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array:23 [ "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.. Todos los derechos reservados" "copyrightAnyo" => "2001" "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 ] ] "itemSiguiente" => array:18 [ "pii" => "S0025775301717873" "issn" => "00257753" "doi" => "10.1016/S0025-7753(01)71787-3" "estado" => "S300" "fechaPublicacion" => "2001-01-01" "aid" => "71787" "copyright" => "Elsevier España, S.L." "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2001;116:251-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2809 "formatos" => array:3 [ "EPUB" => 5 "HTML" => 2426 "PDF" => 378 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Evolución de la hipertensión de bata blanca a hipertensión mantenida. Seguimiento durante un año mediante monitorización ambulatoria de la presión arterial" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "251" "paginaFinal" => "255" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Evolution of white coat hypertension to sustained hypertension. One year follow-up by ambulatory blood pressure monitoring" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Emilio Márquez Contreras, José Joaquín Casado Martínez, Amalia Fernández Ortega, Juan Javier Márquez Cabeza" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Emilio" "apellidos" => "Márquez Contreras" ] 1 => array:2 [ "nombre" => "José" "apellidos" => "Joaquín Casado Martínez" ] 2 => array:2 [ "nombre" => "Amalia" "apellidos" => "Fernández Ortega" ] 3 => array:2 [ "nombre" => "Juan" "apellidos" => "Javier Márquez Cabeza" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775301717873?idApp=UINPBA00004N" "url" => "/00257753/0000011600000007/v1_201307291417/S0025775301717873/v1_201307291417/es/main.assets" ] "itemAnterior" => array:18 [ "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." "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 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Control terapéutico de los factores de riesgo y calidad de vida en los pacientes tratados mediante derivación aortocoronaria" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "241" "paginaFinal" => "245" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Therapeutic control and quality of life in coronary artery bypass surgery patients" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Carlos Brotons Cuixart, Irene Moral Peláez, Gaietà Permanyer Miralda, Aida Ribera Solé, Purificació Cascant Castelló" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Carlos" "apellidos" => "Brotons Cuixart" ] 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:1 [ "colaborador" => "CIRCORCA" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S002577530171785X?idApp=UINPBA00004N" "url" => "/00257753/0000011600000007/v1_201307291417/S002577530171785X/v1_201307291417/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Valor predictivo de la abstinencia tabáquica a los 2 meses de tratamiento" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "246" "paginaFinal" => "250" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Miguel Barrueco, Miguel Torrecilla, José Ángel Maderuelo, Carlos Jiménez Ruiz, Miguel Ángel Hernández Mezquita, María Dolores Plaza" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Miguel" "apellidos" => "Barrueco" "email" => array:1 [ 0 => "mibafe@gugu.usal.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Miguel" "apellidos" => "Torrecilla" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "José" "apellidos" => "Ángel Maderuelo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "Carlos" "apellidos" => "Jiménez Ruiz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] 4 => array:3 [ "nombre" => "Miguel" "apellidos" => "Ángel Hernández Mezquita" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 5 => array:3 [ "nombre" => "María" "apellidos" => "Dolores Plaza" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Servicio de Neumología. Hospital Universitario de Salamanca." "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Centro de Salud San Juan. Salamanca." "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Unidad Docente de Medicina Familiar y Comunitaria de Salamanca." "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Unidad de Tabaquismo. Hospital de la Princesa. Madrid." "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Dr. M. Barrueco. Servicio de Neumología. Hospital Universitario. P.o de San Vicente, 58-182. 37007 Salamanca." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Two-month results are predictors of outcome in a smoking cesation program" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-05-17" "fechaAceptado" => "2000-10-17" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras Clave" "identificador" => "xpalclavsec220846" "palabras" => array:4 [ 0 => "Tabaco" 1 => "Atención primaria" 2 => "Atención especializada" 3 => "Predictores de éxito" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec220845" "palabras" => array:4 [ 0 => "Tobacco" 1 => "Primary care" 2 => "Pneumology" 3 => "Outcome predictors" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La intervención mínima sistematizada y la terapia sustitutiva con nicotina han demostrado ser efectivas en el tratamiento del tabaquismo. El objetivo de nuestro estudio ha sido determinar si los resultados obtenidos a los 2 meses con un programa de tratamiento del tabaquismo, con ambos procedimientos, desarrollado en la asistencia habitual pueden ser considerados predictores de los resultados al año.</p> <span class="elsevierStyleSectionTitle">Pacientes y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Hemos realizado un estudio longitudinal y prospectivo en el que se ha incluido a todos los fumadores (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>357) que acudieron a una consulta de atención primaria o especializada durante un período de 6 meses. La intervención mínima fue utilizada en los fumadores con baja dependencia a la nicotina (Fagerström<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>7) o que aún no se encontraban en fase e preparación. La terapia sustitutiva con nicotina se aplicó a los fumadores con alta dependencia (Fagerström<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>7).</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Un total de 32 pacientes (9%) de los 357 no acudieron a los controles establecidos y se consideraron casos perdidos. El estudio anual fue completado por 177 pacientes en el grupo de intervención mínima y 148 en el de la terapia sustitutiva. La abstinencia al año fue conseguida por el 39,2% de los sujetos del grupo de la intervención mínima y por el 36,2% de los tratados con terapia sustitutiva con nicotina. Previamente, a los 2 meses, la abstinencia observada había sido del 34% (27,4-40,7) y 52,1% (44,5-59,8), respectivamente. Los pacientes que habían conseguido la abstinencia a los dos meses del inicio del programa tenían 19 veces más probabilidades de éxito al cabo de un año (odds ratio, 19,4), presentando en el grupo de la intervención mínima una sensibilidad del 72,4% y una especificidad del 90,7%, y en el grupo de la terapia sustitutiva del 93,2% y el 71,2%, respectivamente.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los resultados observados a los 2 meses del inicio del programa se comportan como predictores de éxito y pueden ser de utilidad para modificar la actitud terapéutica con el fin de mejorar las tasas de abstinencia al año del inicio del programa.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The supportive smoking cessation counseling (SSCC) and nicotine replacement therapy (NRT) have been proved to be an effective aid to smoking cessation. The aim of this study was to determine whether the results obtained in a two-month treatment program to helping smokers quit by means of supporting smoking cessation counseling or nicotine replacement therapy included in the routine medical care, can be considered as predictors of success in the long term (one year).</p> <span class="elsevierStyleSectionTitle">Subjects and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A longitudinal and prospective study has been carried out, being included in the program all smoker patients who went a primary or specialist unit (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>357) during a sixmonth term. The SSCC was carried out in those patients with a low nicotine dependence (Fagerström test<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>7) or those who had not got a preparation stage yet. The NRT was tested in those patients with high nicotine dependence (Fagerström<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>7).</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">32 patients (9%) of the 357 did not turn up to the established controls, being thus considered as hopeless cases. The one-year study was completed by 177 patients in the SSCC group and 148 in the NRT group. Abstinence had been achieved by 39.2% of the SSCC group and by 36.2% of the NRT group 12 months later. Previously, in the SSCC group the observed abstinence after two months that the beginning of the program was 34% (27.4-40.7) and in the NRT group was 52.1% (44.5-59.8). The patients who were abstinents after two months of the beginning of the program were 19 times more likely to remain abstinent after a year (odds ratio, 19.4), showing in the SSCC group a sensitivity of 72.4% and a specificity of 90.7%, and in the NRT group the sensitivity was 93.2% and the specificity of 71.2%.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The results observed after two months of the beginning of the program are predictors of outcome and can allow modify the therapeutic attitude with the aim of achieve best rates of success.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias bibliográficas" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:33 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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