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Atención a pacientes COVID-19 durante la primera ola de la pandemia en un hospital de media estancia. Variables asociadas con mortalidad en ingresados en situación aguda
Attending COVID-19 patients during the first wave of the pandemic in a Medium Stay Hospital: Variables associated with mortality in hospitalized patients in an acute situation
M. Elena Carrillo Alcalá
Autor para correspondencia
elenacarrilloalcala@gmail.com

Autor para correspondencia.
, Jesús Minaya Saiz
Geriatría, Hospital de Guadarrama, Guadarrama, Madrid, España
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introducci&#243;n y objetivos</span><p id="par0285" class="elsevierStylePara elsevierViewall">Espa&#241;a ha sido uno de los pa&#237;ses con mayor afectaci&#243;n por la pandemia de COVID-19&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">El 31 de enero de 2020 fue detectado el primer caso de infecci&#243;n por SARS-CoV-2 en nuestro pa&#237;s&#46; A partir de marzo se extendi&#243; por toda la naci&#243;n que condicion&#243; un elevado impacto asistencial sobre nuestro sistema de salud con un incremento exponencial de hospitalizaci&#243;n&#44; ingresos en UCI y mortalidad&#44; decret&#225;ndose el estado de alarma nacional el 15 de marzo de 2020&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Debido a la situaci&#243;n de urgencia y excepcionalidad se utilizaron todos los recursos disponibles sanitarios tanto a nivel p&#250;blico como privado para la atenci&#243;n&#44; el seguimiento y el tratamiento de los pacientes ingresados con infecci&#243;n activa por SARS-CoV-2&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">En este sentido se realiz&#243; un gran esfuerzo organizativo en todos los centros asistenciales y hospitalarios de la Comunidad de Madrid&#44; y en concreto en el Hospital de Guadarrama&#44; que se reconvirti&#243; totalmente&#44; cesando su actividad en rehabilitaci&#243;n para pasar a ser un centro dedicado a la atenci&#243;n completa e integral a pacientes con infecci&#243;n activa COVID-19&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">El Hospital de Guadarrama es un hospital de media estancia &#40;HME&#41; ubicado en la zona noroeste de Madrid&#44; con un total de 144 camas&#44; que atiende fundamentalmente pacientes con deterioro funcional para realizar rehabilitaci&#243;n &#40;132 camas&#41; y en menor medida pacientes con necesidad de tratamiento paliativo &#40;12 camas&#41;&#46; Como HME presentamos ciertas limitaciones&#58; en nuestro centro no disponemos de laboratorio&#44; y el acceso a radiograf&#237;as est&#225; limitado&#44; pudiendo realizarse gasometr&#237;a y ECG en cualquier momento&#46; Durante el estado de alarma se dot&#243; de mayores recursos &#40;ampliaci&#243;n de horario de radiolog&#237;a y de personal m&#233;dico&#41; debido a la carga asistencial y a la gravedad de los pacientes&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">El primer paciente diagnosticado de COVID-19 en nuestro centro fue el 14&#47;3&#47;20&#44; siendo en ese momento el &#250;nico caso confirmado&#46; Durante esa semana y la posterior se procedi&#243; a dar altas a los cl&#237;nicamente estables para poder disponer del mayor n&#250;mero de camas posibles para atender pacientes con infecci&#243;n activa por SARS-CoV-2 procedentes del servicio de urgencias o de planta de Hospitales de Agudos de la Comunidad de Madrid&#46; De esta forma las 4 plantas llegaron a estar dedicadas en exclusiva al tratamiento y cuidado de pacientes COVID&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Cada planta consta de 2 alas de 20 camas cada una&#44; ocup&#225;ndose 13 para garantizar las medidas de aislamiento&#44; llegando a un total de 104 camas funcionantes&#46; Para la atenci&#243;n de cada ala se cont&#243; con un equipo multidisciplinar compuesto por un m&#233;dico &#40;geriatra o internista apoyado por m&#233;dico rehabilitador y psic&#243;logo para completar la actividad asistencial e informaci&#243;n diaria a familiares&#41;&#44; enfermer&#237;a y auxiliares de enfermer&#237;a y equipo de fisioterapia para continuidad de cuidados de los pacientes&#46; En la planta se administr&#243; soporte ventilatorio no invasivo&#44; mediante oxigenoterapia en c&#225;nulas y mascarilla nasales&#44; permitiendo incremento de fracci&#243;n inspirada de ox&#237;geno del 24 &#40;gafas nasales a 1<span class="elsevierStyleHsp" style=""></span>lpm&#41; al 80&#37; &#40;oxigenoterapia con reservorio a 15<span class="elsevierStyleHsp" style=""></span>l&#41;&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Los criterios para el alta fueron mejor&#237;a de la enfermedad respiratoria aguda con negativizaci&#243;n de PCR SARS-CoV-2 o posibilidad de poder realizar aislamiento domiciliario en caso de no haber negativizado la misma&#44; traslado hospitalario &#40;por agravamiento cl&#237;nico en pacientes subsidiarios de ingreso en la UCI&#41; o fallecimiento&#46; En los pacientes con empeoramiento cl&#237;nico severo se implementaron cuidados de &#250;ltimos d&#237;as y tratamiento paliativo&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Existen multitud de estudios de pacientes ingresados por COVID-19 en hospitales de agudos<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">1-6</span></a> y servicios de urgencias<a class="elsevierStyleCrossRefs" href="#bib0200"><span class="elsevierStyleSup">7&#44;8</span></a>&#44; tambi&#233;n en servicios de geriatr&#237;a<a class="elsevierStyleCrossRefs" href="#bib0210"><span class="elsevierStyleSup">9-11</span></a> y unidades de larga estancia<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">12</span></a>&#44; incluso de pacientes de larga estancia que ingresan en centros hospitalarios<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">13</span></a>&#44; pero desconocemos la existencia de los llevados a cabo en hospitales de media estancia&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Se han analizado en diferentes trabajos los factores asociados con riesgo de muerte entre los que destaca el incremento de la edad&#44; insuficiencia respiratoria&#44; comorbilidad&#44; sexo masculino&#44; leucocitosis o linfopenia&#44; trombocitopenia&#44; elevaci&#243;n de d&#237;mero D&#44; incremento de creatinina e hipoalbuminemia<a class="elsevierStyleCrossRefs" href="#bib0180"><span class="elsevierStyleSup">3&#44;5&#44;14&#44;15</span></a> describi&#233;ndose en algunos trabajos la influencia de la situaci&#243;n funcional y el deterioro cognitivo sobre la mortalidad<a class="elsevierStyleCrossRefs" href="#bib0210"><span class="elsevierStyleSup">9-11</span></a>&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">En este marco asistencial los objetivos de este estudio han sido&#58; a&#41; describir la comorbilidad&#44; situaci&#243;n funcional y mental previa&#44; caracter&#237;sticas epidemiol&#243;gicas&#44; cl&#237;nicas&#44; radiol&#243;gicas&#44; anal&#237;ticas&#44; terap&#233;uticas y complicaciones m&#233;dicas de los pacientes atendidos durante un per&#237;odo de 2 meses en Hospital de Guadarrama con infecci&#243;n COVID-19&#59; b&#41; comparar las anteriores variables en el momento de la enfermedad aguda entre el grupo de hospitalizados en situaci&#243;n aguda con los de fase de convalecencia&#59; c&#41; analizar las variables que se asocian a mortalidad en el grupo de pacientes hospitalizados en fase aguda&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Material y m&#233;todos</span><p id="par0060" class="elsevierStylePara elsevierViewall">Estudio observacional epidemiol&#243;gico retrospectivo en el que se incluyeron todos los pacientes ingresados con diagn&#243;stico de COVID-19 durante un per&#237;odo de 2 meses comprendido entre el 15 marzo al 15 de mayo de 2020 en el Hospital de Guadarrama&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Los pacientes hospitalizados a fecha de 15 de marzo que no desarrollaron enfermedad por SARS-CoV-2 fueron excluidos del estudio &#40;6 pacientes paliativos&#41;&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">La confirmaci&#243;n diagn&#243;stica de infecci&#243;n por COVID-19 se defini&#243; como positividad de muestra de exudado nasofar&#237;ngeo de PCR SARS-CoV-2&#44; aportada desde hospital de referencia y los casos diagnosticados en nuestro centro tras confirmaci&#243;n de muestra extra&#237;da en planta&#46; Al estar en situaci&#243;n de pandemia los pacientes con alta sospecha cl&#237;nica procedentes de urgencia&#44; a pesar de negatividad en la PCR tambi&#233;n fueron diagnosticados de COVID-19&#46; La alta sospecha cl&#237;nica<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">16</span></a> se defini&#243; como&#58; presencia de tos y al menos un signo o s&#237;ntoma respiratorio con fiebre de m&#225;s de 4 d&#237;as y alteraci&#243;n radiol&#243;gica asociada compatible<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">9</span></a>&#46; Esto ocurri&#243; en 3 casos&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Los pacientes del estudio se clasificaron en 2 categor&#237;as&#44; seg&#250;n el momento de la enfermedad&#58; ingresados en situaci&#243;n aguda y en fase de convalecencia&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">Los hospitalizados en situaci&#243;n aguda correspondieron a los que proven&#237;an directamente del servicio de urgencias de hospitales de la Comunidad de Madrid o de planta con una estancia menor de 72<span class="elsevierStyleHsp" style=""></span>h y aquellos pacientes que se contagiaron estando ingresados en nuestro centro realizando rehabilitaci&#243;n&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">Los pacientes hospitalizados en nuestro centro en fase de convalecencia se definieron como aquellos procedentes de planta de su hospital de referencia tras finalizaci&#243;n de tratamiento activo que ingresaron para completar per&#237;odo de cuarentena por persistencia de PCR positiva y los que manten&#237;an situaci&#243;n de inestabilidad cl&#237;nica que no permit&#237;a el alta a domicilio o residencia&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Los datos fueron recogidos de la historia cl&#237;nica m&#233;dica elaborando un protocolo estandarizado que recog&#237;a m&#250;ltiples variables agrupadas en los siguientes apartados&#58; 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e&#41; comorbilidad determinado por &#205;ndice de Charlson &#40;ICh&#41;<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">17</span></a>&#59; f&#41; sintomatolog&#237;a inicial&#58; fiebre&#44; tos&#44; disnea&#44; insuficiencia respiratoria&#44; s&#237;ntomas digestivos &#40;n&#225;useas&#44; diarrea&#41;&#44; s&#237;ntomas neurol&#243;gicos &#40;confusi&#243;n&#44; mialgia&#44; cefalea&#41;&#59; g&#41; anal&#237;tica &#40;48-72<span class="elsevierStyleHsp" style=""></span>h de ingreso&#41;&#58; leucocitos&#44; linfocitos&#44; hemoglobina&#44; plaquetas&#44; ferritina&#44; d&#237;mero D &#40;DD&#41;&#44; prote&#237;na C reactiva &#40;PCR&#41;&#44; creatinina&#44; urea&#44; prote&#237;nas totales&#44; alb&#250;mina&#59; h&#41; patr&#243;n radiol&#243;gico&#58; infiltrado unilateral&#44; infiltrado bilateral&#44; no infiltrado&#59; i&#41; gravedad&#44; evaluada mediante escala CURB-65 &#40;0-4&#41;<a class="elsevierStyleCrossRefs" href="#bib0255"><span class="elsevierStyleSup">18&#44;19</span></a> y PAFI&#58; pO<span class="elsevierStyleInf">2</span>&#47; FiO<span class="elsevierStyleInf">2</span> &#40;estadios&#58; &#60;<span class="elsevierStyleHsp" style=""></span>100&#44; &#60;<span class="elsevierStyleHsp" style=""></span>200&#44; &#60;<span class="elsevierStyleHsp" style=""></span>300&#44; &#60;<span class="elsevierStyleHsp" style=""></span>400 y <span class="elsevierStyleUnderline">&#62;</span><span class="elsevierStyleHsp" style=""></span>400&#41;&#59; j&#41; terap&#233;uticas&#58; hidroxicloroquina&#44; lopinavir&#47;ritonavir&#44; corticoides &#40;pulsos cortos a altas dosis&#59; 0&#44;5-1<span class="elsevierStyleHsp" style=""></span>mg&#47;kg&#47;d dosis descendente&#41;&#44; antibioterapia de amplio espectro&#44; azitromicina&#44; anticoagulaci&#243;n &#40;HBPM dosis profil&#225;ctica&#44; HBPM dosis anticoagulante&#47;intermedias&#44; anticoagulaci&#243;n oral con Sintrom&#174; &#40;AO&#41;&#44; anticoagulaci&#243;n oral con anticoagulantes de acci&#243;n directa &#40;NACO&#41;&#59; k&#41; complicaciones m&#233;dicas durante la hospitalizaci&#243;n&#58; cardiol&#243;gicas&#44; neurol&#243;gicas&#44; tromb&#243;ticas&#44; cut&#225;neas&#44; hematol&#243;gicas&#44; deterioro funcional&#44; digestivas&#44; hepatobiliares&#44; nefrol&#243;gicas&#44; afectivas&#59; l&#41; estancia media&#59; m&#41; tiempo negativizaci&#243;n de PCR&#44; y n&#41; destino al alta&#58; mortalidad&#44; alta&#44; traslado&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Para la recogida de los datos de los ingresados en situaci&#243;n de convalecencia se accedi&#243; a la informaci&#243;n recogida del informe de alta hospitalaria durante el ingreso en situaci&#243;n aguda en su hospital de procedencia&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Todos los datos de los pacientes ingresados en situaci&#243;n aguda se recogieron mediante acceso a historia cl&#237;nica de nuestro centro &#40;Selene&#41;&#46; Se accedi&#243; a historia electr&#243;nica de los pacientes trasladados que ingresaron en situaci&#243;n aguda para el completo an&#225;lisis de la mortalidad en esta submuestra&#46;</p><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">La recogida de datos se realiz&#243; por 2 m&#233;dicos especialistas en geriatr&#237;a</span><p id="par0105" class="elsevierStylePara elsevierViewall">Los pacientes y sus familiares dieron su consentimiento para la realizaci&#243;n del estudio&#44; siendo este aprobado por la direcci&#243;n del centro&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">Para la descripci&#243;n de la poblaci&#243;n se expresaron las variables cuantitativas como mediana y rango intercuart&#237;lico &#40;RIC&#41; y media con desviaci&#243;n est&#225;ndar &#40;DS&#41;&#44; y las cualitativas como frecuencias y porcentaje&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Se realiz&#243; estudio bivariante y multivariante para analizar las variables relacionadas con la mortalidad en el grupo de los pacientes hospitalizados en fase aguda mediante el programa estad&#237;stico SPSS&#174; v&#46; 26&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">En el an&#225;lisis bivariante se utilizaron los test Chi-cuadrado o de Fisher para las variables cualitativas y para las cuantitativas la U de Mann-Whitney y la t de Student&#46; La fuerza de asociaci&#243;n de las variables cualitativas se midi&#243; mediante la <span class="elsevierStyleItalic">odds ratio</span> &#40;OR&#41; y su intervalo de confianza &#40;IC&#41; al 95&#37; &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41;&#46; Se realiz&#243; la regresi&#243;n log&#237;stica binaria para los valores m&#225;s significativos del estudio bivariante con la determinaci&#243;n de OR y su IC 95&#37; &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41;&#46;</p></span></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Resultados</span><p id="par0125" class="elsevierStylePara elsevierViewall">Se incluyeron un total de 211 pacientes COVID-19 en el estudio&#58; 102 &#40;48&#44;3&#37;&#41; en situaci&#243;n aguda y 109 &#40;51&#44;7&#37;&#41; de convalecencia&#46; El 50&#44;2&#37; eran mujeres&#44; mediana de edad 82 a&#241;os&#44; de IB 85&#44; de ICh 3 y 2 de GDS&#44; distribuidos de forma similar en ingresados en situaci&#243;n aguda y convalecencia &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0130" class="elsevierStylePara elsevierViewall">De los 102 hospitalizados en fase aguda 45 &#40;44&#44;1&#37;&#41; proven&#237;an de urgencias y 57 &#40;55&#44;9&#37;&#41; de planta &#40;26 de hospital de agudos y 31 pacientes se contagiaron estando ingresados en nuestro centro realizando rehabilitaci&#243;n&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Los s&#237;ntomas iniciales&#44; marcadores anal&#237;ticos&#44; patr&#243;n radiol&#243;gico y gravedad de la infecci&#243;n se muestran en la <a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#44; siendo similares en ambos grupos&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Ciento sesenta y una personas &#40;76&#44;3&#37;&#41; fueron dadas de alta&#58; 68 &#40;66&#44;7&#37;&#41; de ingresados en situaci&#243;n aguda y 93 &#40;85&#44;4&#37;&#41; de ingresados en fase de convalecencia&#46; Diecinueve &#40;9&#37;&#41; fueron trasladados&#44; 9 agudos &#40;8&#44;8&#37;&#41;&#58; 8 por empeoramiento cl&#237;nico y uno para ingreso programado para iniciar tratamiento espec&#237;fico oncol&#243;gico &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">A nivel terap&#233;utico el 88&#44;6&#37; recibieron hidroxicloroquina&#44; un 87&#44;7&#37; antibioterapia de amplio espectro&#44; anticoagulaci&#243;n el 96&#44;2&#37;&#44; azitromicina un 59&#44;2&#37;&#44; corticoides un 43&#44;6&#37; y lopinavir&#47;ritonavir un 39&#44;3&#37;&#44; distribuidos de forma similar en los 2 grupos &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0150" class="elsevierStylePara elsevierViewall">Las complicaciones descritas m&#225;s frecuentes fueron el deterioro funcional en un 24&#44;2&#37; de los casos y las neurol&#243;gicas en un 23&#44;2&#37; &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">La mortalidad global detectada en nuestro centro fue del 14&#44;7&#37;&#44; y en los ingresados en situaci&#243;n aguda del 24&#44;5&#37; &#40;25&#47;102&#41;&#46; De los 9 trasladados en situaci&#243;n aguda fallecieron 2&#44; aumentando el n&#250;mero total de fallecidos a 27 con una tasa definitiva de mortalidad del 26&#44;4&#37; &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0160" class="elsevierStylePara elsevierViewall">La mortalidad en los ingresados en situaci&#243;n aguda se incrementa de forma progresiva con la edad de forma que en los menores de 70 a&#241;os la tasa fue del 6&#44;7&#37;&#44; en el grupo de 71-79 a&#241;os del 12&#44;5&#37;&#44; en el de los 81-89 a&#241;os del 32&#44;6&#37; y en los de 90 o m&#225;s a&#241;os del 47&#44;1&#37; &#40;p 0&#44;018&#41;&#46; De forma agrupada en los mayores de 80 a&#241;os la mortalidad fue del 36&#44;5&#37;&#46; Los pacientes que fallecen tienen peor situaci&#243;n funcional que los que sobreviven &#40;p 0&#44;025&#41; y menor estancia media &#40;&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; La situaci&#243;n cognitiva intacta parece ser un factor de protecci&#243;n&#44; falleciendo un 16&#44;3&#37; de los 49 pacientes con GDS 1 &#40;OR&#58; 2&#44;86&#59; IC 95&#37;&#58; 1&#44;1-7&#44;3&#59; p 0&#44;026&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a>&#41;&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">La mortalidad se asocia significativamente con insuficiencia respiratoria al ingreso &#40;p 0&#44;002&#41; present&#225;ndola un 85&#44;2&#37; &#40;23&#47;27&#41;&#44; infiltrado bilateral en la radiolog&#237;a &#40;p 0&#44;048&#41; y con gravedad de la enfermedad de forma que el 92&#44;6&#37; &#40;25&#47;27&#41; presenta un CURB-65<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>2 &#40;p 0&#44;011&#41; y el 96&#44;3&#37; &#40;26&#47;27&#41; una PAFI &#60;<span class="elsevierStyleHsp" style=""></span>400 &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41;&#46; El 88&#44;9&#37; de los no supervivientes &#40;24&#47;27&#41; ten&#237;an un ICh<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>3 &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; con una media de 4&#44;26 &#40;1&#44;96&#41; &#40;p 0&#44;001&#41;&#46; Los datos anal&#237;ticos asociados a mortalidad fueron&#58; urea &#62;<span class="elsevierStyleHsp" style=""></span>54 &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; creatinina &#62;<span class="elsevierStyleHsp" style=""></span>1&#44;25 &#40;p 0&#44;036&#41; e hipoproteinemia &#40;p 0&#44;037&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a>&#41;&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">Tras el estudio multivariante se presentaron como factores independientes de mortalidad la PAFI &#40;OR&#58; 2&#44;23&#59; IC 95&#37;&#58; 1&#44;07-4&#44;63&#59; p 0&#44;031&#41; e ICh<span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#62;</span>3 &#40;OR&#58; 4&#44;25&#59; IC 95&#37;&#58; 1&#44;06-17&#44;04&#59; p 0&#44;041&#41; sin llegar a ser significativo la edad &#40;OR&#58; 1&#44;85&#59; IC 95&#37;&#58; 0&#44;98-3&#44;69&#59; p 0&#44;071&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0020">tabla 4</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Discusi&#243;n</span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Descripci&#243;n de ambos grupos de la muestra</span><p id="par0180" class="elsevierStylePara elsevierViewall">Nuestra muestra presenta una alta comorbilidad&#44; en l&#237;nea con otros estudios<a class="elsevierStyleCrossRefs" href="#bib0210"><span class="elsevierStyleSup">9&#44;14</span></a> y mayor que la mediana de ICh de 2 &#40;1-3&#41; descrita en el COVID-OLD<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">10</span></a>&#46; Un 22&#44;3&#37; presenta deterioro funcional moderado-severo menor a otros trabajos donde esta proporci&#243;n se incrementa hasta el 60&#37;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">11</span></a>&#46; Llama la atenci&#243;n que el 47&#44;9&#37; presenta una situaci&#243;n cognitiva intacta&#44; a diferencia de otros se similar edad con un predominio de deterioro cognitivo de m&#225;s del 60&#37;<a class="elsevierStyleCrossRefs" href="#bib0210"><span class="elsevierStyleSup">9&#44;11</span></a>&#46;</p><p id="par0185" class="elsevierStylePara elsevierViewall">A pesar de que la cl&#237;nica de inicio predominante ha sido la respiratoria&#44; se han objetivado manifestaciones digestivas en un 18&#44;5&#37; de los casos&#44; similar al 16&#37; descrito por Brill et al&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">6</span></a> y neurol&#243;gicas en un 16&#44;1&#37;&#44; en l&#237;nea con otros estudios<a class="elsevierStyleCrossRefs" href="#bib0195"><span class="elsevierStyleSup">6&#44;9-11&#44;13</span></a>&#46;</p><p id="par0190" class="elsevierStylePara elsevierViewall">En nuestra muestra los resultados anal&#237;ticos son muy congruentes con la mayor&#237;a de trabajos publicados&#44; objetiv&#225;ndose linfopenia<a class="elsevierStyleCrossRefs" href="#bib0195"><span class="elsevierStyleSup">6&#44;11</span></a> y elevaci&#243;n de DD<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">1</span></a>&#44; LDH<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">1&#44;14</span></a> y ferritina<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">1&#44;14</span></a> en rangos similares&#46; Presentan neumon&#237;a el 89&#44;9&#37;&#44; siendo la neumon&#237;a bilateral el hallazgo m&#225;s frecuente&#44; similar al 66&#44;3<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">1</span></a> y 71&#44;3&#37;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">14</span></a> de los estudios de cohortes espa&#241;olas&#44; con gravedad asociada de forma que casi el 80&#37; presentaron un CURB65<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>2&#44; como el 79&#44;6&#37; descrito en el COVIDAge<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">9</span></a>&#46;</p><p id="par0195" class="elsevierStylePara elsevierViewall">Los pacientes recibieron en su mayor&#237;a antibioterapia&#44; en consonancia con m&#250;ltiples estudios<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">1&#44;20</span></a>&#44; as&#237; como hidroxicloroquina y azitromicina&#44; en proporci&#243;n equivalente a la publicada en trabajos de cohortes espa&#241;oles<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">1&#44;14</span></a>&#44; siguiendo las recomendaciones de protocolos en marcha en ese momento<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">21</span></a>&#46; La relativa baja utilizaci&#243;n del tratamiento antiviral se debi&#243; a las interacciones con f&#225;rmacos prescritos&#44; mala tolerancia y comorbilidad de los pacientes&#44; describi&#233;ndose en nuestra muestra un 16&#44;1&#37; de efectos secundarios a dichos f&#225;rmacos&#44; sin llegar a completar la duraci&#243;n establecida&#46; En la actualidad est&#225; desaconsejado su uso por no demostrar clara eficacia<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">22</span></a>&#46;</p><p id="par0200" class="elsevierStylePara elsevierViewall">La prescripci&#243;n de corticoides fue similar al 32&#44;5&#37;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">1</span></a> administrado en la cohorte SEMI espa&#241;ola&#46; El s&#237;ndrome de liberaci&#243;n de citoquinas es una complicaci&#243;n grave de la enfermedad que suele ocurrir entre el 7&#46;&#176;-10&#46;&#176; d&#237;a de evoluci&#243;n y se ha demostrado que su uso puede ser beneficioso<a class="elsevierStyleCrossRefs" href="#bib0280"><span class="elsevierStyleSup">23&#44;24</span></a>&#46; En nuestro trabajo se administraron a 36 personas en fase aguda de los cuales 22 sobrevivieron &#40;61&#44;1&#37;&#41; y 14 fallecieron &#40;38&#44;9&#37;&#41;&#44; siendo significativa esta diferencia &#40;p 0&#44;036&#41;&#44; en l&#237;nea con el estudio de Callejas Rubio et al&#46; que analizaron espec&#237;ficamente 21 octogenarios con una mortalidad del 38&#44;1&#37;<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">23</span></a>&#46;</p><p id="par0205" class="elsevierStylePara elsevierViewall">De forma mayoritaria se administr&#243; tratamiento con HBPM&#44; algo mayor del 82&#44;4&#37;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">1</span></a> descrito en la cohorte SEMI-espa&#241;ola&#46; Solo en un 3&#44;8&#37; no se administr&#243; por contraindicaci&#243;n<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">25</span></a>&#46; Desde que apareci&#243; esta enfermedad ha habido multitud de estudios para determinar el tratamiento m&#225;s apropiado&#44; recomend&#225;ndose que los pacientes con alto riesgo de trombosis y antecedentes de enfermedad tromboemb&#243;lica se administre HBPM a dosis intermedias<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">26</span></a>&#46; En nuestro trabajo se objetivaron solo 2 casos de complicaciones tromb&#243;ticas en el grupo de ingresados en fase aguda y 9 en el de convalecencia&#44; que supone un 2 y 7&#37;&#44; respectivamente&#44; claramente menor al 21<a class="elsevierStyleCrossRef" href="#bib0300"><span class="elsevierStyleSup">27</span></a> y 31&#37;<a class="elsevierStyleCrossRefs" href="#bib0300"><span class="elsevierStyleSup">27&#44;28</span></a> descrito en 2 metaan&#225;lisis recientes&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Mortalidad en ingresados en situaci&#243;n aguda</span><p id="par0210" class="elsevierStylePara elsevierViewall">La tasa de mortalidad sobre los 102 pacientes agudos fue del 26&#44;43&#37;&#44; algo menor que el 32&#37; del COVIDAge sobre 239<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">9</span></a> y el 38&#37; del COVID-OLD sobre 1&#46;376 pacientes mayores de 70 a&#241;os<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">10</span></a>&#46; Analizando los 61 mayores de 80 a&#241;os&#44; la mortalidad en nuestro trabajo es menor que en la mayor&#237;a de los publicados&#44; salvo la publicada por Onder et al&#46;&#44; del 20&#44;2&#37;<a class="elsevierStyleCrossRef" href="#bib0310"><span class="elsevierStyleSup">29</span></a>&#46; En este sentido frente al 36&#44;5&#37; de nuestra muestra&#44; Brill et al&#46; describen un 60&#37; sobre 150 octogenarios<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">6</span></a>&#44; pasando por el 46&#37; de Casas-Rojo et al&#46; del registro SEMI-COVID-19 sobre 3&#46;738<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">1</span></a>&#44; el 55&#44;12&#37; sobre 927 de Berenguer et al&#46; <a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">14</span></a>&#44; el 54&#44;2&#37; de Borobia et al&#46; en Madrid sobre 511<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">2</span></a> y el 53&#44;7&#37; de Richardson et al&#46; en Nueva York sobre 441<a class="elsevierStyleCrossRef" href="#bib0315"><span class="elsevierStyleSup">30</span></a> mayores de 80 a&#241;os&#46; A nivel nacional&#44; excluyendo estudios de cohortes&#44; nuestra tasa es menor que la de Guti&#233;rrez Rodr&#237;guez et al&#46; en Asturias del 41&#44;4&#37; sobre 58 pacientes<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">11</span></a>&#46;</p><p id="par0215" class="elsevierStylePara elsevierViewall">A pesar de una menor tasa de mortalidad respecto a otros estudios&#44; nuestro trabajo subraya el elevado impacto de la edad en el estudio bivariante&#44; en l&#237;nea con m&#250;ltiples estudios<a class="elsevierStyleCrossRefs" href="#bib0175"><span class="elsevierStyleSup">2&#44;5&#44;6&#44;14</span></a>&#44; sin llegar a ser significativo en el modelo multivariante&#46;</p><p id="par0220" class="elsevierStylePara elsevierViewall">Los que fallecen tienen peor situaci&#243;n funcional que los que sobreviven &#40;p 0&#44;025&#41;&#44; presentando aquellos con deterioro funcional moderado-severo &#40;IB<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>60&#41; una discreta mayor mortalidad que los que tienen deterioro funcional leve&#44; a diferencia de otros estudios realizados espec&#237;ficamente sobre poblaci&#243;n anciana donde se ha objetivado una clara asociaci&#243;n<a class="elsevierStyleCrossRefs" href="#bib0210"><span class="elsevierStyleSup">9-11</span></a>&#46; Posiblemente haya contribuido que a pesar de la avanzada edad media la situaci&#243;n funcional es mejor que en otras series de similares caracter&#237;sticas<a class="elsevierStyleCrossRefs" href="#bib0210"><span class="elsevierStyleSup">9&#44;11</span></a>&#46;</p><p id="par0225" class="elsevierStylePara elsevierViewall">La estancia media es significativamente menor en los sujetos que fallecen respecto de los que sobreviven &#40;&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; congruente con otros trabajos que describen que hasta el 50&#37; fallece en los primeros 10 d&#237;as del ingreso<a class="elsevierStyleCrossRef" href="#bib0320"><span class="elsevierStyleSup">31</span></a> y que un 80&#37; lo hace antes del d&#237;a 14<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">5</span></a> con una mediana de estancia de 16 d&#237;as<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">3</span></a>&#46;</p><p id="par0230" class="elsevierStylePara elsevierViewall">A nivel anal&#237;tico como marcadores de mortalidad se asocia de forma significativa la insuficiencia renal&#44; elevaci&#243;n de creatinina y urea y la hipoproteinemia&#44; congruente con m&#250;ltiples trabajos<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">1&#44;2&#44;8&#44;14&#44;32&#44;33</span></a>&#44; sin llegar a mostrarse como factor independiente de mortalidad en el estudio multivariante&#46;</p><p id="par0235" class="elsevierStylePara elsevierViewall">La comorbilidad juega un papel relevante de forma que los que fallecieron presentan un ICh mayor que los supervivientes &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; al igual que lo descrito en otros trabajos<a class="elsevierStyleCrossRefs" href="#bib0175"><span class="elsevierStyleSup">2&#44;5&#44;9&#44;11&#44;14</span></a>&#44; confirm&#225;ndose en nuestro estudio un ICh<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>3<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">14</span></a> como uno de los principales factores asociados a la mortalidad tras la inclusi&#243;n en el modelo de regresi&#243;n log&#237;stica &#40;OR&#58; 4&#44;25&#59; IC 95&#37;&#58; 1&#44;06-17&#44;04&#59; p 0&#44;041&#41; junto con la gravedad de la infecci&#243;n&#44; avalado por m&#250;ltiples autores<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">1&#44;3&#44;9&#44;14</span></a>&#46; Utilizamos el punto de corte CURB-65<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>2 determinado por Guo et al&#46;<a class="elsevierStyleCrossRef" href="#bib0330"><span class="elsevierStyleSup">33</span></a> para predecir la mortalidad&#44; siendo esta asociaci&#243;n significativa en el an&#225;lisis bivariante &#40;p 0&#44;011&#41;&#46; La edad media de nuestro trabajo podr&#237;a haber contribuido a una sobreestimaci&#243;n de mayor gravedad de la neumon&#237;a con la utilizaci&#243;n de esta escala&#44; por lo que a&#241;adimos la determinaci&#243;n de la PAFI como medida de la severidad de la infecci&#243;n&#44; confirm&#225;ndose en el an&#225;lisis multivariante como factor independiente de mortalidad &#40;OR&#58; 2&#44;23&#59; IC 95&#37;&#58; 1&#44;07-4&#44;63&#59; p 0&#44;031&#41;&#46;</p><p id="par0240" class="elsevierStylePara elsevierViewall">Entre las fortalezas de nuestro trabajo destaca el ser de los primeros en describir las caracter&#237;sticas de los pacientes ingresados con infecci&#243;n activa aguda por SARS-CoV-2 en un hospital de media estancia&#44; lo cual ha supuesto un reto&#44; con la aplicaci&#243;n de protocolos espec&#237;ficos y adecuada utilizaci&#243;n de los recursos disponibles&#46; El an&#225;lisis de los pacientes ingresados en fase aguda se ha logrado completar en su totalidad&#44; sin tener ninguna p&#233;rdida&#44; y dando mayor validez a los resultados&#46; Los datos fueron recogidos por 2 m&#233;dicos geriatras del mismo centro lo que conlleva homogeneidad en la recogida de los mismos y validaci&#243;n&#46; Puede ser el inicio para futuros estudios sobre las secuelas de pacientes con infecci&#243;n COVID-19&#44; beneficio de realizar rehabilitaci&#243;n y an&#225;lisis de factores pron&#243;sticos a medio plazo&#46;</p><p id="par0245" class="elsevierStylePara elsevierViewall">El estudio tiene sus limitaciones&#46; Por un lado&#44; el tama&#241;o muestral puede ser algo escaso&#44; y haber repercutido en algunos resultados&#44; y por otro las p&#233;rdidas de algunas determinaciones anal&#237;ticas&#46;</p></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Conclusiones</span><p id="par0250" class="elsevierStylePara elsevierViewall">En nuestro trabajo destaca una gran similitud entre ambos grupos a nivel cl&#237;nico&#44; radiol&#243;gico y anal&#237;tico de infecci&#243;n por SARS-CoV-2&#44; siendo muy homog&#233;neos&#46;</p><p id="par0255" class="elsevierStylePara elsevierViewall">La mortalidad de los pacientes agudos fue del 26&#44;5&#37;&#44; elev&#225;ndose al 36&#44;7&#37; en los mayores de 80 a&#241;os&#46; Los factores pron&#243;sticos de mortalidad son la insuficiencia respiratoria al ingreso&#44; CURB-65<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>2&#44; la hipoproteinemia&#44; la elevaci&#243;n de creatinina y urea&#44; la edad&#44; PAFI bajas y un ICh<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>3&#44; siendo estos 2 &#250;ltimos factores independientes confirmados en el estudio multivariante&#46;</p><p id="par0260" class="elsevierStylePara elsevierViewall">La atenci&#243;n dispensada en nuestro centro&#44; en estas circunstancias excepcionales&#44; no difiere de la realizada en hospitales de agudos para este perfil de pacientes&#44; pese a las limitaciones diagn&#243;sticas&#47;terap&#233;uticas existentes en un hospital de media estancia&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Financiaci&#243;n</span><p id="par0265" class="elsevierStylePara elsevierViewall">Este trabajo no ha recibido ning&#250;n tipo de financiaci&#243;n&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Conflicto de intereses</span><p id="par0270" class="elsevierStylePara elsevierViewall">Los autores declaran no tener ning&#250;n conflicto de intereses&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Antecedentes y objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Espa&#241;a ha sido uno de los pa&#237;ses con mayor afectaci&#243;n por la pandemia SARS-CoV-2&#46; El objetivo del estudio es describir las caracter&#237;sticas de los pacientes atendidos por COVID-19 en el Hospital de Guadarrama e identificar los factores asociados de mortalidad en los ingresados en situaci&#243;n aguda&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Material y m&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio observacional retrospectivo de ingresados COVID-19 desde el 15&#47;3 al 15&#47;5&#47;2020&#46; Se recogieron variables sociodemogr&#225;ficas&#44; mentales&#44; funcionales&#44; anal&#237;ticas&#44; cl&#237;nicas&#44; radiol&#243;gicas y terap&#233;uticas&#46; Se analizaron mediante estudio bivariante y multivariante los factores asociados a la mortalidad&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se incluyeron 211 pacientes&#58; 102 &#40;48&#44;3&#37;&#41; en situaci&#243;n aguda y 109 &#40;51&#44;7&#37;&#41; en fase de convalecencia&#44; con mediana &#40;rango intercuart&#237;lico&#41; de edad 82 &#40;72&#44;85&#41; a&#241;os&#46; Los s&#237;ntomas m&#225;s frecuentes fueron fiebre&#44; tos e insuficiencia respiratoria&#46; Presentaron neumon&#237;a el 89&#44;9&#37;&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se detect&#243; una tasa de mortalidad en agudos del 26&#44;5&#37; &#40;27&#47;102&#41;&#44; siendo los factores asociados&#58; insuficiencia respiratoria &#40;p 0&#44;002&#41;&#44; &#237;ndice de Charlson<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>3 &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; CURB<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>2 &#40;p 0&#44;011&#41;&#44; PAFI bajas &#40;&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; elevaci&#243;n de urea &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; y creatinina &#40;p 0&#44;036&#41;&#44; hipoproteinemia &#40;p 0&#44;037&#41; y edad &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;018&#41;&#46; Los fallecidos ten&#237;an peor situaci&#243;n funcional que los supervivientes &#40;p 0&#44;025&#41;&#46; En el an&#225;lisis multivariante la PAFI &#40;OR&#58; 2&#44;23&#59; IC 95&#37;&#58; 1&#44;07-4&#44;63&#59; p 0&#44;031&#41; y comorbilidad ICh<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>3 &#40;OR&#58; 4&#44;25&#59; IC 95&#37;&#58; 1&#44;06-17&#44;04&#59; p 0&#44;041&#41; fueron factores independientes de mortalidad&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusiones</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Los pacientes COVID-19 atendidos eran&#44; en su mayor&#237;a&#44; casos graves&#46; Las variables asociadas a la mortalidad fueron edad&#44; insuficiencia respiratoria&#44; comorbilidad&#44; insuficiencia renal y desnutrici&#243;n&#46; La insuficiencia respiratoria y la comorbilidad pesan m&#225;s que la edad como factores de riesgo independientes de la mortalidad&#46;</p></span>"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Background and objective</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Spain has been one of the countries most affected by the SARS-CoV-2 pandemic<span class="elsevierStyleItalic">&#46;</span> The objective of this study is to describe the characteristics of the patients treated for COVID-19 at Guadarrama Hospital and to identify the associated mortality factors in those admitted in an acute situation&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Material and methods</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Retrospective observational study of COVID-19 patients admitted from 3&#47;15 to 5&#47;15&#47;2020&#46; Sociodemographic&#44; mental&#44; functional&#44; analytical&#44; clinical&#44; radiological and therapeutic variables were collected&#46; Factors associated with mortality were analysed using a bivariate and multivariate study&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Results</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Two hundred eleven patients were included&#58; 102 &#40;48&#46;3&#37;&#41; in an acute situation and 109 &#40;51&#46;7&#37;&#41; in the convalescent phase&#44; the median &#40;interquartile range&#41; age was 82 &#40;72&#44; 85&#41; years&#46; The most frequent symptoms were fever&#44; cough and respiratory failure&#46; The 89&#46;9&#37; had pneumonia&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">An acute mortality rate of 26&#46;5&#37; &#40;27&#47;102&#41; was detected and the associated factors were&#58; respiratory failure &#40;<span class="elsevierStyleItalic">P</span> 0&#46;002&#41;&#44; Charlson index &#40;ChI&#41;&#8805;3 &#40;<span class="elsevierStyleItalic">P</span>&#60;0&#46;001&#41;&#44; CURB&#8805;2 &#40;<span class="elsevierStyleItalic">P</span> 0&#46;011&#41;&#44; low SatO<span class="elsevierStyleInf">2</span>&#47;FiO<span class="elsevierStyleInf">2</span> ratio &#40;&#60;0&#46;001&#41;&#44; elevated urea &#40;<span class="elsevierStyleItalic">P</span>&#60;0&#46;001&#41; and creatinine &#40;<span class="elsevierStyleItalic">P</span> 0&#46;036&#41;&#44; hypoproteinemia &#40;<span class="elsevierStyleItalic">P</span> 0&#46;037&#41; and age &#40;<span class="elsevierStyleItalic">P</span>&#60;0&#46;018&#41;&#46; The deceased had a worse functional situation than the survivors &#40;<span class="elsevierStyleItalic">P</span> 0&#46;025&#41;&#46; In the multivariate analysis&#44; SatO<span class="elsevierStyleInf">2</span>&#47;FiO<span class="elsevierStyleInf">2</span> ratio &#40;OR&#58; 2&#46;23&#59; 95&#37; CI&#58; 1&#46;07-4&#46;63&#59; <span class="elsevierStyleItalic">P</span> 0&#46;031&#41; and ChI&#8805;3 &#40;OR&#58; 4&#46;25&#59; 95&#37; CI&#58; 1&#46;06-17&#46;04&#59; <span class="elsevierStyleItalic">P</span> 0&#46;041&#41; were independent factors of mortality&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusions</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">The COVID-19 patients treated were mostly severe cases&#46; The variables associated with mortality were age&#44; respiratory failure&#44; comorbidity&#44; kidney failure&#44; and malnutrition&#46; Respiratory failure and comorbidity outweigh age as independent risk factors for mortality&#46;</p></span>"
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                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Total n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>211&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Agudos n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>102&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Convalecientes n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>109&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Sexo&#59; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Mujeres&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">107 &#40;50&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">52 &#40;51&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">55 &#40;49&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Varones&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">104 &#40;49&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50 &#40;49&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">54 &#40;50&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Edad</span><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a><span class="elsevierStyleItalic">&#59; md &#40;DS&#41;&#47;md &#40;RIC&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">80&#44;5 &#40;9&#44;5&#41;&#47;82 &#40;75- 87&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">80&#44;3 &#40;11&#41;&#47;83 &#40;74&#44;75-87&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">80&#44;7 &#40;8&#44;79&#41;&#47;82 &#40;75-87&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Procedencia&#59; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Planta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">166 &#40;78&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">57 &#40;55&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">109 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Urgencias&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45 &#40;21&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45 &#40;44&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8212;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Destino al alta&#59; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Exitus&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31 &#40;14&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">25 &#40;24&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6 &#40;5&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Domicilio&#47;residencia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">161 &#40;76&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">68 &#40;66&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">93 &#40;85&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Traslado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">19 &#40;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9 &#40;8&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10 &#40;9&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">&#205;ndice de Barthel &#40;IB&#41;</span><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a><span class="elsevierStyleItalic">&#59; md &#40;DS&#41;&#47;md &#40;RIC&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">76&#44;8 &#40;27&#44;5&#41;&#47;85 &#40;65-100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">72&#44;7 &#40;29&#44;4&#41;&#47;80 &#40;65-96&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">80&#44;6 &#40;25&#44;2&#41;&#47;90 &#40;70-100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">IB agrupado&#59; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>IB<span class="elsevierStyleHsp" style=""></span>&#8804;<span class="elsevierStyleHsp" style=""></span>60&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">47 &#40;22&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26 &#40;25&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">21 &#40;19&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>IB<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>60&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">164 &#40;77&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">76 &#40;74&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">88 &#40;80&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">GDS</span><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a><span class="elsevierStyleItalic">&#59; md &#40;DS&#41;&#47;md &#40;RIC&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">&#205;ndice de Charlson</span><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a><span class="elsevierStyleItalic">&#59; md &#40;DS&#41;&#47;md &#40;RIC&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Estancia media d&#237;as&#59; md &#40;DS&#41;&#47;md &#40;RIC&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">D&#237;as en negativizar PCR SARS-CoV-2&#59; md &#40;DS&#41;&#47;md &#40;RIC&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Insuficiencia respiratoria&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Disnea&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>S&#237;ntomas digestivos&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>S&#237;ntomas neurol&#243;gicos&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Alb&#250;mina</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>3&#44;5&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">131 &#40;66&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">62 &#40;63&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">69 &#40;69&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>3&#44;5&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">65 &#40;33&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">35 &#40;36&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">30 &#40;30&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Ferritina</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>300&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">46 &#40;25&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">19 &#40;20&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>300&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">133 &#40;74&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">60 &#40;69&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">73 &#40;79&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Patr&#243;n radiol&#243;gico&#59; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Neumon&#237;a bilateral&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">156 &#40;73&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">66 &#40;64&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">90 &#40;81&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Neumon&#237;a unilateral&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">32 &#40;15&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">22 &#40;21&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">10 &#40;9&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">No infiltrado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">23 &#40;10&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">14 &#40;13&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">9 &#40;8&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Gravedad</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">CURB65&#59; n &#40;&#37;&#41; &#8805;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">2</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">167 &#40;79&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">76 &#40;74&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">91 &#40;83&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">PAFI &#40;PaO</span><span class="elsevierStyleInf"><span class="elsevierStyleItalic">2</span></span><span class="elsevierStyleItalic">&#47;FiO</span><span class="elsevierStyleInf"><span class="elsevierStyleItalic">2</span></span><span class="elsevierStyleItalic">&#41;&#59; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;1&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8212;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">4 &#40;3&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>200&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">27 &#40;12&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">12 &#40;11&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15 &#40;13&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>300&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">68 &#40;32&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33 &#40;32&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">35 &#40;32&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>400&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">87 &#40;41&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">43 &#40;42&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Variable&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>C pulsos cortos a altas dosis&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">28 &#40;50&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Anticoagulaci&#243;n</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">105 &#40;96&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">1 &#40;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">95 &#40;45&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">47 &#40;48&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>HBPM profil&#225;ctica&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>NACO&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3 &#40;2&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">&#8212;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3 &#40;2&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Lopinavir&#47;ritonavir</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">83 &#40;39&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">34 &#40;33&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">49 &#40;45&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Hidroxicloroquina</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">187 &#40;88&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Deterioro funcional&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">14 &#40;13&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">37 &#40;33&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Digestivas&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">15 &#40;14&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">20 &#40;18&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">18 &#40;17&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">20 &#40;18&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">13 &#40;12&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Ansiedad&#47;depresi&#243;n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">30 &#40;14&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">17 &#40;15&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Exitus n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>27&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">No exitus n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">P OR &#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Sexo&#59; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Mujeres&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">16 &#40;30&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">36 &#40;69&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;373&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Varones&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">11 &#40;22&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">39 &#40;78&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Edad&#59; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">70</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;6&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14 &#40;93&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;018&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>70-79&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;12&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">21 &#40;87&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>80-89&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">15 &#40;32&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31 &#40;67&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>90&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;47&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9 &#40;52&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Edad media</span><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a><span class="elsevierStyleItalic">&#59; md &#40;DS&#41;&#47;md &#40;RIC&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">&#205;ndice de Barthel</span><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a><span class="elsevierStyleItalic">&#59; md &#40;DS&#41;&#47;md &#40;RIC&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">85&#44;3 &#40;7&#44;2&#41;&#47;85 &#40;83-90&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">78&#44;5 &#40;10&#44;8&#41;&#47;80 &#40;72-86&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;002&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">&#205;ndice de Barthel agrupado&#59; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">66&#44;6 &#40;26&#41;&#47;75 &#40;45-85&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">74&#44;9 &#40;30&#44;3&#41;&#47;85 &#40;65-100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>60&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">10 &#40;38&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">16 &#40;61&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;025&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>60&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">17 &#40;22&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">GDS</span><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a><span class="elsevierStyleItalic">&#59; md &#40;DS&#41;&#47;md &#40;RIC&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">&#205;ndice de Charlson</span><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a><span class="elsevierStyleItalic">&#59; md &#40;DS&#41;&#47;md &#40;RIC&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">&#205;ndice de Charlson&#59; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3 &#40;7&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">7 &#40;1&#44;9-25&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Estancia media d&#237;as<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a><span class="elsevierStyleItalic">&#59; md &#40;DS&#41;&#47;md &#40;RIC&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">S presentaci&#243;n&#59; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Fiebre&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">21 &#40;25&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Tos&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;724&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Insuficiencia respiratoria&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">23 &#40;35&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">42 &#40;64&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;002&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Disnea&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">16 &#40;32&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">33 &#40;67&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;174&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>S&#46; neurol&#243;gicos&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">3 &#40;30&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">7 &#40;70&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;79&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>S&#46; digestivos&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3 &#40;15&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">16 &#40;84&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;242&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Datos anal&#237;ticos&#59; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Creatinina</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>1&#44;25&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">9 &#40;45&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">11 &#40;55&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;036&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">PaO</span><span class="elsevierStyleInf"><span class="elsevierStyleItalic">2</span></span><span class="elsevierStyleItalic">&#47;FiO</span><span class="elsevierStyleInf"><span class="elsevierStyleItalic">2</span></span><span class="elsevierStyleItalic">&#59; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>200&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>400&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1 &#40;7&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">13 &#40;92&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">CURB-65&#59; n &#40;&#37;&#41;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">&#8805;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">2</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">CURB-65<span class="elsevierStyleItalic">&#59; md &#40;DS&#41;&#47;md &#40;RIC&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">25 &#40;32&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Patr&#243;n radiol&#243;gico&#59; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3 &#40;0&#44;8&#41;&#47;3 &#40;2-3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Neumon&#237;a bilateral&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">21 &#40;31&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">45 &#40;68&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;049&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Neumon&#237;a unilateral&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">6 &#40;27&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">16 &#40;72&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sin neumon&#237;a&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">14 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Tratamientos&#59; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Lopinavir&#47;ritonavir&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5 &#40;14&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">29 &#40;85&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;057&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Hidroxicloroquina&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">22 &#40;24&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">67 &#40;75&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;294&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Antibioterapia&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26 &#40;25&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">65 &#40;71&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;280&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Azitromizina&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11 &#40;18&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50 &#40;82&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Anticoagulaci&#243;n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
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                  \t\t\t\t">74 &#40;75&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Complicaciones&#59; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1 &#40;14&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">6 &#40;85&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Neurol&#243;gicas&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5 &#40;27&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">13 &#40;72&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Tromb&#243;ticas&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Cut&#225;neas&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1 &#40;12&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">7 &#40;87&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Hematol&#243;gicas&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">1 &#40;7&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">13 &#40;92&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Digestivas&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13 &#40;86&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;343&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">3 &#40;16&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15 &#40;83&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nefrol&#243;gicas&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">4 &#40;30&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9 &#40;69&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Ansiedad&#47;depresi&#243;n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;018&nbsp;\t\t\t\t\t\t\n
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Información del artículo
ISSN: 0211139X
Idioma original: Español
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