Editorial
Safe alternatives in heart failure. Time to change paradigms
Alternativas seguras en la insuficiencia cardíaca. Hora de modificar paradigmas
Read
8
Timeswas read the article
2
Total PDF
6
Total HTML
Share statistics
array:24 [ "pii" => "S2254887422000789" "issn" => "22548874" "doi" => "10.1016/j.rceng.2022.07.002" "estado" => "S300" "fechaPublicacion" => "2022-10-01" "aid" => "2051" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "copyrightAnyo" => "2022" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "edi" "cita" => "Rev Clin Esp. 2022;222:500-1" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0014256522001175" "issn" => "00142565" "doi" => "10.1016/j.rce.2022.07.001" "estado" => "S300" "fechaPublicacion" => "2022-10-01" "aid" => "2051" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "edi" "cita" => "Rev Clin Esp. 2022;222:500-1" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>" "titulo" => "Alternativas seguras en la insuficiencia cardíaca. Hora de modificar paradigmas" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "500" "paginaFinal" => "501" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Safe alternatives in heart failure. Time to change paradigms" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "B. Amores-Arriaga, V. Garcés-Horna" "autores" => array:2 [ 0 => array:2 [ "nombre" => "B." "apellidos" => "Amores-Arriaga" ] 1 => array:2 [ "nombre" => "V." "apellidos" => "Garcés-Horna" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2254887422000789" "doi" => "10.1016/j.rceng.2022.07.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887422000789?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256522001175?idApp=WRCEE" "url" => "/00142565/0000022200000008/v1_202209290544/S0014256522001175/v1_202209290544/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2254887422000790" "issn" => "22548874" "doi" => "10.1016/j.rceng.2022.07.003" "estado" => "S300" "fechaPublicacion" => "2022-10-01" "aid" => "2053" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "edi" "cita" => "Rev Clin Esp. 2022;222:502-3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>" "titulo" => "The meaning of words in diabetes. Language matters" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "502" "paginaFinal" => "503" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "El significado de las palabras en la diabetes. El lenguaje importa" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Carretero-Gómez, J.C. Arévalo-Lorido" "autores" => array:2 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Carretero-Gómez" ] 1 => array:2 [ "nombre" => "J.C." "apellidos" => "Arévalo-Lorido" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0014256522001199" "doi" => "10.1016/j.rce.2022.07.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256522001199?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887422000790?idApp=WRCEE" "url" => "/22548874/0000022200000008/v1_202210061413/S2254887422000790/v1_202210061413/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S2254887422000467" "issn" => "22548874" "doi" => "10.1016/j.rceng.2022.03.005" "estado" => "S300" "fechaPublicacion" => "2022-10-01" "aid" => "2029" "copyright" => "The Authors" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "pgl" "cita" => "Rev Clin Esp. 2022;222:496-9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Consensus Document</span>" "titulo" => "Executive summary on the treatment of type 2 diabetes mellitus in elderly or frail individuals. 2022 update of the 2018 consensus document “Treatment of type 2 diabetes mellitus in the elderly”" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "496" "paginaFinal" => "499" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Resumen ejecutivo sobre el tratamiento de la diabetes mellitus tipo 2 en personas de edad avanzada o frágiles. Actualización 2022 del documento de consenso 2018 «Tratamiento de la diabetes mellitus tipo 2 en el paciente anciano»" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 3806 "Ancho" => 2925 "Tamanyo" => 687974 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Strategy for starting and intensifying hypoglycemic treatment and therapy with full insulin regimens. GLP-1ra: GLP-1 receptor agonists; CVD: cardiovascular disease; CKD: chronic kidney disease; FPG: fasting plasma glucose; PPG: preprandial plasma glucose; HF: heart failure; DPP-4i: DPP-4 inhibitors; SGLT-2i: SGLT-2 inhibitors.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F. Gómez-Peralta, F.J. Carrasco-Sánchez, A. Pérez, J. Escalada, F. Álvarez-Guisasola, C. Miranda-Fernández-Santos, J.J. Mediavilla-Bravo, R. Gómez-Huelgas" "autores" => array:8 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Gómez-Peralta" ] 1 => array:2 [ "nombre" => "F.J." "apellidos" => "Carrasco-Sánchez" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Pérez" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Escalada" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Álvarez-Guisasola" ] 5 => array:2 [ "nombre" => "C." "apellidos" => "Miranda-Fernández-Santos" ] 6 => array:2 [ "nombre" => "J.J." "apellidos" => "Mediavilla-Bravo" ] 7 => array:2 [ "nombre" => "R." "apellidos" => "Gómez-Huelgas" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0014256522000686" "doi" => "10.1016/j.rce.2022.03.004" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256522000686?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887422000467?idApp=WRCEE" "url" => "/22548874/0000022200000008/v1_202210061413/S2254887422000467/v1_202210061413/en/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>" "titulo" => "Safe alternatives in heart failure. Time to change paradigms" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "500" "paginaFinal" => "501" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "B. Amores-Arriaga, V. Garcés-Horna" "autores" => array:2 [ 0 => array:4 [ "nombre" => "B." "apellidos" => "Amores-Arriaga" "email" => array:1 [ 0 => "mbamores@salud.aragon.es" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "fn0005" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "V." "apellidos" => "Garcés-Horna" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "fn0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Urgencias, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Medicina Interna, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Alternativas seguras en la insuficiencia cardíaca. Hora de modificar paradigmas" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Medicine is changing; a necessity given the various economic crises that have affected healthcare systems; the pandemic which has upended the traditional way of managing and organizing healthcare, and even more so in hospitals; and trends that advocate for focusing attention on patients, humanizing their care, and involving them in decisions about their health. Therefore, the search for and implementation of alternatives to conventional hospitalization as efficient forms of management has accelerated.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The first initiatives in Spain arose in surgery departments in the 1980s, with the creation of major ambulatory surgery units. Later, they arose in the rest of disciplines with the creation of day hospitals, home hospitalization (HH), short-stay units (SSU), or rapid-resolution units, among others.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The main characteristics are that they provide an adequate diagnosis and treatment for the patient with a careful selection of diseases, procedures, and clinical symptoms cared for in these units, without increasing adverse events. This means that, compared to traditional care, they must maintain the same safety and outcome indicators and offer improvements in other important aspects, such as reductions in length of hospital stay, infections, and costs; improvements in patient satisfaction; and improved efficiency in the use of beds than the remaining hospital departments.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,2</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">In the case of SSUs, numerous studies support their safety and effectiveness and in all of them, an adequate patient selection is fundamental to achieving the improvements expected.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3–5</span></a> However, their implementation in Spain remains scarce.</p><p id="par0025" class="elsevierStylePara elsevierViewall">The RECIGE project (2012) conducted a survey of 591 Spanish hospitals and found that only 11.3% of them had an SSU and that 65% of those SSUs were dependent on the emergency department and 23% on the internal medicine department.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> Secondly, upon analyzing data on 40 SSUs, it was observed that the diseases most often cared for in these units were exacerbations of chronic cardiac and respiratory diseases.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Heart failure is the epidemic of the 21st century. Beyond the data on its incidence and prevalence in the population, its importance lies in the fact that acute heart failure (AHF) decompensation is one of the diseases that causes the most emergency department visits, hospital stays, and clinic visits, leading to a significant use of both human and financial resources and—no less important—of hospital beds. It must be considered that these are older patients who have a high number of comorbidities and that between 70% and 80% of them end up being hospitalized after being attended to in the emergency department.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Therefore, it is necessary to search for more efficient alternatives which provide more benefits to patients with AHF. The consensus document on the improvement of comprehensive care of patients with AHF by the Spanish Society of Cardiology, the Spanish Society of Internal Medicine, and Spanish Society of Emergency Medicine already includes SSUs among the alternative hospital units to conventional hospitalization where patients with AHF can be referred and indicates the clinical criteria which must be met to be treated in said units.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">SSUs are proposed as an efficient, safe alternative to conventional hospitalization, but some analyses of SSUs attribute part of their benefits, especially the improvements in mean length of hospital stay, to the patient selection necessary to be admitted to the unit and raise questions about whether this would worsen the rest of the hospital's figures. In this regard, a 2017 study by Richard Espiga et al.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a> demonstrated that the creation of an SSU in their hospital decreased the mean stay in the hospital as a whole and the medical departments without increasing adverse events compared to hospitalizations in the same hospital prior to its creation.</p><p id="par0045" class="elsevierStylePara elsevierViewall">The study by Sánchez-Marcos et al.<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> goes a step further because, while maintaining patient safety (measured by the usual indicators for ACH: 30-day mortality, repeat visits to the emergency department, and readmissions), they show a decline of four days in the mean stay of patients hospitalized due to AHF in SSUs regardless of the patient selection necessary for admission to said unit.</p><p id="par0050" class="elsevierStylePara elsevierViewall">They analyzed not only patients hospitalized in SSUs versus patients in conventional hospitalization, but also paired patients with the same clinical characteristics using severity scales (MEESSI scale) and propensity score matching with the analysis of various clinical and analytical variables; thus, they compared patients with the same level of severity and clinical characteristics. The authors concluded that SSUs are a safe and effective alternative for selected patients with AHF and, therefore, policies should be established that incorporate SSUs into our centers.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:2 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npa10035">Please cite this article as: Amores-Arriaga B, Garcés-Horna V. Alternativas seguras en la insuficiencia cardíaca. Hora de modificar paradigmas. Rev Clin Esp. 2022;222:500–501.</p>" ] 1 => array:3 [ "etiqueta" => "1" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">The concept and design of the manuscript as well as the drafting, revision, and approval of the manuscript submitted has been done with the collaboration of both authors.</p>" "identificador" => "fn0005" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:11 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The Short Stay Unit as a new option for hospitals: a review of the scientific literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "G. Damiani" 1 => "L. Pinnarelli" 2 => "L. Sommella" 3 => "V. Vena" 4 => "P. Magrini" 5 => "W. Ricciardi" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.12659/msm.881791" "Revista" => array:6 [ "tituloSerie" => "Med Sci Monit" "fecha" => "2011" "volumen" => "17" "paginaInicial" => "SR15" "paginaFinal" => "SR19" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21629205" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "La unidad de corta estancia de urgencias y la hospitalización a domicilio como alternativas a la hospitalización convencional" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "G. Alonso" 1 => "J.M. Escudero" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Anales Sist Sanit Navarra" "fecha" => "2010" "volumen" => "33" "numero" => "Suppl 1" "paginaInicial" => "97" "paginaFinal" => "106" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Effectiveness and safety of an emergency department short-stay unit as an alternative to standard inpatient hospitalisation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A. Juan" 1 => "A. Salazar" 2 => "A. Alvarez" 3 => "J.R. Perez" 4 => "L. Garcia" 5 => "X. Corbella" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/emj.2005.033647" "Revista" => array:6 [ "tituloSerie" => "Emerg Med J" "fecha" => "2006" "volumen" => "23" "paginaInicial" => "833" "paginaFinal" => "837" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17057132" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Las unidades de corta estancia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A. Juan-Pastor" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.cali.2013.05.001" "Revista" => array:6 [ "tituloSerie" => "Rev Calid sist" "fecha" => "2013" "volumen" => "28" "paginaInicial" => "197" "paginaFinal" => "198" "itemHostRev" => array:3 [ "pii" => "S1590865815001711" "estado" => "S300" "issn" => "15908658" ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Influencia de las unidades de corta estancia en la calidad de la atención hospitalaria en España. Revisión sistemática" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M. Marcos" 1 => "I. Hernández-García" 2 => "C. Ceballos-Alonso" 3 => "R. Martínez-Iglesias" 4 => "J.A. Mirón-Canelo" 5 => "F.J. Laso" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.cali.2013.04.006" "Revista" => array:6 [ "tituloSerie" => "Rev Calid Asist" "fecha" => "2013" "volumen" => "28" "paginaInicial" => "199" "paginaFinal" => "206" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23867614" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Proyecto REGICE registro de las unidades de corta estancia en España: localización, aspectos estructurales y dotación de profesionales (REGICE 1)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "F. Llopis-Roca" 1 => "A. Juan-Pastor" 2 => "C. Ferré-Losa" 3 => "F.J. Martín-Sánchez" 4 => "P. Llorens-Soriano" 5 => "G. Sempere-Montes" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Emergencias" "fecha" => "2014" "volumen" => "26" "paginaInicial" => "57" "paginaFinal" => "60" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Proyecto REGICE. Gestión clínica de las unidades de corta estancia en España (REGICE2)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "F. Llopis-Roca" 1 => "C. Ferré-Losa" 2 => "A. Juan-Pastor" 3 => "F.J. Martín-Sánchez" 4 => "G. Sempere-Montes" 5 => "P. Llorens-Soriano" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Emergencias" "fecha" => "2014" "volumen" => "26" "paginaInicial" => "359" "paginaFinal" => "362" "itemHostRev" => array:3 [ "pii" => "S001650851300886X" "estado" => "S300" "issn" => "00165085" ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Perfil clínico del paciente con insuficiencia cardiaca aguda atendido en los servicios de urgencias: Datos preliminares del Estudio EAHFE (Epidemiology Acute Heart Failure Emergency)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P. Llorens Soriano" 1 => "F.J. Martín-Sánchez" 2 => "J.J. González Armengol" 3 => "P. Herrero Puente" 4 => "J. Jacob" 5 => "A. Bella Álvarez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Emergencias" "fecha" => "2008" "volumen" => "20" "paginaInicial" => "154" "paginaFinal" => "163" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Consenso para la mejora de la atención integral de los pacientes con insuficiencia cardíaca aguda [Accessed July 2022]. Available from: <a target="_blank" href="https://secardiologia.es/images/publicaciones/documentos-consenso/consenso-ica-sec-semi-semes.pdf">https://secardiologia.es/images/publicaciones/documentos-consenso/consenso-ica-sec-semi-semes.pdf</a>." ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Impacto de la creación de una unidad de corta estancia (UCE) dependiente orgánicamente de urgencias en la gestión clínica y la calidad asistencial hospitalaria" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "F. Richard Espiga" 1 => "J.M. Mòdol Deltell" 2 => "F.J. Martín-Sánchez" 3 => "A. Fernández Sierra" 4 => "C. Fernández Pérez" 5 => "A. Juan Pastor" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Emergencias" "fecha" => "2017" "volumen" => "29" "paginaInicial" => "147" "paginaFinal" => "153" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28825233" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Análisis de la efectividad y seguridad de las unidades de estancia corta en la hospitalizaciín de pacientes con insuficiencia cardóaca aguda. Propensity Score UCE-EAHFE" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "C. Sánchez-Marcos" 1 => "J. Jacob" 2 => "P. Llorens" 3 => "B. Rodríguez" 4 => "F.J. Martín-Sánchez" 5 => "S. Herrera" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.rce.2022.03.011" "Revista" => array:7 [ "tituloSerie" => "Rev Clin Esp" "fecha" => "2022" "volumen" => "222" "paginaInicial" => "443" "paginaFinal" => "457" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/35842410" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0016508508016119" "estado" => "S300" "issn" => "00165085" ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000022200000008/v1_202210061413/S2254887422000789/v1_202210061413/en/main.assets" "Apartado" => array:4 [ "identificador" => "72714" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Editorials" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000022200000008/v1_202210061413/S2254887422000789/v1_202210061413/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887422000789?idApp=WRCEE" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 March | 2 | 0 | 2 |
| 2022 October | 2 | 0 | 2 |
| 2022 September | 2 | 2 | 4 |
