array:23 [ "pii" => "S021048060272771X" "issn" => "02104806" "doi" => "10.1016/S0210-4806(02)72771-X" "estado" => "S300" "fechaPublicacion" => "2002-01-01" "aid" => "72771" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2002" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2002;26:266-70" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1375 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 653 "PDF" => 714 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480602727721" "issn" => "02104806" "doi" => "10.1016/S0210-4806(02)72772-1" "estado" => "S300" "fechaPublicacion" => "2002-01-01" "aid" => "72772" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2002;26:271-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 441 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 243 "PDF" => 190 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "Deteccion del cáncer de próstata en el rango de psa entre 3 y 3,9 ng/ml" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "271" "paginaFinal" => "274" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.M. 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"apellidos" => "Alonso Gracia" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J.A." "apellidos" => "Lorente Garin" ] 2 => array:2 [ "nombre" => "G." "apellidos" => "Conde Santos" ] 3 => array:2 [ "nombre" => "E." "apellidos" => "De León Morales" ] 4 => array:2 [ "nombre" => "D." "apellidos" => "Cañís Sánchez" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Gelabert-Más" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio y Cátedra de Urología. Hospital del Mar. UAB. Barcelona" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Dra. N. Alonso Gracia Paseo Marítimo, 25-29 08003 Barcelona" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2001-12-27" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec86610" "palabras" => array:3 [ 0 => "Acenocumarol" 1 => "Hematuria" 2 => "Estancia media" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec86609" "palabras" => array:3 [ 0 => "Acenocumarol" 1 => "Haematuria" 2 => "Half stay" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Nuestro objetivo fue evaluar el efecto sobre la estancia media y la morbilidad, en pacientes que estaban recibiendo tratamiento con Sintrom® y precisaron una intervención urológica.</p> <span class="elsevierStyleSectionTitle">Pacientes y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Incluimos una serie de 55 pacientes en tratamiento anticoagulante que requirieron distintas intervenciones urológicas. Se analizó un grupo control de similares características pero sin terapia anticoagulante. Los pacientes ingresaron 3 días antes para realizar el cambio Sintrom®/Heparina siguiendo el protocolo del Servicio de Hematología del Hospital del Mar. Se analizó en cada paciente la estancia media hospitalaria y la morbilidad referida a complicaciones por sangrado. Se tomó como referencia la disminución de la hemoglobina en más de 2 g/dl.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Con relación a la estancia media, todos los pacientes requirieron más días de ingreso hospitalario. La morbilidad añadida fue evidente en las resecciones transuretrales (RTU) de próstata y en la cirugía mayor no endoscópica. En el resto de intervenciones quirúrgicas las complicaciones, referentes al sangrado, tuvieron su repercusión en el aumento de los días de estancia hospitalaria.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Encontramos un incremento significativo en la estancia media comparada con la media hospitalaria y en la morbilidad asociada a un aumento del sangrado y sus consecuencias (transfusiones, reintervenciones…).</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Our objective was to evaluate the effect about half stay at hospital, in patients treated with Sintrom®, which required different urological surgery.</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We evaluated 55 patients in treatment with Sintrom® which required different urological surgery. We analysed a cohort control group with similar characteristic without anticoagulation therapy. The patients was at hospital 3 days before surgery to realize the change Sintrom®/Heparina. We used the haematology service´s protocol at the Hospital del Mar. We analysed in each patient the half stay at hospital and the morbidity refered to bleeding complications. The decrease of haemoglobin higher than 2g/dl was considered significant.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">About half stay, all patients required more days of hospitalization. The additional morbidity was obvius in the transurethral resection of the prostate and in great not endoscopycal surgery. In the rest of surgery the complications refered to bleeding have repercussion about stay at hospital.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">We found a significant increased half stay at hospital and the morbidity refered to bleeding complications and its consequence (transfusion, second surgery,…).</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:6 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgical management of patients on warfarin sodium" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "O.R. Beirne" 1 => "J.R. 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Estancia media y morbilidad en una cohorte de pacientes sometidos a cirugía urológica en tratamiento con acenocumarol (SINTROM®)
N. Alonso Gracia1, J.A. Lorente Garin, G. Conde Santos, E. De León Morales, D. Cañís Sánchez, A. Gelabert-Más
Servicio y Cátedra de Urología. Hospital del Mar. UAB. Barcelona