array:23 [ "pii" => "S1130862104738504" "issn" => "11308621" "doi" => "10.1016/S1130-8621(04)73850-4" "estado" => "S300" "fechaPublicacion" => "2004-01-01" "aid" => "73850" "copyright" => "Elsevier España, S.L.. Todos los derechos reservados" "copyrightAnyo" => "2004" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Enferm Clin. 2004;14:20-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 8 "PDF" => 8 ] "itemSiguiente" => array:18 [ "pii" => "S1130862104738516" "issn" => "11308621" "doi" => "10.1016/S1130-8621(04)73851-6" "estado" => "S300" "fechaPublicacion" => "2004-01-01" "aid" => "73851" "copyright" => "Elsevier España, S.L." "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Enferm Clin. 2004;14:25-30" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 29 "formatos" => array:2 [ "HTML" => 1 "PDF" => 28 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Consulta de enfermería a demanda en los centros de salud del INSALUD de la Comunidad de Madrid" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "25" "paginaFinal" => "30" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "On-demand nursing consultations in public health centers in the autonomous community of Madrid" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan L. González Pascual, Santiago Agudo Polo, Carmen Esteban Estévez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Juan L." "apellidos" => "González Pascual" ] 1 => array:2 [ "nombre" => "Santiago" "apellidos" => "Agudo Polo" ] 2 => array:2 [ "nombre" => "Carmen" "apellidos" => "Esteban Estévez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130862104738516?idApp=UINPBA00004N" "url" => "/11308621/0000001400000001/v1_201307151235/S1130862104738516/v1_201307151235/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1130862104738498" "issn" => "11308621" "doi" => "10.1016/S1130-8621(04)73849-8" "estado" => "S300" "fechaPublicacion" => "2004-01-01" "aid" => "73849" "copyright" => "Elsevier España, S.L." "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Enferm Clin. 2004;14:12-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 22 "formatos" => array:2 [ "HTML" => 3 "PDF" => 19 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Utilidad de la valoración geriátrica integral en la asignación de recursos asistenciales en pacientes con ictus" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "12" "paginaFinal" => "19" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Usefulness of nursing comprehensive geriatric assessment in assigning discharge settings in stroke patients" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Pilar Gotor Pérez" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Pilar" "apellidos" => "Gotor Pérez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130862104738498?idApp=UINPBA00004N" "url" => "/11308621/0000001400000001/v1_201307151235/S1130862104738498/v1_201307151235/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Estudio epidemiológico del embarazo ectópico en el hospital América Arias de La Habana" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "20" "paginaFinal" => "24" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Carlos Casanova Carrillo" "autores" => array:1 [ 0 => array:4 [ "nombre" => "Carlos" "apellidos" => "Casanova Carrillo" "email" => array:1 [ 0 => "pcasanov@infomed.sld.cu" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Licenciado en Enfermería. Departamento de Urgencias. Hospital Gineco-obstétrico América Arias. La Habana. Cuba" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Calle B, n.° 607, entre 25 y 27. Vedado. Plaza de la Revolución. Ciudad de la Habana. CP 10400. Cuba" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Epidemiological study of ectopic pregnancy in the América Arias Hospital in Havana, Cuba" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2002-11-22" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec207153" "palabras" => array:4 [ 0 => "Embarazo ectópico" 1 => "Enfermería obstétrica" 2 => "Complicaciones" 3 => "Mortalidad" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec207152" "palabras" => array:4 [ 0 => "Ectopic pregnancy" 1 => "Obstetric nursing" 2 => "Complications" 3 => "Mortality" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El embarazo ectópico (EE) es considerado una verdadera emergencia. Por ello nuestro interés en conocer su comportamiento en nuestro medio</p> <span class="elsevierStyleSectionTitle">Método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se estudió a todas las ingresadas en nuestro centro por EE durante el trienio 1998–2000 (172 casos) y se registró como principales variables: edad, manifestaciones clínicas, complicaciones y medios diagnósticos, entre otras. Se consideró como condición para el diagnóstico de EE los resultados obtenidos del acto quirúrgico, del informe operatorio y de anatomía patológica</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La frecuencia del EE fue de 1 por cada 106 partos o actos quirúrgicos. La edad promedio fue 28,1 años (desviación estándar, 12,5; intervalo, 16–42 años) –más afectado el grupo por encima de los 31 años (39,5%)–. Se atendió por urgencia a 118 con EE roto o fisurado. Las principales complicaciones encontradas fueron la anemia (54,1%) y el shock (9,9%), sin que ocurriera ninguna muerte materna por EE. La trompa, sobre todo la derecha, fue la localización predominante</p> <span class="elsevierStyleSectionTitle">Discusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La frecuencia de esta complicación y los factores invocados en su génesis son similares en nuestra investigación a lo comunicado en la bibliografía mundial</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Se observó un incremento anual del EE en la muestra estudiada. Los procedimientos diagnósticos empleados permitieron el diagnóstico oportuno, y lo más efectivo fue su combinación racional. Es imprescindible la constante preocupación de todo médico de familia y enfermero para el diagnóstico y tratamiento de cualquier infección cervicovaginal en las embarazadas y de otras patologías vinculadas con el origen del EE</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Because ectopic pregnancy (EP) is a medical emergency we were interested in determining its characteristics in our environment</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">All patients (n = 172) admitted to our center with EP from 1998-2000 were analyzed. The main variables studied were age, clinical manifestations, complications and diagnostic procedures, among others. Criteria for a diagnosis of EP were findings during surgery, the surgical report and the pathological report</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The frequency of EP was 1 case per 106 deliveries or surgical procedures. The mean age was 28.1 years (SD: 12.5; interval: 16–42 years). EP was most frequent in patients aged more than 31 years (39.5%). One hundred eighteen patients received emergency care due to ruptured or fissured EP. The main complications were anemia (54.1%) and shock (9.9%). There were no cases of maternal death due to EP. The most frequent localization was Fallopian tube, especially the right tube</p> <span class="elsevierStyleSectionTitle">Discussion</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Our findings on the frequency of this complication and the factors involved in its genesis are similar to those reported in the world literature</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">The study sample showed an annual increase in EP. The diagnostic procedures used allowed timely diagnosis and their rational combination was the most effective strategy. 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Estudio epidemiológico del embarazo ectópico en el hospital América Arias de La Habana
Epidemiological study of ectopic pregnancy in the América Arias Hospital in Havana, Cuba
Carlos Casanova Carrillo
Autor para correspondencia
pcasanov@infomed.sld.cu
Correspondencia: Calle B, n.° 607, entre 25 y 27. Vedado. Plaza de la Revolución. Ciudad de la Habana. CP 10400. Cuba
Correspondencia: Calle B, n.° 607, entre 25 y 27. Vedado. Plaza de la Revolución. Ciudad de la Habana. CP 10400. Cuba
Licenciado en Enfermería. Departamento de Urgencias. Hospital Gineco-obstétrico América Arias. La Habana. Cuba