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array:22 [ "pii" => "S002577530171785X" "issn" => "00257753" "doi" => "10.1016/S0025-7753(01)71785-X" "estado" => "S300" "fechaPublicacion" => "2001-01-01" "aid" => "71785" "copyright" => "Elsevier España, S.L.. Todos los derechos reservados" "copyrightAnyo" => "2001" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2001;116:241-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1745 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 1507 "PDF" => 232 ] ] "itemSiguiente" => array:18 [ "pii" => "S0025775301717861" "issn" => "00257753" "doi" => "10.1016/S0025-7753(01)71786-1" "estado" => "S300" "fechaPublicacion" => "2001-01-01" "aid" => "71786" "copyright" => "Elsevier España, S.L." "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2001;116:246-50" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2355 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 2113 "PDF" => 235 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Valor predictivo de la abstinencia tabáquica a los 2 meses de tratamiento" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "246" "paginaFinal" => "250" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Two-month results are predictors of outcome in a smoking cesation program" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Miguel Barrueco, Miguel Torrecilla, José Ángel Maderuelo, Carlos Jiménez Ruiz, Miguel Ángel Hernández Mezquita, María Dolores Plaza" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Miguel" "apellidos" => "Barrueco" ] 1 => array:2 [ "nombre" => "Miguel" "apellidos" => "Torrecilla" ] 2 => array:2 [ "nombre" => "José" "apellidos" => "Ángel Maderuelo" ] 3 => array:2 [ "nombre" => "Carlos" "apellidos" => "Jiménez Ruiz" ] 4 => array:2 [ "nombre" => "Miguel" "apellidos" => "Ángel Hernández Mezquita" ] 5 => array:2 [ "nombre" => "María" "apellidos" => "Dolores Plaza" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775301717861?idApp=UINPBA00004N" "url" => "/00257753/0000011600000007/v1_201307291417/S0025775301717861/v1_201307291417/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "titulo" => "Control terapéutico de los factores de riesgo y calidad de vida en los pacientes tratados mediante derivación aortocoronaria" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "241" "paginaFinal" => "245" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Carlos Brotons Cuixart, Irene Moral Peláez, Gaietà Permanyer Miralda, Aida Ribera Solé, Purificació Cascant Castelló" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Carlos" "apellidos" => "Brotons Cuixart" "email" => array:1 [ 0 => "brotons@hg.vhebron.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Irene" "apellidos" => "Moral Peláez" ] 2 => array:2 [ "nombre" => "Gaietà" "apellidos" => "Permanyer Miralda" ] 3 => array:2 [ "nombre" => "Aida" "apellidos" => "Ribera Solé" ] 4 => array:2 [ "nombre" => "Purificació" "apellidos" => "Cascant Castelló" ] 5 => array:2 [ "colaborador" => "CIRCORCA" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "fn0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Unidad de Epidemiología Clínica. Servicio de Cardiología. Hospital General Universitari Vall d’Hebron. Barcelona." ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Dr. C. Brotons Cuixart. Unidad de Epidemiología Clínica. Servicio de Cardiología. Hospital General Universitario Vall d'Hebron. P.° Vall d'Hebron, 119-129. 08035 Barcelona." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Therapeutic control and quality of life in coronary artery bypass surgery patients" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-07-03" "fechaAceptado" => "2001-01-09" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec220842" "palabras" => array:3 [ 0 => "Prevención secundaria" 1 => "Cirugía de derivación aortocoronaria" 2 => "Calidad de vida relacionada con la salud" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec220841" "palabras" => array:3 [ 0 => "Secondary prevention" 1 => "Coronary artery bypass surgery" 2 => "Health related quality of life" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Describir las medidas de prevención secundaria en los pacientes intervenidos de derivación aortocoronaria en nuestro medio y la calidad de vida relacionada con la salud al año de la intervención.</p> <span class="elsevierStyleSectionTitle">Pacientes y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio prospectivo de un año de seguimiento, realizado en hospitales públicos y privados de Cataluña.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se incluyeron 710 pacientes cuya edad media era de 63 años. El 74,8% de las mujeres y el 48,7% de los varones eran hipertensos, el 70,2% de las mujeres y el 55% de los varones tenían hipercolesterolemia, el 42,3% de las mujeres y el 28,7% de los varones eran diabéticos y el 31,2% de los varones y el 2,9% de las mujeres eran fumadores (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01). Al año de seguimiento seguían fumando un 7% de la población, y se observó una reducción significativa de todos los fármacos antianginosos y una mejora significativa de la calidad de vida relacionada con la salud. Entre el ingreso y al año del alta hospitalaria se apreció un aumento significativo de los fármacos hipolipemiantes en los pacientes diagnosticados basalmente de hipercolesterolemia (de un 44 a un 58%; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los pacientes intervenidos de cirugía aortocoronaria mejoran clínicamente al cabo de un año de la intervención, mejorando también la calidad de vida relacionada con la salud. Tanto el porcentaje de fumadores como el grado de tratamiento antihipertensivo e hipolipemiante al final del seguimiento indican un grado de control subóptimo de la prevención secundaria en pacientes de alto riesgo.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Description of measures of secondary prevention and of health related quality of life one year after the intervention in patients undergoing coronary artery bypass surgery.</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">One year follow up prospective study in patients undergoing first coronay bypass surgery without associated procedures and aged less than 80 in public and private hospitals in Cataluña, Spain.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">710 patients were included, 85.4% were men, and mean age was of 63 years. When compared women and men, 74.8 vs 48.7% patients were diagnosed of hypertension, 70.2 vs 55% of hypercholesterolemia, and 42.3 vs 28.7% of diabetes (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.01); on the other hand, 31.2% of men and 2.9% of women were active smokers (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.01). After a year of follow-up, 7% of the total population remained smokers; a significant reduction of anti-anginal treatments and a significant improvement in health related quality of life were observed. Cholesterol lowering treatment in patients previously diagnosed of hypercholesterolemia increased significantly between hospital admission and one year after hospital discharged (from 44% at the beginning to a 58% at the year of follow up; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.01).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Patients undergoing coronary artery bypass surgery clinically improved one year after the intervention, improving also their health related quality of life. However, the percentage of smokers and the level of antihipertensive and lowering cholesterol treatment at the end of follow up suggest a suboptimal control of risk factors in high risk patients.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "nota" => "<p class="elsevierStyleNotepara">Investigadores colaboradores en el estudio CIRCORCA: Joan Maria Pons (Agència d’Avaluació de Tecnologia Mèdica), Jordi Alonso (Institut Municipal d’Investigació Mèdica de Barcelona), Anna Mallol (Hospital Vall d’ Hebron), Juana Barthe (Hospital de Bellvitge Prínceps d’Espanya), Carmen Martínez Useros (Hospital General de Catalunya), Mariona Cardona (Hospital Clínic i Provincial de Barcelona), Luis Delgado y Bernat Romero (Hospital de la Santa Creu i Sant Pau), Marcos Murtra (Hospital General Vall d’Hebron, Hospital de Barcelona, Clínica Quirón), Màrius Petit y Oriol Solé (Centre Cardiovascular Sant Jordi), Jaume Mulet (Hospital Clínic i Provincial y Hospital General de Catalunya), José Luis Pomar (Hospital Clínic i Provincial), Alejandro Arís (Hospital de la Santa Creu i Sant Pau), Josep M.<span class="elsevierStyleSup">a</span> Caralps (Hospital de la Santa Creu i Sant Pau y Clínica Quirón), Albert Castro (Hospital de Barcelona).</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias BibliográFicas" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:19 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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