Estadísticas

 array:19 [
  "pii" => "7863"
  "issn" => "03044815"
  "estado" => "S300"
  "fechaPublicacion" => "1998-03-01"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Rev Esp Reumatol. 1998;25:83"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 874
    "formatos" => array:3 [
      "EPUB" => 28
      "HTML" => 784
      "PDF" => 62
    ]
  ]
  "itemSiguiente" => array:16 [
    "pii" => "7864"
    "issn" => "03044815"
    "estado" => "S300"
    "fechaPublicacion" => "1998-03-01"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Rev Esp Reumatol. 1998;25:91"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1346
      "formatos" => array:3 [
        "EPUB" => 47
        "HTML" => 1188
        "PDF" => 111
      ]
    ]
    "es" => array:6 [
      "idiomaDefecto" => true
      "titulo" => "Las enfermedades del aparato locomotor en España. Magnitud y recursoshumanos especializados"
      "tieneTextoCompleto" => 0
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "91"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Diseases of the locomotor system in Spain. Scope and specializedhuman resources"
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "E Batlle-Gualda, V Jovani Casano, J Ivorra Cortés, E Pascual Gómez"
          "autores" => array:4 [
            0 => array:2 [
              "Iniciales" => "E"
              "apellidos" => "Batlle-Gualda"
            ]
            1 => array:2 [
              "Iniciales" => "V"
              "apellidos" => "Jovani Casano"
            ]
            2 => array:2 [
              "Iniciales" => "J"
              "apellidos" => "Ivorra Cortés"
            ]
            3 => array:2 [
              "Iniciales" => "E"
              "apellidos" => "Pascual Gómez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/7864?idApp=UINPBA00004N"
    "url" => "/03044815/0000002500000003/v0_201305281257/7864/v0_201305281257/es/main.assets"
  ]
  "itemAnterior" => array:16 [
    "pii" => "7862"
    "issn" => "03044815"
    "estado" => "S300"
    "fechaPublicacion" => "1998-03-01"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Rev Esp Reumatol. 1998;25:81"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 633
      "formatos" => array:3 [
        "EPUB" => 41
        "HTML" => 479
        "PDF" => 113
      ]
    ]
    "es" => array:6 [
      "idiomaDefecto" => true
      "titulo" => "Les liaisons dangereux: virus C y artritis reumatoide"
      "tieneTextoCompleto" => 0
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "81"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Les liaisons dangereux: virus C y artritis reumatoide"
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J Rivera Redondo"
          "autores" => array:1 [
            0 => array:2 [
              "Iniciales" => "J"
              "apellidos" => "Rivera Redondo"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/7862?idApp=UINPBA00004N"
    "url" => "/03044815/0000002500000003/v0_201305281257/7862/v0_201305281257/es/main.assets"
  ]
  "es" => array:10 [
    "idiomaDefecto" => true
    "titulo" => "Programa de atención al enfermo reumático en el área de Terrassa, Rubí y Sant Cugat (Barcelona). Evaluación y seguimiento después de 5 años de experiencia"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "83"
      ]
    ]
    "autores" => array:1 [
      0 => array:2 [
        "autoresLista" => "S Martínez, J Comulada, F Moyà, R Soler, X Arasa, MV Hernández, J Granados"
        "autores" => array:7 [
          0 => array:2 [
            "Iniciales" => "S"
            "apellidos" => "Martínez"
          ]
          1 => array:2 [
            "Iniciales" => "J"
            "apellidos" => "Comulada"
          ]
          2 => array:2 [
            "Iniciales" => "F"
            "apellidos" => "Moyà"
          ]
          3 => array:2 [
            "Iniciales" => "R"
            "apellidos" => "Soler"
          ]
          4 => array:2 [
            "Iniciales" => "X"
            "apellidos" => "Arasa"
          ]
          5 => array:2 [
            "Iniciales" => "MV"
            "apellidos" => "Hernández"
          ]
          6 => array:2 [
            "Iniciales" => "J"
            "apellidos" => "Granados"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Health care program for rheumatic patients in the area of Terrassa, Rubi and Sant Cugat (Barcelona, Spain). Evaluation and follow up after 5 years of experience"
      ]
    ]
    "tienePdf" => false
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec171600"
          "palabras" => array:3 [
            0 => "Enfermedades reumáticas"
            1 => "Asistencia hospitalaria"
            2 => "Atención primaria"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec171601"
          "palabras" => array:3 [
            0 => "Rheumatic disease"
            1 => "Hospital care"
            2 => "Primary care"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:1 [
        "resumen" => "<span class="elsevierStyleBold">Objetivos&#58;</span> Describir el programa integrado intra y extrahospitalario de atenci&#243;n reumatol&#243;gica en las poblaciones de Terrassa&#44; Rub&#237; y Sant Cugat en las que la asistencia depende de un hospital terciario&#44; as&#237; como los motivos de su instauraci&#243;n&#46; Asimismo&#44; analizar la actividad asistencial m&#233;dica&#44; fisioterap&#233;utica y de enfermer&#237;a que ha realizado el Servicio de Reumatolog&#237;a desde el inicio de dicho programa&#44; tanto a nivel intrahospitalario&#44; como de consultas externas hospitalarias y en atenci&#243;n primaria&#46; <br/> <br/> <br/> <br/> <span class="elsevierStyleBold">Material y m&#233;todos&#58;</span> Se realiz&#243; un estudio descriptivo y retrospectivo durante 5 a&#241;os&#44; desde 1991 a 1995&#44; de la actividad llevada a cabo por el Servicio de Reumatolog&#237;a de nuestro hospital&#46; Se valoraron las variables edad y sexo de la poblaci&#243;n de pacientes atendida&#44; n&#250;mero de ingresos hospitalarios&#44; n&#250;mero de visitas m&#233;dicas realizadas y su distribuci&#243;n en primeras y segundas visitas&#44; n&#250;mero de visitas realizadas por fisioterapeutas&#44; n&#250;mero de visitas y ortesis realizadas por enfermer&#237;a&#44; tipo de enfermedad diagnosticada y derivaci&#243;n de los pacientes&#46; <br/> <br/> <br/> <br/> <span class="elsevierStyleBold">Resultados&#58;</span> Durante este per&#237;odo se realizaron 1&#46;016 ingresos hospitalarios&#44; 39&#46;390 visitas m&#233;dicas en consulta externa intrahospitalaria &#40;17&#44;6&#37; primeras visitas&#41; y 56&#46;079 visitas en consulta externa extrahospitalaria &#40;38&#44;4&#37; primeras visitas&#41;&#46; Asimismo&#44; fueron realizadas 10&#46;073 visitas por fisioterapeutas y 5&#46;474 por enfermer&#237;a&#46; La edad media de los pacientes fue de 54&#44;4 &#177; 14&#44;81 a&#241;os&#44; con ligero predominio del sexo femenino &#40;69&#37;&#41;&#46; Los principales diagn&#243;sticos obtenidos a nivel ambulatorio fueron&#58; reumatismo de partes blandas&#44; patolog&#237;a mec&#225;nica de raquis y patolog&#237;a degenerativa&#44; siendo la patolog&#237;a mec&#225;nica de raquis&#44; artropat&#237;as inflamatorias y conectivopat&#237;as los principales diagn&#243;sticos a nivel hospitalario&#46; El 41&#37; de los pacientes visitados a nivel ambulatorio fue remitido al m&#233;dico de cabecera y s&#243;lo el 8&#37; fue derivado al hospital&#46; <br/> <br/> <br/> <br/> <span class="elsevierStyleBold">Conclusiones&#58;</span> La atenci&#243;n combinada a nivel hospitalario y ambulatorio por un mismo especialista permite una selecci&#243;n adecuada de aquellos pacientes que requieran valoraci&#243;n y control por un reumat&#243;logo&#44; as&#237; como una r&#225;pida asistencia especializada de los mismos&#46; Asimismo&#44; este sistema permite una aproximaci&#243;n de la reumatolog&#237;a a la asistencia primaria&#44; mejorando la relaci&#243;n con el m&#233;dico de cabecera&#46;"
      ]
      "en" => array:1 [
        "resumen" => "<span class="elsevierStyleBold">Objectives&#58;</span> To describe the rheumatic patient out-patient and in-patient care integrated program in Terrassa&#44; Rub&#237; and Sant Cugat&#44; and explain the reasons why it was set up&#46; To analyze the medical&#44; nursing and physical therapy care provided by the Rheumatology Department from the beguining of this program at in-patient&#44; out-patient and primary care settings&#46; <br/> <br/> <br/> <br/> <span class="elsevierStyleBold">Material and methods&#58;</span> Retrospective and descriptive five year long &#40;1991-1995&#41; study on the activity carried out by the Rheumatology Department at our hospital&#46; The following variables were evaluated&#58; age&#44; sex&#44; number of hospital admissions&#44; number of medical appointments and its distribution in first or follow-up visits&#44; number of appointments with the physical therapist&#44; number of appointments and orthesis with the nursing staff&#44; conditions diagnosed and referrals made&#46; <br/> <br/> <br/> <br/> <span class="elsevierStyleBold">Results&#58;</span> During this period of time 1&#44;016 admissions to the hospital were performed&#59; 39&#44;390 medical outpatient clinic appointments &#40;17&#44;6&#37; of which were first appointments&#41;&#59; 56&#44;079 ambulatory appointments &#40;38&#44;4&#37; first appointments&#41;&#59; 10&#44;073 physical therapist and 5&#44;474 nursing appointments&#46; Mean age of our patient population was 54&#44;4 &#177; 14&#44;81 years-old&#46; There was slight predominance of the female population &#40;69&#37;&#41;&#46; The most frequently diagnosed conditions at the primary care setting were soft tissue disorders&#44; back disorders&#44; and osteoarthritis&#46; Back disorders&#44; inflammatory joint disease and connective tissue disorders were the most common diagnosis in hospital care&#46; Patients referred to general practitioners accounted for 41&#37; of the ambulatory patient population&#44; while only 8&#37; were referred to the hospital&#46; <br/> <br/> <br/> <br/> <span class="elsevierStyleBold">Conclusions&#58;</span> Combined hospital and primary care provided by the same specialist allows an adequate selection of those patients that require evaluation and follow up by a rheumatologist&#44; as well as fast specialized care&#46; This system allows an approach of Rheumatology to the primary care setting&#44; improving the links with the general practitioners&#46;"
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/03044815/0000002500000003/v0_201305281257/7863/v0_201305281257/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "10923"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Originales"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/7863?idApp=UINPBA00004N"
]