array:23 [ "pii" => "S0025775301718969" "issn" => "00257753" "doi" => "10.1016/S0025-7753(01)71896-9" "estado" => "S300" "fechaPublicacion" => "2001-01-01" "aid" => "71896" "copyright" => "Elsevier España, S.L.. Todos los derechos reservados" "copyrightAnyo" => "2001" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2001;116:536-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2168 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 1991 "PDF" => 170 ] ] "itemSiguiente" => array:18 [ "pii" => "S0025775301718970" "issn" => "00257753" "doi" => "10.1016/S0025-7753(01)71897-0" "estado" => "S300" "fechaPublicacion" => "2001-01-01" "aid" => "71897" "copyright" => "Elsevier España, S.L." "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "edi" "cita" => "Med Clin. 2001;116:539-40" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2063 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 1822 "PDF" => 233 ] ] "es" => array:8 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>" "titulo" => "Hipovitaminosis D en el anciano" "tienePdf" => "es" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "539" "paginaFinal" => "540" ] ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "José Rodríguez Espinosa" "autores" => array:1 [ 0 => array:2 [ "nombre" => "José Rodríguez" "apellidos" => "Espinosa" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775301718970?idApp=UINPBA00004N" "url" => "/00257753/0000011600000014/v1_201307291441/S0025775301718970/v1_201307291441/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0025775301718957" "issn" => "00257753" "doi" => "10.1016/S0025-7753(01)71895-7" "estado" => "S300" "fechaPublicacion" => "2001-01-01" "aid" => "71895" "copyright" => "Elsevier España, S.L." "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2001;116:533-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2179 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 1979 "PDF" => 192 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Originales Breves</span>" "titulo" => "Efecto de la fractura vertebral sobre la calidad de vida relacionada con la salud en población asturiana mayor de 54 años" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "533" "paginaFinal" => "535" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Effect of vertebral fracture on health related quality of life in a Spanish" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Manuel Naves Díaz, Joséeacute;eacute;eacute; Bernardino Díaz López, Ana Rodríguez Rebollar, Carlos Gómez Alonso, Carmen Díaz Corte, Jorge Cannata Andía" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Manuel" "apellidos" => "Naves Díaz" ] 1 => array:2 [ "nombre" => "Joséeacute;eacute;eacute; Bernardino" "apellidos" => "Díaz López" ] 2 => array:2 [ "nombre" => "Ana" "apellidos" => "Rodríguez Rebollar" ] 3 => array:2 [ "nombre" => "Carlos" "apellidos" => "Gómez Alonso" ] 4 => array:2 [ "nombre" => "Carmen" "apellidos" => "Díaz Corte" ] 5 => array:2 [ "nombre" => "Jorge" "apellidos" => "Cannata Andía" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775301718957?idApp=UINPBA00004N" "url" => "/00257753/0000011600000014/v1_201307291441/S0025775301718957/v1_201307291441/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Originales Breves</span>" "titulo" => "Toma de decisiones médicas en pacientes con enfermedad pulmonar obstructiva crónica" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "536" "paginaFinal" => "538" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Glòria Miró Andreua, Miguel Félez Flor, José Felipe Solsona Durán" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Glòria" "apellidos" => "Miró Andreua" "email" => array:1 [ 0 => "gmiro@csm.scs.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Miguel" "apellidos" => "Félez Flor" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "José Felipe" "apellidos" => "Solsona Durán" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicios de Medicina Intensiva y Neumología. Hospital del Mar. Barcelona." "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicios de Medicina Neumología. Hospital del Mar. Barcelona." "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Dra. G. Miró. Passeig Torras i Bages, 78-82, 5.° 4.<span class="elsevierStyleSup">a</span> A. 08030 Barcelona." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Medical decisions in patients with chronic obstructive pulmonary disease" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-07-17" "fechaAceptado" => "2001-03-20" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec221159" "palabras" => array:6 [ 0 => "EPOC" 1 => "UCI" 2 => "Ventilación mecánica" 3 => "Información" 4 => "Testamento vital" 5 => "Directrices anticipadas" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec221158" "palabras" => array:6 [ 0 => "COPD" 1 => "Intensive care" 2 => "Mechanical ventilation" 3 => "Knowledge" 4 => "Information" 5 => "Advance directives" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se analiza si un grupo de pacientes con enfermedad pulmonar obstructiva crónica (EPOC) posee información suficiente al respecto.</p> <span class="elsevierStyleSectionTitle">Pacientes Y MéTodo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Entrevista estructurada sobre el conocimiento de la enfermedad, los deseos de información y de participación en las decisiones médicas y la opinión sobre las directrices anticipadas.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se entrevistaron 78 pacientes. El 92% sabía que sufría una enfermedad crónica y el 63% que era evolutiva, el 50% creyó que podría requerir un ingreso en una UCI y un 33% conocía la ventilación mecánica. Sólo el haber ingresado previamente en una UCI y ser portador de oxigenoterapia domiciliaria se relacionó con un mejor conocimiento de la enfermedad. Un 46% de los pacientes no se sentían informados, pero el 64% de ellos no deseaba más información. La mayoría desearía alguna forma de planificación futura de sus cuidados médicos en caso de incompetencia.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El paciente afectado de EPOC no dispone de información para tomar decisiones autónomas, y aún menos de forma anticipada. El conocimiento lo da la experiencia previa con dicha enfermedad y sus complicaciones.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A right information about illness is essential if a patient has to take ethically autonomous medical decisions. We assessed whether a group o patients with chronic obstructive pulmonary disease (COPD) had enough information about their illness to take medical decisions.</p> <span class="elsevierStyleSectionTitle">Patients And Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Structured interview about disease knowledge, wills to receive medical information and to take part in medical lesions as well as opinion on advance directives.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Seventy-eight patients with COPD were interviewed. Ninety-two per cent of them were aware that they had a chronic illness and 63% were aware that it was an evolving disease. Fifty per cent believed they could require ICU admission, yet only 33% had knowledge of what mechanical ventilation was. A previous ICU admission and receiving home oxygen therapy were the only factors related to a better knowledge of disease. Forty-six per cent of patients interviewed felt not to be rightly informed, yet 64% of them did not wish to receive more information. Most patients would wish to have some form of future planning of their medical care in case of incompetence.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Patients with COPD do not have enough information to take autonomous decisions. 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Toma de decisiones médicas en pacientes con enfermedad pulmonar obstructiva crónica
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