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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">Heart failure &#40;HF&#41; is a highly prevalent chronic syndrome that typically affects elderly individuals&#44; with a significant degree of comorbidity and frailty&#46;<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">1&#8211;3</span></a> Caring for HF is a challenge for the healthcare system and involves all the healthcare chains and numerous health professionals from various specialties&#46; The need for all of these actors to be coordinated to achieve the best results for these patients has been repeatedly highlighted&#46;<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">4&#8211;6</span></a> The recently published consensus document among the main Spanish societies involved in HF also emphasizes this need for collaboration&#46;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">7</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Although various studies performed in Spain have assessed the quality of life of patients with HF&#44;<a class="elsevierStyleCrossRefs" href="#bib0190"><span class="elsevierStyleSup">8&#8211;10</span></a> these studies have been performed with cohorts of selected patients in a specific healthcare setting &#40;typically focused on a specific specialty&#41; and have not explored the actual and patient-perceived support for the disease&#46; The present study was established based on a cohort of patients with HF recruited in hospital emergency departments&#44; with the main objective of understanding patient perception of the disease&#44; treatment&#44; degree of support and type of follow-up after discharge for a decompensation&#46; Secondly&#44; the study investigated whether there is a relationship between the specialist who performs the follow-up and the medium-term prognosis&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Patients and methods</span><p id="par0015" class="elsevierStylePara elsevierViewall">The SOPICA IN SPAIN &#40;Support for Patients with Heart Failure In Spain&#41; study is an observational&#44; prospective multicenter&#44; survey-based study&#44; with consecutive enrollment and cohort follow-up&#46; The patients were selected during their stay in an emergency department for an acute HF &#40;AHF&#41; episode&#44; following the Framingham criteria because we considered that the patients treated in emergency departments corresponded to a heterogeneous and representative mixture of all patients with HF&#44; regardless of the level of care and the practitioner involved in their follow-up&#46; The inclusion criterion was that the patient was previously diagnosed with HF&#44; which was corroborated by the hospital or primary care medical record&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">During the patients&#8217; stay in the emergency department&#44; the following data were collected&#58; demographic data &#40;age and sex&#41;&#44; comorbidities&#44; baseline condition &#40;New York Heart Association &#91;NYHA&#93; functional class&#44; Barthel index and type of dysfunction by echocardiography when there was a previous study&#41;&#44; home treatment&#44; clinical and laboratory data from the emergency department and the final destination &#40;discharge or hospitalization&#41;&#46; Subsequently&#44; a single professional interviewer &#40;independent of the research team and blind to the clinical data&#41; conducted the telephone interviews with the patients between 3 and 6 months after the AHF episode&#46; Prior to the patient interview&#44; the interviewer attended 2 meetings with the researchers to familiarize the interviewer with the study&#44; the disease and the nature of the questions&#46; Twenty-four questions were prepared&#44; divided into 2 blocks&#58; patient perception of the disease and treatment &#40;16 questions&#41; and perceived support from the community and healthcare system &#40;8 questions&#41;&#46; Regarding questions on the medical specialists who participated in the follow-up&#44; it was clearly specified that these questions were related to the specialists who had been involved in monitoring the patient&#39;s HF from their care in the emergency department &#40;the index episode&#41; to the follow-up telephone call&#44; without including the visits planned for after the telephone call&#44; if these visits had still not been conducted&#46; This telephone call was conducted between 3 and 6 months after the AHF episode&#46; The patients were interviewed according to a randomized list&#46; The exclusion criteria were cognitive deficiency that impeded the interview or death prior to the telephone call&#46; A case was considered lost after 4 failed attempts to contact the patient at various times of the day&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">The study was performed during the patient inclusion period of the EAHFE-4 Registry &#40;January&#8211;February 2014&#41;&#46; The characteristics and dynamics of this Registry can be consulted in previous studies&#46;<a class="elsevierStyleCrossRefs" href="#bib0165"><span class="elsevierStyleSup">3&#44;11</span></a> Of the 27 Spanish emergency departments participating in the EAHFE-4 Registry&#44; 7 were chosen for participation in the SOPICA IN SPAIN study by convenience criteria based on their high capacity for recruitment and follow-up &#40;Hospital Clinic&#44; University Hospital of Bellvitge&#44; Hospital de la Santa Creu i Sant Pau&#44; Hospital del Mar&#44; University Central Hospital of Asturias&#44; Hospital Clinic San Carlos&#44; University Hospital Gregorio Mara&#241;&#243;n&#41;&#46; We estimated that the 7 emergency departments would include between 1050 and 1400 patients&#46; The design planned to survey all patients from these centers to avoid a selection bias&#46; The research ethics committees of the hospitals approved the study&#44; and all patients signed the informed consent&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">The quantitative variables are presented as mean and standard deviation &#40;SD&#41; or as median and 25th&#8211;75th percentiles &#40;p25&#8211;75&#41;&#46; The qualitative variables are presented as absolute values and percentages&#44; with their 95&#37; confidence interval &#40;95&#37; CI&#41;&#46; The qualitative variables of opinion were secondarily transformed into quantitative values on a scale of 0&#8211;10 as follows&#58; very little&#44; 0 points&#59; little&#44; 2&#46;5 points&#59; normal&#44; 5 points&#59; high&#44; 7&#46;5 points&#59; very high&#44; 10 points&#46; The comparison between these quantitative results was performed 2 to 2 using the Wilcoxon test&#46; For some of the comparisons&#44; a value of 100 was assigned to the best-assessed option&#44; and the rest were scored relative to this value&#46; Using survival curves &#40;Kaplan&#8211;Meier method and log-rank test&#41;&#44; the study analyzed the cumulative chances of a readmission to the emergency department and hospitalization for AHF after emergency department care according to the physician who was involved in the patient follow-up&#46; This effect was progressively adjusted by groups of potential confounders of the relation of interest using Cox regression&#46; The adjusted hazard ratios &#40;HR&#41; were calculated&#44; using 1 if the patient had been monitored in an outpatient setting by the analyzed specialty or 0 otherwise&#46; The models were as follows&#58; Model 1 included the demographic variables&#59; model 2 added the comorbidity variables to the previous model&#59; model 3 included the baseline state variables&#59; model 4 included the home treatment variables&#59; model 5 included the clinical and laboratory variables in the emergency department&#59; model 6 included the final condition &#40;discharge from emergency department or hospitalization&#41;&#59; and model 7 included the participation of the various specialists in the subsequent monitoring after the AHF episode&#46; A value of <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;05 or a 95&#37; CI of the HR that included the value 1 were considered statistically significant&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Results</span><p id="par0035" class="elsevierStylePara elsevierViewall">The 7 participating hospitals selected 1148 patients&#44; 834 of whom were eligible &#40;179 excluded for the episode being the first and 135 for death prior to the telephone call&#41;&#46; Ultimately&#44; 785 patients were included in the SOPICA IN SPAIN study&#44; because 49 patients could not be contacted by telephone&#46; It is worth noting the patients&#8217; advanced age &#40;80 &#91;SD 10&#93; years&#41;&#44; the predominance of women &#40;58&#37;&#41; and the high comorbidity&#46; Twenty percent of the patients had an NYHA functional class of III&#47;IV&#44; and 10&#37; had severe dependence &#40;Barthel index &#60;60 points&#41;&#46; There was a high percentage of patients with HF who were not treated with beta-blockers &#40;55&#37;&#41;&#44; angiotensin-converting enzyme inhibitors or angiotensin II receptor blockers &#40;40&#37;&#41;&#46; The rest of the characteristics are shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#46; At the time of the interview&#44; 37&#37; of the patients had returned to the emergency department and 20&#37; had been hospitalized&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0040" class="elsevierStylePara elsevierViewall">In terms of the perception of the disease&#44; 33&#37; &#40;95&#37; CI 30&#8211;36&#37;&#41; of the patients considered their disease to be mild&#44; 64&#37; &#40;60&#8211;67&#37;&#41; required some assistance from third parties for daily life activities&#44; and 7&#37; &#40;5&#8211;9&#41; completely depended on such help&#46; In addition&#44; 49&#37; &#40;45&#8211;52&#37;&#41; had lost the ability to perform common activities since the AHF episode&#44; at least from their subjective perception &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#41;&#46; In terms of the perception of the HF treatment&#44; 65&#37; &#40;61&#8211;68&#37;&#41; of the patients had perceived no change in their treatment in recent months&#44; 69&#37; &#40;68&#8211;72&#37;&#41; believed that they had always been administered the same treatment during the exacerbations&#44; 24&#37; &#40;21&#8211;27&#37;&#41; would participate in a clinical trial with new drugs&#44; and 1&#37; &#40;1&#8211;2&#37;&#41; used alternative therapies&#46; In terms of perceived support&#44; patients perceived the most support from the family &#40;7&#46;08 points&#44; with a maximum score of 10&#41; and the lowest from patient associations &#40;0&#46;30 points&#41;&#44; with statistically significant differences&#46; In terms of the healthcare system&#44; increasing support was perceived in the health center&#44; emergency department and hospital &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a> and <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0045" class="elsevierStylePara elsevierViewall">There were no significant differences in the outcome variables &#8220;New emergency department visit&#8221; or &#8220;Hospitalization&#8221; based on whether the family doctor&#44; cardiologist&#44; internist or geriatrician had participated in the follow-up during the time between the emergency department visit for AHF and the telephone call &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46; This lack of significant difference between the participation or not in the clinical follow-up of the 4 analyzed specialists remained when this variable &#40;specialist&#41; was adjusted in practically all the proposed models &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41;&#46; Additionally&#44; the analysis of the various models showed consistent results&#44; with the association with each specialist remaining constant at all times&#44; both in the revisits to the emergency department and in the hospitalizations&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Discussion</span><p id="par0050" class="elsevierStylePara elsevierViewall">This study provides information that until now has not been reported in Spain&#44; because it includes more heterogeneous patients than studies published so far and followed-up by a specific type of specialist&#46; There are 3 main contributions of the SOPICA IN SPAIN study&#46; First&#44; patients with HF have a poor perception of the severity of their disease and believe that the treatment they undergo in their baseline situation and during their exacerbations is usually the same&#46; Second&#44; patients perceive a varying degree of support among the various societal elements and healthcare system&#44; with the greatest support coming from the family and the least from patient associations&#46; Third&#44; there appears to be no differences in terms of new emergency department visits or the need for hospitalization after an AHF episode based on whether the follow-up involved family doctors&#44; cardiologists&#44; internists or geriatricians&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">The patients&#8217; poor perception of the severity of their chronic diseases has been previously reported&#46;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">12</span></a> In this study&#44; a third of the patients with HF considered their disease mild&#44; despite the fact that mortality at 1 year after the diagnosis reaches 20&#8211;30&#37; in a number of series&#46;<a class="elsevierStyleCrossRefs" href="#bib0215"><span class="elsevierStyleSup">13&#44;14</span></a> The cause of this perception is not clear but could be related to the assumption by patients and even doctors that the presence of age-related diseases &#40;such as HF&#41; as part of the physiological process of aging&#46; This certain &#8220;ageism&#8221; also explains a limiting of evidence-based HF treatments in the elderly&#46; Moreover&#44; the patient&#39;s lack of knowledge as to the severity of their disease is reflected in the low number of patients who had filled out an advance directives document&#44; a finding similar to previous studies&#46;<a class="elsevierStyleCrossRefs" href="#bib0210"><span class="elsevierStyleSup">12&#44;15</span></a> Finally&#44; the patient&#39;s perception that few therapeutic changes were introduced during the exacerbation is in line with the few advances in AHF&#44; whose treatment is usually limited to diuretics&#44; oxygen therapy and&#44; in less than 25&#37; of cases&#44; vasodilators&#46;<a class="elsevierStyleCrossRefs" href="#bib0175"><span class="elsevierStyleSup">5&#44;16</span></a></p><p id="par0060" class="elsevierStylePara elsevierViewall">Functionally&#44; 1 in every 7 patients required assistance for the basic activities of daily life and half lost their ability to conduct their standard activities after the AHF episode&#46; These data show the syndrome&#39;s considerable functional impact and the need for performing an interdisciplinary assessment and intervention that prevents dependence and reduces the risk of short-term adverse events&#46; Thus&#44; it is not surprising that the greatest support perceived by patients with HF comes from the family&#44; given that it is the first care setting that patients count on&#46; Studies have shown that although patients remember self-care advice&#44; integrating it into their daily life is not easy&#46; The strategies should therefore include patients and caregivers to promote the actual self-sufficiency of these measures&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">17</span></a></p><p id="par0065" class="elsevierStylePara elsevierViewall">The better perception of support from the hospital&#44; ahead of that from health centers&#44; is related to the hospital-focused healthcare organization that has been implemented in Spain in recent decades&#44; especially from the citizens&#8217; perspective&#46; The value that emergency departments add to hospitals is also well perceived by patients&#44;<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">18</span></a> as an essential support area&#44; probably due to its extensive implementation and uninterrupted care&#44;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">19</span></a> which ensures continuity of care and the connection between hospitals and primary care for patients with chronic diseases&#46;<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">20</span></a> It is also worth noting that&#44; for a certain segment of the population&#44; religion continues to provide support to patients with the disease&#44; in contrast with the perception of virtually no support from patient associations&#46; The cause of this perception might lie in the scarcity of associations for patients with HF&#44;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">21</span></a> as opposed to those for other diseases&#46;<a class="elsevierStyleCrossRefs" href="#bib0260"><span class="elsevierStyleSup">22&#44;23</span></a> The SOPICA IN SPAIN study did not analyze the role of specialized units in HF because not all participating centers had them&#44; and only approximately 40&#37; of Spanish hospitals have these units&#46;<a class="elsevierStyleCrossRefs" href="#bib0270"><span class="elsevierStyleSup">24&#44;25</span></a> Specialized units could potentially provide good support for these patients&#44;<a class="elsevierStyleCrossRefs" href="#bib0280"><span class="elsevierStyleSup">26&#44;27</span></a> although this supposition needs to be checked in future studies&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Patients with HF usually have the characteristics of complex chronic patients&#44; and thus their treatment often requires a multidisciplinary approach&#46;<a class="elsevierStyleCrossRefs" href="#bib0180"><span class="elsevierStyleSup">6&#44;28</span></a> Our study showed that 61&#37; of the patients had the joint participation of family doctors and hospital specialists during the 3&#8211;6 months following an episode of decompensation&#46; The most frequently involved specialist was the cardiologist&#46; However&#44; no specialist was a determinant in achieving better follow-up results&#44; at least in terms of a new emergency department visit or hospitalization&#44; even considering the different patient profile managed by each specialist&#46; Given the fact that the patients often have multiple diseases&#44; the benefit is probably the result of the joint participation of various specialists&#46;<a class="elsevierStyleCrossRefs" href="#bib0295"><span class="elsevierStyleSup">29&#44;30</span></a></p><p id="par0075" class="elsevierStylePara elsevierViewall">Our study has a number of limitations&#46; First&#44; the interview was not conducted immediately after the AHF episode &#40;memory bias&#41;&#46; Second&#44; it can be difficult to reach firm conclusions concerning issues related to HF&#44; the follow-up and prognosis after an exacerbation episode through a single interview&#44; although numerous questions refer to the stable phase of the disease&#44; which is usually well known by the patient&#46; Third&#44; the hospital sample was one of convenience&#44; and all were tertiary &#40;selection bias&#41;&#46; As a result&#44; patients treated in secondary or regional hospitals could have different support possibilities and perceptions&#46; Nevertheless&#44; the consecutive inclusion of all patients at the 7 participating centers might have minimized this center selection bias&#46; Lastly and due to the study design&#44; the exclusion of patients who died could have resulted in a selection of those with more positive opinions or perceptions&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">In conclusion&#44; the SOPICA IN SPAIN study reveals the need to &#40;1&#41; inform patients and caregivers of the vital HF prognosis&#59; &#40;2&#41; include family members in the intervention programs&#44; given that they are the main support perceived by patients&#59; and &#40;3&#41; ensure good follow-up after an AHF episode&#44; although no specialty that participates in the treatment yields different results in the medium term&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Funding</span><p id="par0085" class="elsevierStylePara elsevierViewall">The present study was made possible in part thanks to grants <span class="elsevierStyleGrantNumber" refid="gs1">PI15&#47;01019&#44; PI15&#47;00773&#44; PI11&#47;01021 and PI10&#47;01918</span> of the Carlos III Health Institute from funds from the <span class="elsevierStyleGrantSponsor" id="gs1">Ministry of Health&#44; Social Services and Equality</span> &#40;MSSSI&#41; and <span class="elsevierStyleGrantSponsor" id="gs2">European Regional Development Fund</span> &#40;ERDF&#41;&#44; to grants from the <span class="elsevierStyleGrantSponsor" id="gs3">Government of Catalonia</span> for Consolidated Research Groups &#40;GRC 2009&#47;1385 and 2014&#47;0313&#41; and to a grant from the <span class="elsevierStyleGrantSponsor" id="gs4">La Marat&#243; Foundation</span> of TV3 &#40;20152510&#41;&#46; The ICA-SEMES group received unconditional assistance from Orion-Pharma&#44; Otsuka and Novartis Spain&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Conflict of interest</span><p id="par0090" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
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            1 => "Acute heart failure"
            2 => "Survey"
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            4 => "Patient follow-up"
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            0 => "Insuficiencia cardiaca"
            1 => "Insuficiencia cardiaca aguda"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To understand the perceptions of patients with heart failure &#40;HF&#41; concerning their disease&#44; treatment and support&#44; as well as the specialists who provide care after a decompensation&#44; and to determine whether there is a relationship between the type of specialist involved in the follow-up and the medium-term prognosis&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A multicentre&#44; prospective cohort study consecutively included patients with acute HF in the emergency department&#46; The patients were interviewed by telephone 91&#8211;180<span class="elsevierStyleHsp" style=""></span>days after their emergency department visit&#46; We investigated the relationship between the type of specialist who performed the follow-up and the emergency department visits or hospitalisations using Cox regression models&#44; with progressive adjustment by groups of potential confounders of these relationships&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">We interviewed 785 patients&#46; Thirty-three percent &#40;95&#37; CI&#58; 30&#8211;36&#37;&#41; considered their disease mild&#44; 64&#37; &#40;60&#8211;67&#37;&#41; required help from third parties for daily activities&#44; 65&#37; &#40;61&#8211;68&#37;&#41; had no recent therapeutic changes&#44; and 69&#37; &#40;67&#8211;72&#37;&#41; received the same treatment in the exacerbations&#46; The perceived support varied significantly depending on the factor under consideration &#40;from greater to lesser&#58; family&#44; hospital&#44; emergency department&#44; health center&#44; religion and patient associations&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;05 in all comparisons&#41;&#46; Thirty-nine percent &#40;36&#8211;43&#37;&#41; of the patients with decompensations consulted directly with the emergency department&#44; with no prior changes in treatment&#46; At discharge&#44; general practitioners &#40;74&#37;&#44; 71&#8211;77&#37;&#41; and cardiologists &#40;74&#37;&#44; 70&#8211;77&#37;&#41; were the most involved in the follow-up&#44; although the specialty was not related to the prognosis&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">There are various aspects of the perception of patients with HF concerning their disease that are susceptible to future interventions&#46; Patient follow-up involves various specialties&#44; but all achieve similar results in the medium term&#46;</p></span>"
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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 la percepci&#243;n de los pacientes con insuficiencia cardiaca &#40;IC&#41; sobre su enfermedad&#44; tratamiento y soporte&#44; as&#237; como los especialistas que intervienen tras una descompensaci&#243;n&#44; y si existe relaci&#243;n entre el tipo de especialista involucrado en el seguimiento y el pron&#243;stico a medio plazo&#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 de cohortes multic&#233;ntrico&#44; prospectivo&#44; con inclusi&#243;n consecutiva en urgencias de pacientes con IC aguda&#46; Se entrevistaron telef&#243;nicamente los pacientes a los 91-180<span class="elsevierStyleHsp" style=""></span>d&#237;as tras la consulta en urgencias&#46; Se investig&#243; la relaci&#243;n entre el tipo de especialista que hac&#237;a el seguimiento y las visitas a urgencias u hospitalizaciones mediante modelos de regresi&#243;n de Cox con ajuste progresivo por grupos de potenciales confusores de la relaci&#243;n de inter&#233;s&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Se entrevistaron 785 pacientes&#58; un 33&#37; &#40;IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 30-36&#37;&#41; consideraron su enfermedad leve&#44; un 64&#37; &#40;60-67&#37;&#41; necesitaban ayuda de terceras personas para sus actividades diarias&#44; un 65&#37; &#40;61-68&#37;&#41; no hab&#237;an percibido cambios terap&#233;uticos recientemente y un 69&#37; &#40;67-72&#37;&#41; perciben el mismo tratamiento en las agudizaciones&#46; El soporte percibido vari&#243; significativamente dependiendo del factor considerado &#40;de mayor a menor&#58; familia&#44; hospital&#44; urgencias&#44; centro de salud&#44; religi&#243;n y asociaciones de pacientes&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05 en todas las comparaciones&#41;&#46; El 39&#37; &#40;36-43&#37;&#41; de pacientes con descompensaciones consultaron directamente a urgencias sin modificaciones previas del tratamiento y&#44; al alta&#44; el m&#233;dico de cabecera &#40;74&#37;&#44; 71-77&#37;&#41; y el cardi&#243;logo &#40;74&#37;&#44; 70-77&#37;&#41; fueron los m&#225;s involucrados en el seguimiento&#44; aunque la especialidad no se relacion&#243; con el pron&#243;stico&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusi&#243;n</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Existen diversos aspectos de percepci&#243;n del paciente con IC respecto a su enfermedad susceptibles de futuras intervenciones&#46; El seguimiento del paciente involucra a diferentes especialidades&#44; pero todas consiguen resultados similares a medio plazo&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0025"
            "titulo" => "Objetivo"
          ]
          1 => array:2 [
            "identificador" => "abst0030"
            "titulo" => "M&#233;todo"
          ]
          2 => array:2 [
            "identificador" => "abst0035"
            "titulo" => "Resultados"
          ]
          3 => array:2 [
            "identificador" => "abst0040"
            "titulo" => "Conclusi&#243;n"
          ]
        ]
      ]
    ]
    "NotaPie" => array:2 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0015">Please cite this article as&#58; Mir&#243; &#210;&#44; Escoda R&#44; Mart&#237;n-S&#225;nchez FJ&#44; Herrero P&#44; Jacob J&#44; Rizzi M&#44; et al&#46; Evaluaci&#243;n de los conocimientos y la percepci&#243;n de soporte a la enfermedad en los pacientes con insuficiencia cardiaca&#46; Estudio SOPICA EN ESPA&#209;A&#46; Rev Clin Esp&#46; 2016&#59;216&#58;237&#8211;247&#46;</p>"
      ]
      1 => array:3 [
        "etiqueta" => "&#9674;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0020">The components of the ICA-SEMES group included in the <a class="elsevierStyleCrossRef" href="#sec0035">Appendix</a>&#46;</p>"
        "identificador" => "fn0005"
      ]
    ]
    "apendice" => array:1 [
      0 => array:1 [
        "seccion" => array:1 [
          0 => array:4 [
            "apendice" => "<p id="par0100" class="elsevierStylePara elsevierViewall">Cristina Gil&#44; Marta Fuentes &#40;University Hospital of Salamanca&#41;&#59;</p> <p id="par0105" class="elsevierStylePara elsevierViewall">Esther Rodr&#237;guez-Adrada &#40;Hospital Clinic San Carlos&#44; Madrid&#41;&#59;</p> <p id="par0110" class="elsevierStylePara elsevierViewall">H&#233;ctor Alonso &#40;Hospital Marqu&#233;s de Valdecillas&#44; Santander&#41;&#59;</p> <p id="par0115" class="elsevierStylePara elsevierViewall">Emmanuel Coloma&#44; V&#237;ctor Gil &#40;Hospital Clinic of Barcelona&#41;&#59;</p> <p id="par0120" class="elsevierStylePara elsevierViewall">Mar&#237;a Jos&#233; P&#233;rez-Dur&#225;&#44; Eva Salvo &#40;Hospital La Fe&#44; Valencia&#41;&#59;</p> <p id="par0125" class="elsevierStylePara elsevierViewall">Jos&#233; Pav&#243;n&#44; Ana Bella &#193;lvarez &#40;Hospital Dr&#46; Negr&#237;n&#44; Las Palmas de Gran Canaria&#41;&#59;</p> <p id="par0130" class="elsevierStylePara elsevierViewall">Antonio Noval &#40;Insular University Hospital of Gran Canaria&#41;&#59;</p> <p id="par0135" class="elsevierStylePara elsevierViewall">Manuel Garrido &#40;Hospital Virgen Macarena&#44; Seville&#41;&#59;</p> <p id="par0140" class="elsevierStylePara elsevierViewall">Jos&#233; M&#46; Torres &#40;Hospital Reina Sof&#237;a of Cordoba&#41;&#59;</p> <p id="par0145" class="elsevierStylePara elsevierViewall">Maria Luisa L&#243;pez-Grima&#44; Amparo Valero&#44; Mar&#237;a &#193;ngeles Juan-G&#243;mez &#40;Hospital Dr&#46; Peset&#44; Valencia&#41;&#59;</p> <p id="par0150" class="elsevierStylePara elsevierViewall">Alfons Aguirre&#44; Maria &#192;ngels Pedragosa &#40;Hospital del Mar&#44; Barcelona&#41;&#59;</p> <p id="par0155" class="elsevierStylePara elsevierViewall">Maria Isabel Alonso&#44; Helena Sancho&#44; Francisco Ruiz &#40;Hospital de Valme&#44; Seville&#41;&#59;</p> <p id="par0160" class="elsevierStylePara elsevierViewall">Jos&#233; Miguel Franco &#40;Hospital Miguel Servet&#44; Zaragoza&#41;&#59;</p> <p id="par0165" class="elsevierStylePara elsevierViewall">Sergio Pardo &#40;Hospital San Juan of Alicante&#41;&#59;</p> <p id="par0170" class="elsevierStylePara elsevierViewall">Ana Bel&#233;n Mecina &#40;Hospital of Alcorcon&#41;&#59;</p> <p id="par0175" class="elsevierStylePara elsevierViewall">Josep Tost&#44; Belen de la Fuente Penco&#44; Ant&#242;nia L&#243;pez S&#225;nchez &#40;Terrassa Health Consortium&#41;&#59;</p> <p id="par0180" class="elsevierStylePara elsevierViewall">Jordi Fabregat &#40;Mutual Hospital of Terrassa&#41;&#59;</p> <p id="par0185" class="elsevierStylePara elsevierViewall">Francisco Epelde &#40;Health Consortium and University Park Taul&#237;&#44; Sabadell&#41;&#59;</p> <p id="par0190" class="elsevierStylePara elsevierViewall">Susana S&#225;nchez &#40;Hospital Rio Hortega&#44; Valladolid&#41;&#59;</p> <p id="par0195" class="elsevierStylePara elsevierViewall">Pascual Pi&#241;era &#40;Hospital Reina Sof&#237;a&#44; Murcia&#41;&#59;</p> <p id="par0200" class="elsevierStylePara elsevierViewall">Raquel Torres Garate &#40;Hospital Severo Ochoa&#44; Legan&#233;s&#41;&#59;</p> <p id="par0205" class="elsevierStylePara elsevierViewall">Aitor Alquezar &#40;Hospital of San Pau&#44; Barcelona&#41;&#59;</p> <p id="par0210" class="elsevierStylePara elsevierViewall">Irene Cabello &#40;University Hospital of Bellvitge&#44; l&#8217;Hospitalet de Llobregat&#44; Barcelona&#41;&#59;</p> <p id="par0215" class="elsevierStylePara elsevierViewall">Fernando Richard &#40;Hospital Complex of Burgos&#41;&#59;</p> <p id="par0220" class="elsevierStylePara elsevierViewall">Javier Lucas &#40;General Hospital of Albacete&#41;&#59;</p> <p id="par0225" class="elsevierStylePara elsevierViewall">Roberto Calvache &#40;Hospital of Henares&#44; Madrid&#41;&#59;</p> <p id="par0230" class="elsevierStylePara elsevierViewall">Maria Teresa Lorca&#44; Luis Calder&#243;n &#40;Hospital del Tajo&#44; Madrid&#41;&#59;</p> <p id="par0235" class="elsevierStylePara elsevierViewall">Rodolfo Romero &#40;Hospital of Getafe&#44; Madrid&#41;&#59;</p> <p id="par0240" class="elsevierStylePara elsevierViewall">Rut Gaya &#40;Hospital Joan XXIII&#44; Tarragona&#41;&#59;</p> <p id="par0245" class="elsevierStylePara elsevierViewall">Isis Ba&#241;o&#44; Patricia Javaloyes &#40;General Hospital of Alicante&#41;&#46;</p>"
            "etiqueta" => "Appendix"
            "titulo" => "Other participants of the ICA-SEMES group"
            "identificador" => "sec0035"
          ]
        ]
      ]
    ]
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        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
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        "descripcion" => array:1 [
          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Degree of support&#44; perceived by patients with heart failure&#44; from the various societal and healthcare agencies for the patients&#8217; disease&#46; &#42;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001 in all comparisons with the rest of the groups&#46; &#42;&#42;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001 in all comparisons with the rest of the groups&#44; except with the Hospital group&#44; for which <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;01&#46; &#42;&#42;&#42;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001 in all comparisons with the rest of the groups&#44; except with the Family group&#44; for which <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;01&#46;</p>"
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        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
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        "figura" => array:1 [
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        "descripcion" => array:1 [
          "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Survival curves for new emergency department consultations and hospital readmissions after emergency department care of an acute heart failure episode&#44; according to the participation &#40;or not&#41; in the patient follow-up of the family doctor&#44; cardiologist&#44; internist and geriatrician&#46; Univariate analysis&#46;</p>"
        ]
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        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
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        "figura" => array:1 [
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        "descripcion" => array:1 [
          "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Multivariate analysis of the hazard ratio for new emergency department consultations and hospitalization after emergency department care of an acute heart failure episode&#44; according to the participation &#40;or not&#41; in the patient follow-up of the family doctor&#44; cardiologist&#44; internist and geriatrician&#46; The models were the following&#58; Model 1 included the demographic variables &#40;age and sex&#41;&#59; Model 2 added the comorbidity variables to the previous model &#40;arterial hypertension&#44; diabetes mellitus&#44; dyslipidemia&#44; ischemic heart disease&#44; valvular heart disease&#44; atrial fibrillation&#44; chronic kidney disease&#44; cerebrovascular disease&#44; chronic obstructive pulmonary disease and peripheral artery disease&#41;&#59; Model 3 included the baseline state variables &#40;NYHA class&#44; Barthel index&#41;&#59; Model 4 included the home treatment variables &#40;loop or thiazide diuretics&#44; aldosterone receptor antagonists&#44; beta-blockers&#44; angiotensin-converting enzyme inhibitors&#44; angiotensin II receptor antagonists&#44; nitrates and digoxin&#41;&#59; Model 5 included the clinical and laboratory variables in the emergency department &#40;heart and respiratory rates&#44; systolic blood pressure&#44; arterial oxygen saturation&#44; hemoglobin&#44; creatinine&#44; sodium and potassium&#41;&#59; Model 6 included the patient&#39;s final situation &#40;discharge from the emergency department or hospitalization&#41;&#59; and Model 7 included the participation of the various specialists in the subsequent patient check-up after the acute heart failure episode treated in the emergency department &#40;family doctor&#44; cardiologist&#44; internist and geriatrician&#41;&#46;</p>"
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          "leyenda" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Abbreviations</span>&#58; ARB-II&#44; angiotensin-II receptor blockers&#59; COPD&#44; chronic obstructive pulmonary disease&#59; AHF&#44; acute heart failure&#59; ACEI&#44; angiotensin-converting enzyme inhibitors&#59; NYHA&#44; New York Heart Association&#59; SaO<span class="elsevierStyleInf">2</span>&#44; arterial oxygen saturation by pulse oximetry&#46;</p>"
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                  <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" 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">Total &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>785&#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" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleItalic">Sociodemographic variables</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Mean 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">80&#46;1 &#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"><span class="elsevierStyleHsp" style=""></span>Female sex&#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">456 &#40;58&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleItalic">Comorbidity&#44; n &#40;&#37;&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Arterial hypertension&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">672 &#40;85&#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"><span class="elsevierStyleHsp" style=""></span>Diabetes mellitus&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">312 &#40;39&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Dyslipidemia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">428 &#40;54&#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"><span class="elsevierStyleHsp" style=""></span>Ischemic heart disease&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">248 &#40;31&#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"><span class="elsevierStyleHsp" style=""></span>Valvular heart disease&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">231 &#40;29&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Atrial fibrillation&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">388 &#40;49&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Chronic kidney disease &#40;creatinine &#62;2<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">209 &#40;26&#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"><span class="elsevierStyleHsp" style=""></span>Cerebrovascular disease&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">108 &#40;13&#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"><span class="elsevierStyleHsp" style=""></span>COPD&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">198 &#40;25&#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"><span class="elsevierStyleHsp" style=""></span>Peripheral artery disease&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">89 &#40;11&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleItalic">Patient&#39;s baseline state&#44; n &#40;&#37;&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Baseline NYHA III-IV&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">157 &#40;20&#46;0&#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"><span class="elsevierStyleHsp" style=""></span>Barthel index &#60;60 points&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">79 &#40;10&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Systolic dysfunction demonstrated by echocardiography<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">171 &#40;47&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleItalic">Home treatment&#44; n &#40;&#37;&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Loop diuretics&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">495 &#40;63&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Thiazide diuretics&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">115 &#40;14&#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"><span class="elsevierStyleHsp" style=""></span>Aldosterone receptor antagonists&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">132 &#40;16&#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"><span class="elsevierStyleHsp" style=""></span>Beta-blockers&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">349 &#40;44&#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"><span class="elsevierStyleHsp" style=""></span>ACEI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">258 &#40;32&#46;9&#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"><span class="elsevierStyleHsp" style=""></span>ARB II&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">209 &#40;26&#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"><span class="elsevierStyleHsp" style=""></span>Nitrates&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">141 &#40;18&#46;0&#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"><span class="elsevierStyleHsp" style=""></span>Digoxin&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">106 &#40;13&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleItalic">Data of the current AHF episode&#44; mean &#40;SD&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Heart rate &#40;beats&#47;min&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">88 &#40;23&#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"><span class="elsevierStyleHsp" style=""></span>Systolic blood pressure &#40;mmHg&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">143 &#40;25&#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"><span class="elsevierStyleHsp" style=""></span>Respiratory rate &#40;breaths&#47;min&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">21 &#40;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"><span class="elsevierStyleHsp" style=""></span>SaO<span class="elsevierStyleInf">2</span> &#40;percentage&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">93 &#40;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"><span class="elsevierStyleHsp" style=""></span>Hemoglobin &#40;g&#47;L&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">119 &#40;21&#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"><span class="elsevierStyleHsp" style=""></span>Creatinine &#40;mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;4 &#40;0&#46;9&#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"><span class="elsevierStyleHsp" style=""></span>Sodium &#40;mmol&#47;L&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">138 &#40;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Potassium &#40;mmol&#47;L&#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;3 &#40;0&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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              "identificador" => "tblfn0005"
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          "leyenda" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Abbreviations</span>&#58; HF&#44; heart failure&#59; DK&#47;NA&#44; don&#8217;t know&#44; no answer&#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" 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  " align="left" valign="top" scope="col">Total<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>785&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"><span class="elsevierStyleItalic">n</span> &#40;&#37;&#59; 95&#37; CI&#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" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleBold">Perception of the disease and treatment</span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Do you know that you have HF&#63;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">777 &#40;99&#46;0&#59; 98&#46;0&#8211;99&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8 &#40;1&#46;0&#59; 0&#46;4&#8211;2&#46;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Who told you that you have HF&#63;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Doctor&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">771 &#40;98&#46;2&#59; 98&#46;0&#8211;99&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Family&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">14 &#40;1&#46;8&#59; 1&#46;0&#8211;3&#46;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">How would you rate your disease&#63;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Mild&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">260 &#40;33&#46;1&#59; 29&#46;8&#8211;36&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Severe&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">392 &#40;49&#46;9&#59; 46&#46;4&#8211;53&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>DK&#47;NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">131 &#40;16&#46;7&#59; 14&#46;1&#8211;19&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Do you know about advance directives documents&#63;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">92 &#40;11&#46;7&#59; 9&#46;6&#8211;14&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">693 &#40;88&#46;3&#59; 85&#46;8&#8211;90&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Have you filled out an advance directives document&#63;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">20 &#40;2&#46;5&#59; 1&#46;6&#8211;3&#46;9&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">765 &#40;97&#46;5&#59; 96&#46;1&#8211;98&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Since the first episode&#44; have you lost the ability to do things&#63;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">382 &#40;48&#46;7&#59; 45&#46;1&#8211;52&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">403 &#40;51&#46;4&#59; 47&#46;8&#8211;54&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">How would you rate your current baseline state&#63;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>I am independent for all day-to-day activities&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">230 &#40;29&#46;3&#59; 26&#46;1&#8211;32&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>I need a little help for some day-to-day activities&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">500 &#40;63&#46;7&#59; 60&#46;2&#8211;67&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>I depend on third parties&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">55 &#40;7&#46;0&#59; 5&#46;3&#8211;9&#46;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Do you believe that they have given you a different treatment in recent months&#63;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">160 &#40;20&#46;4&#59; 17&#46;6&#8211;23&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">511 &#40;65&#46;1&#59; 61&#46;4&#8211;68&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>DK&#47;NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">114 &#40;14&#46;5&#59; 12&#46;1&#8211;17&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">When your condition worsens&#44; does the treatment you are administered seem to</span>&#8230;</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#8230; always stay the same&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">542 &#40;69&#46;0&#59; 66&#46;7&#8211;72&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#8230; occasionally vary&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">146 &#40;18&#46;6&#59; 15&#46;9&#8211;21&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>DK&#47;NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">97 &#40;12&#46;4&#59; 10&#46;1&#8211;14&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Would you try new research drugs in the context of a clinical trial&#63;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">190 &#40;24&#46;2&#59; 21&#46;2&#8211;27&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">303 &#40;38&#46;6&#59; 35&#46;2&#8211;42&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>DK&#47;NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">292 &#40;37&#46;2&#59; 33&#46;8&#8211;40&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Do you use alternative treatments&#63;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10 &#40;1&#46;3&#59; 0&#46;6&#8211;2&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">775 &#40;98&#46;7&#59; 97&#46;7&#8211;99&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Type of alternative treatments</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Acupuncture&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3 &#40;0&#46;4&#59; 0&#46;1&#8211;1&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Herbal therapy&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5 &#40;0&#46;6&#59; 0&#46;2&#8211;1&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Homeopathy&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2 &#40;0&#46;3&#59; 0&#46;0&#8211;0&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">With regard to your disease and self-care&#44; do you</span>&#8230;</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#8230; monitor your salt intake&#63;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">719 &#40;91&#46;6&#59; 89&#46;4&#8211;93&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#8230; monitor your fluid intake&#63;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">500 &#40;63&#46;7&#59; 60&#46;2&#8211;67&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#8230; weigh yourself regularly&#63;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">539 &#40;68&#46;7&#59; 65&#46;3&#8211;71&#46;9&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#8230; check your daily urine volume&#63;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">218 &#40;27&#46;8&#59; 24&#46;7&#8211;31&#46;0&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#8230; comply with all self-care measures&#63;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">106 &#40;13&#46;5&#59; 11&#46;2&#8211;16&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleBold">Support perceived in terms of the disease and treatment</span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Assessment of the care offered by the health center for the HF</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Very little&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">69 &#40;8&#46;8&#59; 6&#46;9&#8211;11&#46;0&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Little&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">98 &#40;12&#46;5&#59; 10&#46;3&#8211;15&#46;0&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Normal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">328 &#40;41&#46;8&#59; 38&#46;3&#8211;45&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>High&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">176 &#40;22&#46;4&#59; 19&#46;5&#8211;25&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Very high&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">114 &#40;14&#46;5&#59; 12&#46;1&#8211;17&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Score &#40;quantitative transformation to a scale of 0&#8211;10&#41;&#44; mean &#40;SD&#41; &#40;p25&#8211;75&#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;5 &#40;2&#46;8&#41; &#40;5&#46;0&#8211;7&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Assessment of the care offered by the hospital for the HF</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Very little&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17 &#40;2&#46;2&#59; 1&#46;3&#8211;3&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Little&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">18 &#40;2&#46;3&#59; 1&#46;4&#8211;3&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Normal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">270 &#40;34&#46;4&#59; 31&#46;1&#8211;37&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>High&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">340 &#40;43&#46;3&#59; 39&#46;8&#8211;46&#46;9&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Very high&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">140 &#40;17&#46;8&#59; 15&#46;2&#8211;20&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Score &#40;quantitative transformation to a scale of 0&#8211;10&#41;&#44; mean &#40;SD&#41; &#40;p25-75&#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;8 &#40;2&#46;1&#41; &#40;5&#46;0&#8211;7&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Assessment of the care offered by the emergency department for the HF</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Very little&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">21 &#40;2&#46;7&#59; 1&#46;7&#8211;4&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Little&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">36 &#40;4&#46;6&#59; 3&#46;2&#8211;6&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Normal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">276 &#40;35&#46;2&#59; 31&#46;8&#8211;38&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>High&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">344 &#40;43&#46;8&#59; 40&#46;3&#8211;47&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Very high&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">108 &#40;13&#46;8&#59; 11&#46;4&#8211;16&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Score &#40;quantitative transformation to a scale of 0&#8211;10&#41;&#44; mean &#40;SD&#41; &#40;p25&#8211;75&#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;5 &#40;2&#46;2&#41; &#40;5&#46;0&#8211;7&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Assessment of the care offered by your family for the HF</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Very little&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">19 &#40;2&#46;4&#59; 1&#46;5&#8211;3&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Little&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">35 &#40;4&#46;5&#59; 3&#46;1&#8211;6&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Normal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">195 &#40;24&#46;8&#59; 21&#46;9&#8211;28&#46;0&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>High&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">349 &#40;44&#46;5&#59; 40&#46;9&#8211;48&#46;0&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Very high&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">187 &#40;23&#46;8&#59; 20&#46;9&#8211;27&#46;0&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Score &#40;quantitative transformation to a scale of 0&#8211;10&#41;&#44; mean &#40;SD&#41; &#40;p25&#8211;75&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7&#46;1 &#40;2&#46;3&#41; &#40;5&#46;0&#8211;7&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Assessment of the care offered by patient associations for the HF</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Very little&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">745 &#40;94&#46;9&#59; 93&#46;1&#8211;96&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Little&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10 &#40;1&#46;3&#59; 0&#46;6&#8211;2&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Normal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">14 &#40;1&#46;8&#59; 1&#46;0&#8211;3&#46;0&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>High&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">11 &#40;1&#46;4&#59; 0&#46;7&#8211;2&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Very high&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5 &#40;0&#46;6&#59; 0&#46;2&#8211;1&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Score &#40;quantitative transformation to a scale of 0&#8211;10&#41;&#44; mean &#40;SD&#41; &#40;p25&#8211;75&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;3 &#40;1&#46;4&#41; &#40;0&#8211;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Assessment of the care offered by religion for the HF</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Very little&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">541 &#40;68&#46;9&#59; 65&#46;5&#8211;72&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Little&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">70 &#40;10&#46;1&#59; 7&#46;0&#8211;11&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Normal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">88 &#40;11&#46;2&#59; 9&#46;1&#8211;13&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>High&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">42 &#40;5&#46;4&#59; 3&#46;9&#8211;7&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Very high&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">35 &#40;4&#46;5&#59; 3&#46;1&#8211;6&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Score &#40;quantitative transformation to a scale of 0&#8211;10&#41;&#44; mean &#40;SD&#41; &#40;p25&#8211;75&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;6 &#40;2&#46;8&#41; &#40;0&#8211;2&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Who performed the last change in diuretics before going to the emergency department&#63;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Family doctor&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">113 &#40;14&#46;4&#59; 12&#46;0&#8211;17&#46;0&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Cardiologist&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">57 &#40;7&#46;3&#59; 5&#46;5&#8211;9&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Internist&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">12 &#40;1&#46;5&#59; 0&#46;8&#8211;2&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Geriatrician&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17 &#40;2&#46;2&#59; 1&#46;3&#8211;3&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Urgent care&#47;Emergency department&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10 &#40;1&#46;3&#59; 0&#46;6&#8211;2&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Myself&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17 &#40;2&#46;2&#59; 1&#46;3&#8211;3&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Nobody&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">307 &#40;39&#46;1&#59; 35&#46;7&#8211;42&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>DK&#47;NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">252 &#40;32&#46;1&#59; 28&#46;8&#8211;35&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Number of doctors who have checked your HF treatment after your stay in the emergency department</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Only the family doctor&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">103 &#40;13&#46;1&#59; 10&#46;8&#8211;15&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Only the specialist&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">184 &#40;23&#46;4&#59; 20&#46;5&#8211;26&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Family doctor and specialist&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">478 &#40;60&#46;9&#59; 57&#46;4&#8211;64&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Nobody&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10 &#40;2&#46;5&#59; 0&#46;6&#8211;2&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>DK&#47;NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">12 &#40;1&#46;5&#59; 0&#46;8&#8211;2&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Specialties of the doctors who have checked your HF treatment after your stay in the emergency department</span><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Family doctor&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">583 &#40;74&#46;3&#59; 71&#46;1&#8211;77&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Cardiologist&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">578 &#40;73&#46;6&#59; 70&#46;4&#8211;76&#46;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="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Internist&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">129 &#40;16&#46;4&#59; 13&#46;9&#8211;19&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Geriatrician&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">90 &#40;11&#46;5&#59; 9&#46;3&#8211;13&#46;9&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Other&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">24 &#40;3&#46;0&#59; 2&#46;0&#8211;4&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>DK&#47;NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">12 &#40;1&#46;5&#59; 0&#46;8&#8211;2&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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              "identificador" => "tblfn0010"
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0010">There can be more than one specialist per patient&#46;</p>"
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        "descripcion" => array:1 [
          "en" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Perceptions of patients with heart failure concerning their disease and treatment and of the support received from the various societal and healthcare agents&#46;</p>"
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      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:30 [
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              "identificador" => "bib0155"
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              "referencia" => array:1 [
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                  "contribucion" => array:1 [
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              "etiqueta" => "2"
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                      "titulo" => "Basal functional status predicts three-month mortality after a heart failure hospitalization in elderly patients &#8212; the prospective RICA study"
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                            0 => "F&#46; Formiga"
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                  "host" => array:1 [
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                      "doi" => "10.1016/j.ijcard.2013.12.169"
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            2 => array:3 [
              "identificador" => "bib0165"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Caracter&#237;sticas cl&#237;nicas&#44; terap&#233;uticas y evolutivas de los pacientes con insuficiencia cardiaca aguda atendidos en servicios de urgencias espa&#241;oles&#58; Registro EAHFE &#40;Epidemiology of Acute Heart Failure in Spanish Emergency Departments&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
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                            0 => "P&#46; Llorens"
                            1 => "R&#46; Escoda"
                            2 => "O&#46; Mir&#243;"
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            3 => array:3 [
              "identificador" => "bib0170"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A systematic approach to chronic heart failure care&#58; a consensus statement"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "K&#46; Page"
                            1 => "T&#46;H&#46; Marwick"
                            2 => "R&#46; Lee"
                            3 => "R&#46; Grenfell"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25128948"
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            ]
            4 => array:3 [
              "identificador" => "bib0175"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Costes sanitarios y no sanitarios de personas que padecen insuficiencia cardiaca cr&#243;nica sintom&#225;tica en Espa&#241;a"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;F&#46; Delgado"
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