaFinal" => "1316"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24747466"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0180"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Return to the ED and hospitalisation following minor injuries among older persons treated in the emergency department&#58; Predictors among independent seniors within 6 months"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Lee"
                            1 => "M&#46;-J&#46; Sirois"
                            2 => "L&#46; Moore"
                            3 => "J&#46; Perry"
                            4 => "R&#46; Daoust"
                            5 => "L&#46; Griffith"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Age Ageing&#46;"
                        "fecha" => "2015"
                        "volumen" => "4"
                        "paginaInicial" => "624"
                        "paginaFinal" => "629"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0185"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Trauma center care is associated with reduced readmissions after injury"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "K&#46; Staudenmayer"
                            1 => "T&#46;G&#46; Weiser"
                            2 => "P&#46;M&#46; Maggio"
                            3 => "D&#46;A&#46; Spain"
                            4 => "R&#46;Y&#46; Hsia"
                          ]
                        ]
                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/TA.0000000000000956"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Trauma Acute Care Surg&#46;"
                        "fecha" => "2016"
                        "volumen" => "80"
                        "paginaInicial" => "412"
                        "paginaFinal" => "418"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26713975"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0190"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Risk factors for unplanned readmissions in older adult trauma patients in Washington State&#58; A competing risk an&#225;lisis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "V&#46;J&#46; Fawcett"
                            1 => "K&#46;T&#46; Flynn-O&#8217;Brien"
                            2 => "Z&#46; Shorter"
                            3 => "G&#46;H&#46; Davidson"
                            4 => "E&#46; Bulger"
                            5 => "F&#46;P&#46; Rivara"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jamcollsurg.2014.11.012"
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                        "tituloSerie" => "J Am Coll Surg&#46;"
                        "fecha" => "2015"
                        "volumen" => "220"
                        "paginaInicial" => "330"
                        "paginaFinal" => "338"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25542280"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0195"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Whatever happens to trauma patients who leave against medical advice&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "O&#46;A&#46; Olufajo"
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                            2 => "B&#46;K&#46; Yorkgitis"
                            3 => "Z&#46; Cooper"
                            4 => "R&#46; Askari"
                            5 => "J&#46;M&#46; Havens"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.amjsurg.2015.11.016"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Surg&#46;"
                        "fecha" => "2016"
                        "volumen" => "211"
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                      "titulo" => "Discharge against medical advice in traumatic brain injury&#58; Follow-up and readmission rate"
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                        0 => array:2 [
                          "etal" => false
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                            4 => "R&#46;S&#46; Saluja"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
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                        "volumen" => "44"
                        "paginaInicial" => "311"
                        "paginaFinal" => "317"
                        "link" => array:1 [
                          0 => array:2 [
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                      ]
                    ]
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                ]
              ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Local access to care programs increase trauma patient follow-up compliance"
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                            0 => "T&#46;L&#46; Overton"
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                        ]
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                    ]
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                    0 => array:2 [
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                        "volumen" => "208"
                        "paginaInicial" => "476"
                        "paginaFinal" => "479"
                        "link" => array:1 [
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24881019"
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                ]
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                    0 => array:2 [
                      "titulo" => "Trauma transitional care coordination&#58; Protecting the most vulnerable trauma patients from hospital readmission"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46;C&#46; Hall"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/tsaco-2017-000149"
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                        "tituloSerie" => "Trauma Surg Acute Care Open&#46;"
                        "fecha" => "2018"
                        "volumen" => "3"
                        "paginaInicial" => "e000149"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29766133"
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                        ]
                      ]
                    ]
                  ]
                ]
              ]
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              "etiqueta" => "22"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Automated Postdischarge Trauma Patient Call Program"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Wright"
                            1 => "K&#46; Grady"
                            2 => "J&#46; Galante"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
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                      "Revista" => array:6 [
                        "tituloSerie" => "J Trauma Nurs&#46;"
                        "fecha" => "2018"
                        "volumen" => "25"
                        "paginaInicial" => "298"
                        "paginaFinal" => "300"
                        "link" => array:1 [
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ISSN: 26036479
Original language: Spanish
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es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos