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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Background</span><p id="par0005" class="elsevierStylePara elsevierViewall">Atrial fibrillation &#40;AF&#41; affects 1&#8211;2&#37; of the general population&#44;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">1</span></a> and its prevalence is age-related&#44; such that 70&#37; of cases are diagnosed in those older than 65 years&#46;<a class="elsevierStyleCrossRefs" href="#bib0185"><span class="elsevierStyleSup">2&#44;3</span></a> Currently&#44; up to 17&#46;7&#37; of patients older than 80 years have AF in the primary care setting&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">3</span></a> AF is detected in hospitals in up to 30&#8211;35&#37; of patients hospitalized in internal medicine departments&#46;<a class="elsevierStyleCrossRefs" href="#bib0195"><span class="elsevierStyleSup">4&#44;5</span></a> However&#44; considering the gradual aging of the population and the better control and treatment of patients with multiple chronic diseases&#44; it is conceivable that its prevalence could even double in the coming decades&#46;<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">6</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Given its frequency and the age group it affects&#44; AF typically presents in combination with other medical problems&#46;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">7</span></a> Thus&#44; these patients are characterized by high complexity&#58; polypathology&#44; polypharmacy and high indices of frailty&#44; all of which reduce quality of life<a class="elsevierStyleCrossRefs" href="#bib0215"><span class="elsevierStyleSup">8&#8211;13</span></a> and increase healthcare demands&#44; at various levels and in a manner that is difficult to schedule&#44; due to exacerbations and the onset of interrelated diseases&#46; Despite their clinical relevance&#44; our understanding of the associated chronic diseases and the repercussion they have on healthcare services is limited&#46; In fact&#44; the study of complex chronic patients&#44; whose conditions include AF&#44; is poorly represented in the medical literature&#46;<a class="elsevierStyleCrossRefs" href="#bib0240"><span class="elsevierStyleSup">13&#8211;15</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">The aim of this study was to determine the characteristics of patients with AF in the hospital setting and their successive hospitalizations&#46; The results will help provide new evidence for their clinical management and will improve the care&#44; in the clinical setting as well as in the organizational and social settings&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Materials and methods</span><p id="par0020" class="elsevierStylePara elsevierViewall">A retrospective cohort study was conducted for all hospital admissions in the departments of the medical area of University Hospital <span class="elsevierStyleItalic">Lucus Augusti</span> of Lugo between January 1&#44; 2000 and December 31&#44; 2013&#46; This center provides health care for 240&#44;000 inhabitants and has 879 beds&#46; The departments that comprise the medical area are as follows&#58; cardiology&#44; pulmonology&#44; neurology&#44; nephrology&#44; endocrinology&#44; gastrointestinal&#44; rheumatology&#44; oncology&#44; infectious diseases and internal medicine&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">This study had the approval of the Clinical Research Ethics Committee of Galicia &#40;2014&#47;409&#41;&#46; The data source was the center&#39;s minimum basic data set&#46; The analyzed variables were department where the patient was hospitalized&#44; sex &#40;male&#47;female&#41;&#44; date of birth&#44; date of hospitalization and discharge&#44; length of stay &#40;days&#41;&#44; destination at discharge &#40;including death&#41;&#44; diagnosis-related group &#40;DRG&#41;&#44; primary diagnosis &#40;according to the ICD-9-CM classification&#41; and up to 10 secondary diagnoses&#44; with their corresponding codes &#40;ICD-9-CM&#41; in the order in which they appear in the hospital discharge&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">We reviewed the database in search of errors&#44; verifying all cases individually and consulting the medical history when necessary&#46; In a second step&#44; we grouped the final diagnoses&#46; Given that the number of diagnoses was very high and many of them were present &#40;with differentiating nuances&#41; in various categories of the ICD-9-CM&#44; we grouped some of the categories into subgroups of clinically homogeneous and easily recognizable processes&#46; For example&#44; the diagnoses of laryngitis&#44; tracheitis and bronchitis are grouped within a single entity known as &#8220;&#8217;lower respiratory tract infection without pneumonia&#8221;&#46; It was therefore possible to decrease the number of diagnoses without losing the necessary clinical precision for the study&#46; The method employed for these groupings consisted of the manual review of all diagnoses for each patient&#46; The assignment to various groups was discussed jointly&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Subsequently&#44; for each episode of hospitalization&#44; we calculated the burden of disease according to the Cumulative Illness Rating Scale &#40;CIRS&#41; criteria&#46;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">16</span></a> This index is a standardized clinical tool that assesses clinical and functional severity in 14 disease categories&#46; The scale provides an accumulated score based on the comorbidity burden&#46; We identified the hospitalizations directly related to AF &#40;episode of heart failure&#44; arrhythmia&#44; systemic embolism or cerebral stroke&#41; or its treatment &#40;cerebral or gastrointestinal hemorrhage&#44; secondary effect of drugs&#44; etc&#46;&#41;&#46; Otherwise&#44; we considered that the reason for hospitalization was not related to AF&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">At a later time&#44; the database of hospitalization episodes was converted into a patient database&#46; To this end&#44; we constructed a matrix in which each row included a single patient&#44; with their successive hospitalizations&#59; each column had a separate variable&#46; This matrix enabled us to calculate other secondary variables &#40;e&#46;g&#46;&#44; time between hospitalizations&#41;&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">In the statistical analysis&#44; we employed the chi-squared test to compare qualitative variables&#44; with the Yates correction when necessary&#46; For the comparison of 2 means&#44; we employed Student&#39;s <span class="elsevierStyleItalic">t</span>-test after confirming the homoscedasticity&#46; For the multiple comparison of means&#44; we employed the analysis of variance and Duncan&#39;s test&#46; Statistical significance was established at <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;005&#46; We employed the SPSS statistical package version 17&#46;0&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Results</span><p id="par0050" class="elsevierStylePara elsevierViewall">A total of 149&#44;271 hospital admissions corresponding to 66&#44;286 patients were recorded&#46; Of these&#44; 12&#44;513 patients &#40;18&#46;9&#37;&#41; had AF&#46; Of the total number of hospitalizations&#44; 25&#44;870 &#40;17&#46;3&#37;&#41; occurred for patients with AF&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">The patients&#8217; clinical characteristics during the first hospitalization&#44; based on the presence or not of AF&#44; are shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#46; The patients with AF were significantly older and were less frequently men&#46; Additionally&#44; the patients with AF presented significantly more chronic diseases&#44; a higher CIRS score and longer hospital stays than the patients without AF&#46; There were no differences in mortality between the 2 groups&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0060" class="elsevierStylePara elsevierViewall">The patients with AF were readmitted with greater frequency over the course of the study&#44; compared with those who did not have this arrhythmia &#40;3&#46;0 &#91;SD 2&#46;7&#93; vs&#46; 2&#46;08 &#91;SD 2&#46;28&#93;&#44; respectively&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;0001&#41;&#46; <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a> shows the characteristics of patients with AF in the successive hospitalizations&#46; We observed that the mean age&#44; number of chronic diseases&#44; CIRS score and mortality increased significantly in each hospital readmission&#46; As the complexity increased&#44; there was a consistent shortening of the time elapsed between successive hospital admissions&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0065" class="elsevierStylePara elsevierViewall">The hospitalization diagnoses are shown in <a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>&#46; When we grouped the causes for hospitalizations&#44; we observed that 24&#46;7&#37; &#40;6390 episodes&#41; were directly related to AF&#46; Overall&#44; ischemic stroke was the most common reason for hospitalization &#40;11&#46;5&#37;&#41;&#46; The primary and secondary diagnoses at admission changed in successive readmissions&#46; Therefore&#44; stroke was the most prevalent diagnosis in the first hospitalization&#44; while heart failure &#40;HF&#41; was most prevalent in the second&#44; third and fourth&#46; Chronic obstructive pulmonary disease &#40;COPD&#41; was the most prevalent diagnosis in the fifth&#46; The COPD cases progressively acquired a greater role as a secondary diagnosis in each readmission&#46; The most common secondary diagnoses with which AF was associated were the following&#58; COPD&#44; stroke&#44; HF&#44; ischemic heart disease&#44; other respiratory system diseases and arterial hypertension&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0070" class="elsevierStylePara elsevierViewall">The distribution of medical services on admission for each episode of hospitalization is shown in <a class="elsevierStyleCrossRef" href="#tbl0020">Table 4</a>&#46; The department of internal medicine assumed 2 of every 3 hospitalizations for patients with AF&#44; with a percentage that gradually increased with each readmission&#44; while the rate decreased for the department of cardiology and remained stable for the department of pulmonology&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Discussion</span><p id="par0075" class="elsevierStylePara elsevierViewall">This study shows that the profile of patients with AF who require hospitalization is that of an elderly patient with multiple associated diseases &#40;treated mainly by the department of internal medicine&#41; and whose hospital stay is longer than that of other patients hospitalized in the medical area&#46; The number of hospitalizations increases over time&#44; while the comorbidity burden and the risk of dying increases with each hospitalization&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">The progressive aging of the population&#44; improvements in the quality of care and the development of increasingly effective treatments for acute processes have changed the reality of health care toward a healthcare scenario in which elderly patients with a greater comorbidity burden predominate&#46;<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">17</span></a> The coexistence of chronic diseases in a patient increases with age&#44;<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">18</span></a> and the causal mechanisms for these associations are not known in depth&#46; Various chronic diseases can be grouped in one patient&#46;<a class="elsevierStyleCrossRefs" href="#bib0270"><span class="elsevierStyleSup">19&#44;20</span></a> The clinical behavior of the diseases within these clusters differs from that found when the disease manifests in isolation&#46; AF is grouped with other chronic diseases in practically all cases&#46;<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">21</span></a> Our study indicates that AF is an arrhythmia associated with numerous chronic diseases&#44; which increases in successive hospital admissions&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">Several of the conditions that are associated with AF in this study are considered risk factors for the development of AF&#44; such as arterial hypertension&#44; HF&#44; ischemic heart disease and advanced age&#46;<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">21</span></a> Other conditions&#44; such as stroke&#44; were probably the consequence of AF itself&#44; while COPD and various respiratory system diseases are frequently associated in patients with multiple comorbidities&#46;<a class="elsevierStyleCrossRef" href="#bib0285"><span class="elsevierStyleSup">22</span></a> In the same context&#44; the number of associated chronic diseases was significantly greater in the patient group with AF&#46; However&#44; our understanding of the different groupings of AF with other diseases is limited&#44; as is our understanding of the measure to which the groupings change the clinical outcome&#46; In this respect&#44; the trials and clinical practice guidelines focus mainly on the management of a single disease&#44;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">23</span></a> ignoring this new healthcare reality&#46; New studies are needed to deepen our understanding of disease clusters related to AF&#44; their clinical presentation and their prognostic assessment in order to offer a comprehensive approach for patients&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Patients with greater comorbidity and polypathology have a higher rate of readmissions&#46;<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">24</span></a> Despite representing 30&#37; of the population&#44; these patients constitute 70&#37; of healthcare expenditures&#46;<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">24</span></a> The temporal pattern of hospital readmissions and the clinical profile of patients with AF resembles that observed in other groups of patients with multiple hospitalizations&#46;<a class="elsevierStyleCrossRefs" href="#bib0300"><span class="elsevierStyleSup">25&#44;26</span></a> These groups involve elderly polypathological men in which the comorbidity burden and mortality risk increases with each new hospitalization&#44; while the time between readmissions progressively shortens&#46;<a class="elsevierStyleCrossRefs" href="#bib0310"><span class="elsevierStyleSup">27&#8211;29</span></a> AF is associated with a 5-fold greater risk of experiencing a stroke&#44; a 3-fold greater risk for HF<a class="elsevierStyleCrossRef" href="#bib0325"><span class="elsevierStyleSup">30</span></a> and generally greater comorbidity&#44;<a class="elsevierStyleCrossRefs" href="#bib0330"><span class="elsevierStyleSup">31&#44;32</span></a> which explains the greater risk of death when compared with the general population&#46;<a class="elsevierStyleCrossRef" href="#bib0340"><span class="elsevierStyleSup">33</span></a> Our data indicate a similar tendency in terms of mortality in a selected group of patients hospitalized in medical departments with long-term follow-up&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">The department of internal medicine assumed the care for more than half of the patients with AF&#46; This percentage increased as the hospitalizations occurred&#46; This is because internists are reference specialists for the care of complex polypathological patients<a class="elsevierStyleCrossRefs" href="#bib0295"><span class="elsevierStyleSup">24&#44;29&#44;33</span></a> and&#44; by extension&#44; of patients with multiple hospitalizations&#46;<a class="elsevierStyleCrossRef" href="#bib0310"><span class="elsevierStyleSup">27</span></a> According to our data&#44; AF was associated with more than 4 diseases on average&#44; which explains the higher number of readmissions&#46; Given that internists are the hospital reference for the management of patients with AF&#44; internists should be included in the study of related disease clusters and in the design of new healthcare plans adapted to this scenario&#46;<a class="elsevierStyleCrossRefs" href="#bib0345"><span class="elsevierStyleSup">34&#44;35</span></a></p><p id="par0100" class="elsevierStylePara elsevierViewall">This study had a number of limitations&#46; First&#44; the study only describes the characteristics adult patients with AF hospitalized in the medical area&#46; It is therefore not possible to generalize the results to patients hospitalized for surgical reasons&#46; Second&#44; the study design could raise doubts about the quality of the clinical information&#44; given that the minimum basic data set is an administrative database&#46; Nevertheless&#44; the minimum basic data set is constructed with the discharge reports performed by the responsible physicians&#44; and the subsequent coding is performed by experienced health professionals&#46; Moreover&#44; the grouping of diagnoses conducted by the researchers has not affected the AF&#46; Several workshops were conducted among the researchers to maintain the homogeneity of the classifications&#46; It is therefore our understanding that the essence of the data has not been modified&#46; Lastly&#44; the data came from a single hospital center&#46; Since it is possible that the information could be different in hospitals from other geographical areas or of different sizes&#44; it is advisable to reproduce this study in other healthcare areas&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">In summary&#44; AF is a common arrhythmia among patients hospitalized in medical areas&#46; AF presents in highly complex patients who are frequently hospitalized for reasons other than the AF itself&#46; The association between AF and a high rate of readmissions&#44; increasingly closer to each other&#44; and its greater mortality require us to consider AF as a marker of complexity and risk&#46; It is therefore important to development lines of research that help us to better understand the association of AF with other diseases and&#44; as a consequence&#44; a better understanding of its clinical presentation&#44; evolution and repercussion on the healthcare system&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Conflict of interests</span><p id="par0110" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
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          "titulo" => "Abstract"
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          "titulo" => "Keywords"
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          "titulo" => "Resumen"
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          "titulo" => "Palabras clave"
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          "titulo" => "Background"
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          "titulo" => "Materials and methods"
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    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2016-12-13"
    "fechaAceptado" => "2017-03-07"
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          "clase" => "keyword"
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          "palabras" => array:4 [
            0 => "Atrial fibrillation"
            1 => "Multimorbidity"
            2 => "Polypathological"
            3 => "Cluster"
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          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec863500"
          "palabras" => array:4 [
            0 => "Fibrilaci&#243;n auricular"
            1 => "Multimorbilidad"
            2 => "Pluripatol&#243;gico"
            3 => "Cl&#250;ster"
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To determine the characteristics of patients with auricular fibrillation &#40;AF&#41; in the hospital setting and their successive hospitalisations&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Method</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A retrospective cohort study was conducted on all hospital admissions in the medical area of hospital of Lugo between January 1&#44; 2000 and December 31&#44; 2013&#46; The data source was the centre&#39;s minimum basic data set&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A total of 149&#44;271 hospital admissions corresponding to 66&#44;286 patients were recorded&#46; Of the total&#44; the percentage of admissions and patients with AF was 17&#46;3&#37; &#40;25&#44;870&#41; and 18&#46;9&#37; &#40;12&#44;512&#41;&#44; respectively&#46; The patients with AF were characterized by a larger proportion of women &#40;49&#46;7 vs&#46; 44&#46;3&#37;&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#46;0001&#41;&#44; advanced age &#40;78&#46;3 &#91;DE 10&#46;2&#93; vs&#46; 67&#46;1 years &#91;DE 17&#46;9&#93;&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;0001&#41;&#44; more chronic diseases &#40;4&#46;2 &#91;DE 2&#46;1&#93; vs&#46; 2&#46;9 &#91;DE 1&#46;9&#93;&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001&#41;&#44; longer hospital stays &#40;12&#46;5 &#91;DE 12&#46;5&#93; vs&#46; 10&#46;6 &#91;DE 19&#46;9&#93; days&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;0001&#41; and a high rate of readmissions &#40;3&#46;0 &#91;DE 2&#46;75&#93; vs&#46; 2&#46;1 &#91;DE 2&#46;28&#93;&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001&#41;&#44; with a progressive shortening of the time between hospitalisations&#46; The department of internal medicine was responsible for the care of more than half of the patients with AF&#46; The most common associated secondary diagnoses were chronic obstructive pulmonary disease&#44; stroke&#44; heart failure&#44; ischemic heart disease&#44; other respiratory system diseases and arterial hypertension&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">AF occurs in highly complex patients&#44; who are mostly hospitalized in internal medicine departments&#44; and is associated with a high rate of readmissions&#46; We need to consider the diseases associated with AF for an overall approach to these patients&#46;</p></span>"
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            "titulo" => "Method"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Conocer las caracter&#237;sticas de los pacientes con fibrilaci&#243;n auricular &#40;FA&#41; en el &#225;mbito hospitalario y sus sucesivos ingresos&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todo</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo de cohortes con la totalidad de los ingresos hospitalarios en el &#225;rea m&#233;dica del hospital de Lugo entre el 1 de enero de 2000 y el 31 de diciembre de 2013&#46; La fuente de informaci&#243;n fue el conjunto m&#237;nimo b&#225;sico de datos del centro&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Se registraron 149&#46;271 ingresos hospitalarios correspondientes a 66&#46;286 pacientes&#46; Con respecto al total&#44; el porcentaje de ingresos y pacientes con FA fue del 17&#44;3&#37; &#40;25&#46;870&#41; y 18&#44;9&#37; &#40;12&#46;512&#41;&#44; respectivamente&#46; Los pacientes con FA se caracterizaron por una mayor proporci&#243;n de mujeres &#40;49&#44;7 frente a 44&#44;3&#37;&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41;&#44; mayor edad &#40;78&#44;3 &#91;DE 10&#44;2&#93; frente a 67&#44;1 a&#241;os &#91;DE 17&#44;9&#93;&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41;&#44; m&#225;s enfermedades cr&#243;nicas &#40;4&#44;2 &#91;DE 2&#44;1&#93; frente a 2&#44;9 &#91;DE 1&#44;9&#93;&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; estancia hospitalaria m&#225;s prolongada &#40;12&#44;5 &#91;DE 12&#44;5&#93; frente a 10&#44;6 d&#237;as &#91;DE 19&#44;9&#93;&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41; y una elevada tasa de reingresos &#40;3&#44;0 &#91;DE 2&#44;75&#93; frente a 2&#44;1 &#91;DE 2&#44;28&#93;&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; con un acortamiento progresivo del tiempo entre ingresos&#46; El servicio de Medicina Interna asumi&#243; la atenci&#243;n de m&#225;s de la mitad de los enfermos con FA&#46; Los diagn&#243;sticos secundarios asociados m&#225;s frecuentes fueron&#58; enfermedad pulmonar obstructiva cr&#243;nica&#44; ictus&#44; insuficiencia cardiaca&#44; cardiopat&#237;a isqu&#233;mica&#44; otras enfermedades del aparato respiratorio e hipertensi&#243;n arterial&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">La FA se presenta en pacientes de alta complejidad&#44; ingresados mayoritariamente en servicios de Medicina Interna&#44; y se asocia a una elevada tasa de reingresos&#46; Es preciso considerar las enfermedades asociadas a la FA que permitan un enfoque global de estos pacientes&#46;</p></span>"
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        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; I&#241;iguez V&#225;zquez I&#44; Monte Secades R&#44; Matesanz Fern&#225;ndez M&#44; Romay Lema EM&#44; Rubal Bran D&#44; Casariego Vales E&#46; Caracter&#237;sticas y patr&#243;n temporal de reingresos de los pacientes con fibrilaci&#243;n auricular hospitalizados en servicios m&#233;dicos&#46; Rev Clin Esp&#46; 2017&#59;217&#58;309&#8211;314&#46;</p>"
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          "leyenda" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Abbreviations</span>&#58; CIRS&#44; Cumulative Illness Rating Scale&#59; SD&#44; standard deviation&#59; NS&#44; not significant&#46;</p>"
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                  \t\t\t\t\tvoid\n
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                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Without AF &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>53&#44;773&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Male&#44; <span class="elsevierStyleItalic">n</span> &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">30&#44;485 &#40;56&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6286 &#40;50&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;0001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Age&#44; years &#40;SD&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">67&#46;08 &#40;17&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">78&#46;3 &#40;10&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;0001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">No&#46; of chronic diseases &#40;SD&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#46;9 &#40;1&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;0001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;0001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Mean stay&#44; days &#40;SD&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&#46;6 &#40;19&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;0001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">741 &#40;5&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
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          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Characteristics of patients with and without atrial fibrillation in their first hospitalization&#46;</p>"
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          "leyenda" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Abbreviations</span>&#58; CIRS&#44; Cumulative Illness Rating Scale&#59; SD&#44; standard deviation&#46;</p>"
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                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="5" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Admissions</th><th class="td" title="table-head  " align="left" valign="top" scope="col"><span class="elsevierStyleItalic">p</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">1st<br>&#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>12&#44;513&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2nd<br>&#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8124&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">3rd<br>&#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>5271&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">4th<br>&#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3390&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">5th<br>&#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2298&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Age&#44; years &#40;SD&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">67&#46;9 &#40;17&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">70&#46;8 &#40;15&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">71&#46;4 &#40;15&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">71&#46;1 &#40;15&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">70&#46;3 &#40;15&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;&#46;0001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Mean stay&#44; days &#40;SD&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&#46;6 &#40;19&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9&#46;9 &#40;16&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9&#46;7 &#40;13&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9&#46;5 &#40;13&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9&#46;3 &#40;10&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;&#46;0001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">No&#46; of chronic diseases &#40;SD&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&#46;2 &#40;0&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&#46;9 &#40;2&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5&#46;4 &#40;2&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5&#46;7 &#40;2&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&#46;2 &#40;2&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;&#46;0001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">CIRS &#40;SD&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9&#46;2 &#40;4&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&#46;4 &#40;5&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">11&#46;0 &#40;5&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">11&#46;3 &#40;5&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">11&#46;3 &#40;5&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;&#46;0001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Mortality &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3183 &#40;5&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">700 &#40;8&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">543 &#40;10&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">372 &#40;11&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">267 &#40;11&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;&#46;0001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Time between hospitalizations&#44; days &#40;SD&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">716&#46;7 &#40;913&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">455&#46;9 &#40;667&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">340&#46;3 &#40;537&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">275&#46;7 &#40;450&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;&#46;0001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Clinical characteristics of patients with atrial fibrillation according to the order of hospitalization&#46;</p>"
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          "leyenda" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Abbreviations</span>&#58; AF&#44; atrial fibrillation&#59; AHT&#44; arterial hypertension&#59; CHF&#44; congestive heart failure&#59; COPD&#44; chronic obstructive pulmonary disease&#59; HF&#44; heart failure&#59; IHD&#44; ischemic heart disease&#59; ORSD&#44; other respiratory system diseases&#46;</p>"
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                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="table-head ; entry_with_role_rowhead " align="left" valign="top" scope="col">Diagnostic&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="5" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Admission</th></tr><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">1st<br>&#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>12&#44;513&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2nd<br>&#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8124&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">3rd<br>&#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>5271&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">4th<br>&#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3390&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">5th<br>&#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2298&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Primary&#44; <span class="elsevierStyleItalic">n</span> &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Stroke 1440 &#40;11&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">CHF 728 &#40;8&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">CHF 483 &#40;9&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">CHF 354 &#40;10&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">COPD 226 &#40;9&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top">Secondary 1&#44; <span class="elsevierStyleItalic">n</span> &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">AF 1298 &#40;10&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Stroke 601 &#40;7&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">COPD 432 &#40;8&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">COPD 320 &#40;9&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">CHF 211 &#40;9&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top">Secondary 2&#44; <span class="elsevierStyleItalic">n</span> &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">HF 1008 &#40;8&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">COPD 599 &#40;7&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Stroke 305 &#40;5&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">AHT 193 &#40;5&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">AHT 152 &#40;6&#46;6&#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="table-entry ; entry_with_role_rowhead " align="left" valign="top">Secondary 3&#44; <span class="elsevierStyleItalic">n</span> &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">COPD 744 &#40;5&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">AF 520 &#40;6&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">AF 277 &#40;5&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">ORSD 187 &#40;5&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">ORSD 126 &#40;5&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top">Secondary 4&#44; <span class="elsevierStyleItalic">n</span> &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">IHD 720 &#40;5&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">ORSD 390 &#40;4&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">AHT 272 &#40;5&#46;16&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Stroke 142 &#40;4&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Stroke 88 &#40;3&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "en" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Primary and secondary diagnoses associated with atrial fibrillation depending on the order of hospitalization&#46;</p>"
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                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="table-head ; entry_with_role_rowhead " align="left" valign="top" scope="col">Medical service&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="5" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Admission</th></tr><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">1st<br>&#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>12&#44;513&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2nd<br>&#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8124&#41;&nbsp;\t\t\t\t\t\t\n
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Original article
Characteristics and temporal pattern of readmissions of patients with atrial fibrillation hospitalized in medical departments
Características y patrón temporal de reingresos de los pacientes con fibrilación auricular hospitalizados en servicios médicos
I. Iñiguez Vázquez
Corresponding author
iriainhiguez@hotmail.com

Corresponding author.
, R. Monte Secades, M. Matesanz Fernández, E.M. Romay Lema, D. Rubal Bran, E. Casariego Vales
Servicio de Medicina Interna, Hospital Lucus Augusti, Lugo, Galicia, Spain

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