Compartir
array:23 [ "pii" => "S0025775300716666" "issn" => "00257753" "doi" => "10.1016/S0025-7753(00)71666-6" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "71666" "copyright" => "Elsevier España, S.L.. Todos los derechos reservados" "copyrightAnyo" => "2000" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2000;115:695-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2189 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 1897 "PDF" => 286 ] ] "itemSiguiente" => array:18 [ "pii" => "S0025775300716678" "issn" => "00257753" "doi" => "10.1016/S0025-7753(00)71667-8" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "71667" "copyright" => "Elsevier España, S.L." "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "edi" "cita" => "Med Clin. 2000;115:697-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1670 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 1376 "PDF" => 288 ] ] "es" => array:7 [ "idiomaDefecto" => true "titulo" => "Nonagenarios: del nihilismo médico al qué hacemos con ellos" "tienePdf" => "es" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "697" "paginaFinal" => "698" ] ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "José Manuel Ribera Casado" "autores" => array:1 [ 0 => array:2 [ "nombre" => "José" "apellidos" => "Manuel Ribera Casado" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775300716678?idApp=UINPBA00004N" "url" => "/00257753/0000011500000018/v1_201307291652/S0025775300716678/v1_201307291652/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0025775300716654" "issn" => "00257753" "doi" => "10.1016/S0025-7753(00)71665-4" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "71665" "copyright" => "Elsevier España, S.L." "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2000;115:690-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2698 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 2446 "PDF" => 244 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "El proyecto multinacional europeo y multicéntrico español de mejora de calidad asistencial en psiquiatría de enlace en el hospital general: el perfil clínico en España" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "690" "paginaFinal" => "694" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Multinational European project and multicenter Spanish study of quality improvement of assistance on consultation-liaison psychiatry in general hospital: clinical profile in Spain" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Manuel Valdés, Joan de Pablo, Ricardo Campos, Josep Maria Farré, Manuel Girón, Maximino Lozano, Carlos Aibar, Eduardo García-Camba, Ana Martínez Calvo, Sonia Carreras, Barbara Stein, Frits Huyse, Thomas Herzog, Antonio Lobo" "autores" => array:14 [ 0 => array:2 [ "nombre" => "Manuel" "apellidos" => "Valdés" ] 1 => array:2 [ "nombre" => "Joan" "apellidos" => "de Pablo" ] 2 => array:2 [ "nombre" => "Ricardo" "apellidos" => "Campos" ] 3 => array:2 [ "nombre" => "Josep" "apellidos" => "Maria Farré" ] 4 => array:2 [ "nombre" => "Manuel" "apellidos" => "Girón" ] 5 => array:2 [ "nombre" => "Maximino" "apellidos" => "Lozano" ] 6 => array:2 [ "nombre" => "Carlos" "apellidos" => "Aibar" ] 7 => array:2 [ "nombre" => "Eduardo" "apellidos" => "García-Camba" ] 8 => array:2 [ "nombre" => "Ana" "apellidos" => "Martínez Calvo" ] 9 => array:2 [ "nombre" => "Sonia" "apellidos" => "Carreras" ] 10 => array:2 [ "nombre" => "Barbara" "apellidos" => "Stein" ] 11 => array:2 [ "nombre" => "Frits" "apellidos" => "Huyse" ] 12 => array:2 [ "nombre" => "Thomas" "apellidos" => "Herzog" ] 13 => array:2 [ "nombre" => "Antonio" "apellidos" => "Lobo" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775300716654?idApp=UINPBA00004N" "url" => "/00257753/0000011500000018/v1_201307291652/S0025775300716654/v1_201307291652/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Valoración de la capacidad funcional después de un ingreso hospitalario en pacientes nonagenarios" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "695" "paginaFinal" => "696" ] ] "autores" => array:2 [ 0 => array:4 [ "autoresLista" => "Francesc Formiga, Xavier Jacob, Marta Vidal" "autores" => array:3 [ 0 => array:3 [ "nombre" => "Francesc" "apellidos" => "Formiga" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Xavier" "apellidos" => "Jacob" ] 2 => array:2 [ "nombre" => "Marta" "apellidos" => "Vidal" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "UFISS Geriatría. Servicio de Medicina Interna. Ciutat Sanitària i Universitària de Bellvitge.L'Hospitalet de Llobregat. Barcelona" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Dr. F. Formiga. UFISS Geriatría. Servicio de Medicina Interna (planta 7-3). Hospital de Bellvitge-Prínceps d'Espanya. Feixa Llarga, s/n. 08907 L'Hospitalet de Llobregat. Barcelona." ] ] ] 1 => array:3 [ "autoresLista" => "Alfons Ló pez Soto, E. Sacanella, Ferran Masanés" "autores" => array:3 [ 0 => array:3 [ "nombre" => "Alfons" "apellidos" => "Ló pez Soto" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "E." "apellidos" => "Sacanella" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Ferran" "apellidos" => "Masanés" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "UFISS Geriatrí a. Hospital Clí nic de Barcelona" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Evaluation of functional capacity after hospital admission of nonagenarian patients" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-05-25" "fechaAceptado" => "2000-09-26" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec222552" "palabras" => array:3 [ 0 => "Paciente geriátrico" 1 => "Ingreso hospitalario" 2 => "Deterioro funcional" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec222551" "palabras" => array:3 [ 0 => "Elderly" 1 => "Hospital admission" 2 => "Functional decline" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Después de un ingreso hospita-lario puede existir una pérdida en la capaci-dad funcional, posiblemente más importan-te en las personas más ancianas.</p> <span class="elsevierStyleSectionTitle">Pacientes y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se estudió de manera prospectiva a 125 pacientes nonagenarios ingresados en los hospitales de Bellvitge y Clínic de Barcelona, y se realizó un control a los 3 meses.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Veinticuatro pacientes (19%) fa-llecieron durante el ingreso. En los 101 res-tantes la media del índice de Barthel (IB) previo fue de 75, al ingreso 33 (p < 0,0001) y al alta 43 (p < 0,001). Existe una caída en el IB al alta (-32; p < 0,0001), persistiendo un descenso (-12; p < 0,003) en los 59 pa-cientes controlados a los 3 meses del alta.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En los pacientes nonagenarios después de una hospitalización se produce una alteración funcional que persiste a los 3 meses del alta.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Hospitalisation in nonagena-rians patients may causes functional decline.</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The study sample in-cluded all nonagenarians patients admitted during three months in two teaching hospi-tals.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">We studied 125 patients (24 [19%] died). In the remaining 101 patients the pre-vious Barthel index (BI) was 75, at admission 33 (p < 0.0001), and at discharge 43 (p <0.001). The decline in BI at discharge was remarkable (-32; p < 0.0001) and persisted after 3 months (-12, p < 0.003).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">After three months of hospitali-sation in nonagenarians patients persist a functional decline.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias Bibliográficias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hazards of hospitalization of the elderly" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M.C. Creditor" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Intern Med" "fecha" => "1993" "volumen" => "118" "paginaInicial" => "219" "paginaFinal" => "223" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8417639" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The outcome of hospitalization for acute illness" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "C.T. Lamont" 1 => "S. Sampson" 2 => "R. Matthias" 3 => "R. Kane" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Am Geriatr Soc" "fecha" => "1983" "volumen" => "31" "paginaInicial" => "282" "paginaFinal" => "288" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6841857" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Repercusió n de la hospitalizació n en la capacidad funcional de pacientes mayores de 75 añ os ingresados en una Unidad de Corta Estancia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "F. Formiga" 1 => "J.M. Maiques" 2 => "A. Salazar" 3 => "J. Mascaró" 4 => "A. Novelli" 5 => "A. Rivera" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Esp Geriatr Gerontol" "fecha" => "1999" "volumen" => "34" "paginaInicial" => "331" "paginaFinal" => "335" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hospital use by extremely elderly (nonagenarians): a two years study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "C. Patterson" 1 => "C. Crescenzi" 2 => "K. Steel" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Am Geriatr Soc" "fecha" => "1984" "volumen" => "32" "paginaInicial" => "350" "paginaFinal" => "352" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6715760" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "La hospitalizació n como fuente de fragilidad en el anciano" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.J. Solano" 1 => "J. Gutiérrez" 2 => "R. Galeano" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Esp Geriatr Gerontol" "fecha" => "1997" "volumen" => "32" "paginaInicial" => "45" "paginaFinal" => "52" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Functional evaluation: the Barthel index. A simple index of independence useful in scoring improvement in the rehabilitation of the chronically ill" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "F.I. Mahoney" 1 => "D.W. Barthel" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Md State Med J" "fecha" => "1965" "volumen" => "14" "paginaInicial" => "61" "paginaFinal" => "65" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5832033" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A new method of classifying prognostic comorbidity in longitudinal studies: development and validation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M.E. Charlson" 1 => "P. Pompei" 2 => "K.L. Ales" 3 => "C.R. MacKenzie" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Chron Dis" "fecha" => "1987" "volumen" => "40" "paginaInicial" => "378" "paginaFinal" => "383" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ballesteros P et al. Ingreso hospitalario urgente en servicios médicos: causa, justificació n, factores sociales y sus diferencias en funció n de la edad" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J.L. GonzÁlez Montalvo" 1 => "J.J. Baztan" 2 => "L. Rodríguez Manas" 3 => "E. San Cristó bal" 4 => "A. Gato" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Med Clin(Barc)" "fecha" => "1994" "volumen" => "103" "paginaInicial" => "441" "paginaFinal" => "444" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A predictive index for functional decline in hospitalized elderly medical patients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S.K. Inouye" 1 => "D.R. Wagner" 2 => "D. Acampora" 3 => "I.R. Horwitz" 4 => "L.M. Cooney Jr" 5 => "L.D. Hurst" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "J Gen Intern Med" "fecha" => "1993" "paginaInicial" => "645" "paginaFinal" => "652" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hospital admisio risk profile (HARP): identifiying older patients at risk for functional decline following acute medical illness and hospitalization" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M.A. Sager" 1 => "M.A. Rudberg" 2 => "M. Jaluddin" 3 => "T. Franke" 4 => "S.K. Inouye" 5 => "C.S. Landefeld" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Am Geriatr Soc" "fecha" => "1996" "volumen" => "44" "paginaInicial" => "251" "paginaFinal" => "257" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8600192" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/00257753/0000011500000018/v1_201307291652/S0025775300716666/v1_201307291652/es/main.assets" "Apartado" => array:4 [ "identificador" => "24087" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Original breve" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00257753/0000011500000018/v1_201307291652/S0025775300716666/v1_201307291652/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775300716666?idApp=UINPBA00004N" ]
