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"titulo" => "Análisis de costes y ahorros potenciales relacionados con la utilización de pruebas preoperatorias en los hospitales de Canarias"
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"titulo" => "Cost analysis and potential savings related to the use of preoperative tests in the hospitals of the Canary Islands [Spain]"
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"resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Estimar el ahorro potencial que podría tener lugar en el Servicio Canario de Salud (SCS), a partir de una utilización apropiada científica de las pruebas preoperatorias, haciendo uso de la información obtenida de los 5 hospitales universitarios de la red pública.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Un total de 55 anestesiólogos (60%) del SCS cumplimentaron un cuestionario. En éste se prestó especial atención a las pruebas preoperatorias más frecuentemente utilizadas, como la radiografía de tórax, el electrocardiograma, las pruebas de laboratorio y la espirometría. Los costes unitarios medios para las diferentes pruebas preoperatorias se obtuvieron de 2 hospitales participantes en el estudio. Para calcular los ahorros potenciales derivados del uso apropiado de las pruebas preoperatorias se han considerado varios escenarios caracterizados por diferentes hipótesis o grados de cumplimiento de un protocolo basado en el conocimiento científico, considerado como parámetro de referencia.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En el caso ideal de que se cumpliera el protocolo científico recomendado en el 100% de los 16.179 pacientes considerados ASA I y II, la repercusión económica sería notable, pues supondría una liberación de recursos sensible que podría ser utilizada para otros programas de salud. Estas cifras podrían alcanzar aproximadamente los 1,02 millones de euros, sin considerar el coste de la estancia preoperatoria. Esta cifra podría incrementarse hasta, aproximadamente, los 2,13 millones de euros si incluimos un día de estancia preoperatoria, y hasta los 3,24 millones de euros incluyendo 2 días de estancia preoperatoria.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La revisión reciente de la literatura científica y los resultados proporcionados por el cuestionario aplicado en el SCS indican que las pruebas preoperatorias alcanzan los mayores beneficios para los pacientes y para la sociedad si se guían por el conocimiento científico. Es posible, además, liberar recursos a partir de una mejor selección y utilización de las pruebas preoperatorias.</p>"
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"en" => array:2 [
"titulo" => "Abstract"
"resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To estimate the potential cost savings that might take place in the Canary Islands Health Service (CHS) through the appropriate scientific use of preoperative tests, using information obtained from five public university hospitals.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A questionnaire was completed by 55 anesthesiologists, representing 60% of the total in the CHS. The questionnaire paid special attention to the most frequently used preoperative tests: chest radiograph, electrocardiogram, laboratory tests, and spirometry. The mean unit costs for the various preoperative tests were obtained from the two hospitals participating in the study. To calculate the potential cost savings derived from the appropriate use of preoperative tests, several scenarios were considered. These were characterized by different hypotheses or degrees of fulfillment of a protocol based on scientific knowledge and considered as the gold standard.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">In the ideal scenario in which the recommended scientific protocol was fulfilled in 100% of the 16 179 patients with an American Society of Anesthesiologists (ASA) grade of I-II, the economic impact would be notable, since it would free sensitive resources that could be used for other health programs. These figures could amount to approximately 1.02 million euros, without considering the cost of preoperative hospital stay. This figure could increase by up to approximately 2.13 million euros if one day of preoperative hospital stay were included and by up to 3.24 million euros if two days of preoperative hospital stay were included.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The recent literature review and the results of the questionnaire applied in the CHS indicate that preoperative tests are of greatest benefit to patients and to society if their use is guided by scientific knowledge. In addition, resources can be freed by better selection and utilization of preoperative tests.</p>"
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"bibliografiaReferencia" => array:35 [
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"etiqueta" => "1."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "SBU"
"autores" => array:1 [
0 => array:2 [
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]
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"host" => array:1 [
0 => array:1 [
"Revista" => array:2 [
"tituloSerie" => "The Swedish Council on Technology Assessment in Health Care, may"
"fecha" => "1989"
]
]
]
]
]
]
1 => array:3 [
"identificador" => "bib0010"
"etiqueta" => "2."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Is the routine preoperative chest film of value?"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:2 [
0 => "S.R.F. Petterson"
1 => "M.L. Janower"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:4 [
"tituloSerie" => "Appl Radiol"
"fecha" => "1977"
"volumen" => "6"
"paginaInicial" => "70"
]
]
]
]
]
]
2 => array:3 [
"identificador" => "bib0015"
"etiqueta" => "3."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Usefulness of screening chest roentgenograms in preoperative patients"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:3 [
0 => "L. Rucker"
1 => "E.B. Frye"
2 => "M.A. Staten"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "JAMA"
"fecha" => "1983"
"volumen" => "250"
"paginaInicial" => "3209"
"paginaFinal" => "3211"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/6645012"
"web" => "Medline"
]
]
]
]
]
]
]
]
3 => array:3 [
"identificador" => "bib0020"
"etiqueta" => "4."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "The value of preoperative screening investigations in otherwise healthy individuals"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:2 [
0 => "J.M. Turnbull"
1 => "C. Buck"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Arch Intern Med"
"fecha" => "1987"
"volumen" => "147"
"paginaInicial" => "1101"
"paginaFinal" => "1105"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/3592875"
"web" => "Medline"
]
]
]
]
]
]
]
]
4 => array:3 [
"identificador" => "bib0025"
"etiqueta" => "5."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Usefulness of preoperative laboratory assessment of patients undergoing elective herniorrhaphy"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:3 [
0 => "J.r. Adams JG"
1 => "J.A. Weigelt"
2 => "E. Poulos"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Arch Surg"
"fecha" => "1992"
"volumen" => "127"
"paginaInicial" => "801"
"paginaFinal" => "804"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/1524480"
"web" => "Medline"
]
]
]
]
]
]
]
]
5 => array:3 [
"identificador" => "bib0030"
"etiqueta" => "6."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Value of routine preoperative tests: a multicentre study in four general hospitals"
"autores" => array:1 [
0 => array:2 [
"etal" => true
"autores" => array:6 [
0 => "A. Pérez"
1 => "J. Planell"
2 => "C. Bacardaz"
3 => "A. Hounie"
4 => "J. Franci"
5 => "C. Brotons"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Br J Anaesth"
"fecha" => "1995"
"volumen" => "74"
"paginaInicial" => "250"
"paginaFinal" => "256"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/7718366"
"web" => "Medline"
]
]
]
]
]
]
]
]
6 => array:3 [
"identificador" => "bib0035"
"etiqueta" => "7."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "McWhinnie. The preoperative electrocardiogram: an assessment"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:4 [
0 => "K.R. Paterson"
1 => "J.P. Caskie"
2 => "D.J. Galloway"
3 => "K. McArthur"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Scott Med J"
"fecha" => "1983"
"volumen" => "28"
"paginaInicial" => "116"
"paginaFinal" => "118"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/6867689"
"web" => "Medline"
]
]
]
]
]
]
]
]
7 => array:3 [
"identificador" => "bib0040"
"etiqueta" => "8."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Utilisation of the preoperative ECG"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:3 [
0 => "L.C. Callaghan"
1 => "N.D. Edwards"
2 => "C.S. Reilly"
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]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Anaesthesia"
"fecha" => "1995"
"volumen" => "50"
"paginaInicial" => "488"
"paginaFinal" => "490"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/7618658"
"web" => "Medline"
]
]
]
]
]
]
]
]
8 => array:3 [
"identificador" => "bib0045"
"etiqueta" => "9."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "The usefulness of preoperative laboratory screening"
"autores" => array:1 [
0 => array:2 [
"etal" => true
"autores" => array:6 [
0 => "E.B. Kaplan"
1 => "L.B. Sheiner"
2 => "A.J. Boeckmann"
3 => "M.F. Roizen"
4 => "S.L. Beal"
5 => "S.N. Cohen"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "JAMA"
"fecha" => "1985"
"volumen" => "253"
"paginaInicial" => "3576"
"paginaFinal" => "3581"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/3999339"
"web" => "Medline"
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]
]
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]
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"titulo" => "A prospective evaluation of the efficacy of preoperative coagulation-testing"
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0 => array:2 [
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"autores" => array:3 [
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1 => "M.C. Michelotti"
2 => "D.L. Nahrworld"
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]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Ann Surg"
"fecha" => "1988"
"volumen" => "208"
"paginaInicial" => "554"
"paginaFinal" => "557"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/3190281"
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]
]
]
]
]
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"autores" => array:3 [
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]
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0 => array:2 [
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]
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11 => array:3 [
"identificador" => "bib0060"
"etiqueta" => "12."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Preoperative hemoglobin estimation in pediatric ENT surgery"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:1 [
0 => "T.J. Hoare"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "J Laryngol Otol"
"fecha" => "1993"
"volumen" => "107"
"paginaInicial" => "1146"
"paginaFinal" => "1148"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/8289005"
"web" => "Medline"
]
]
]
]
]
]
]
]
12 => array:3 [
"identificador" => "bib0065"
"etiqueta" => "13."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Hemostatic assessment of patients before tonsillectomy: a prospective study"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:4 [
0 => "H.L. Close"
1 => "T.C. Kryzer"
2 => "J.H. Nowlin"
3 => "B.M. Alving"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Otolaryngol Head Neck Surg"
"fecha" => "1994"
"volumen" => "111"
"paginaInicial" => "733"
"paginaFinal" => "738"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/7991252"
"web" => "Medline"
]
]
]
]
]
]
]
]
13 => array:3 [
"identificador" => "bib0070"
"etiqueta" => "14."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Do «screening» coagulation tests predict bleeding in patients undergoing fiberoptic bronchoscopy with biopsy?"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:2 [
0 => "E.A. Kozak"
1 => "L.K. Brath"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Chest"
"fecha" => "1994"
"volumen" => "106"
"paginaInicial" => "703"
"paginaFinal" => "705"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/8082343"
"web" => "Medline"
]
]
]
]
]
]
]
]
14 => array:3 [
"identificador" => "bib0075"
"etiqueta" => "15."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Predicting postoperative pulmonary complications. Is it a real problem?"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:5 [
0 => "P. Williams-Russo"
1 => "M.E. Charlson"
2 => "C.R. Mackenzie"
3 => "J.P. Gold"
4 => "G.T. Shires"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Arch Intern Med"
"fecha" => "1992"
"volumen" => "152"
"paginaInicial" => "1209"
"paginaFinal" => "1213"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/1599349"
"web" => "Medline"
]
]
]
]
]
]
]
]
15 => array:3 [
"identificador" => "bib0080"
"etiqueta" => "16."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "How useful are routine chest x-rays of preoperative patients al risk for postoperative chest disease?"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:2 [
0 => "T.G. Tape"
1 => "A.I. Mushlin"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "J Gen Intern Med"
"fecha" => "1988"
"volumen" => "3"
"paginaInicial" => "15"
"paginaFinal" => "20"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/3339483"
"web" => "Medline"
]
]
]
]
]
]
]
]
16 => array:3 [
"identificador" => "bib0085"
"etiqueta" => "17."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Prospective assessment of a protocol for selective ordering of preoperative chest x-rays"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:5 [
0 => "Y. Charpak"
1 => "C. Blery"
2 => "C. Chastang"
3 => "M. Szatan"
4 => "B. Fourgeauxet"
]
]
]
]
]
"host" => array:1 [
0 => array:2 [
"doi" => "10.1007/BF03010620"
"Revista" => array:6 [
"tituloSerie" => "Can J Anaesth"
"fecha" => "1988"
"volumen" => "35"
"paginaInicial" => "259"
"paginaFinal" => "264"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/3383317"
"web" => "Medline"
]
]
]
]
]
]
]
]
17 => array:3 [
"identificador" => "bib0090"
"etiqueta" => "18."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Preoperative screening electrocardiography: predictive value for postoperative cardiac complications"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:1 [
0 => "V. Velanovich"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "South Med J"
"fecha" => "1994"
"volumen" => "87"
"paginaInicial" => "431"
"paginaFinal" => "434"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/8153766"
"web" => "Medline"
]
]
]
]
]
]
]
]
18 => array:3 [
"identificador" => "bib0095"
"etiqueta" => "19."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "The preoperative electrocardiogram as an indicator of risk in major noncardiac surgery"
"autores" => array:1 [
0 => array:2 [
"etal" => true
"autores" => array:6 [
0 => "N.H. Carliner"
1 => "M.L. Fisher"
2 => "G.D. Plotnick"
3 => "G.W. Moran"
4 => "M.H. Kelemen"
5 => "T.R. Gadacz"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Can J Cardiol"
"fecha" => "1986"
"volumen" => "2"
"paginaInicial" => "134"
"paginaFinal" => "137"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/3719447"
"web" => "Medline"
]
]
]
]
]
]
]
]
19 => array:3 [
"identificador" => "bib0100"
"etiqueta" => "20."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "The role of the routine preoperative electrocardiogram in the elderly surgical patient"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:3 [
0 => "D.G. Seymour"
1 => "R. Pringle"
2 => "W.J. MacLennan"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Age Ageing"
"fecha" => "1983"
"volumen" => "12"
"paginaInicial" => "97"
"paginaFinal" => "104"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/6869118"
"web" => "Medline"
]
]
]
]
]
]
]
]
20 => array:3 [
"identificador" => "bib0105"
"etiqueta" => "21."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Routine pre-operative blood testing: is it necessary?"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:2 [
0 => "R.K. Johnson"
1 => "A.J. Mortimer"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Anaesthesia"
"fecha" => "2002"
"volumen" => "57"
"paginaInicial" => "914"
"paginaFinal" => "917"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/12190758"
"web" => "Medline"
]
]
]
]
]
]
]
]
21 => array:3 [
"identificador" => "bib0110"
"etiqueta" => "22."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Indications for electrocardiogram in the preoperative asessment for programmed surgery"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:3 [
0 => "F.J. García-Miguel"
1 => "J. García Caballero"
2 => "J.A. Gómez de Caso-Canto"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Rev Esp Anestesiol Reanim"
"fecha" => "2002"
"volumen" => "49"
"paginaInicial" => "5"
"paginaFinal" => "12"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/11898449"
"web" => "Medline"
]
]
]
]
]
]
]
]
22 => array:3 [
"identificador" => "bib0115"
"etiqueta" => "23."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Indicaciones de la radiografía de tórax para la valoración preoperatoria en cirugía programada"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:3 [
0 => "F.J. García-Miguel"
1 => "J. García Caballero"
2 => "J.A. Gómez de Caso-Canto"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Rev Esp Anestesiol Reanim"
"fecha" => "2002"
"volumen" => "49"
"paginaInicial" => "80"
"paginaFinal" => "88"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/12025252"
"web" => "Medline"
]
]
]
]
]
]
]
]
23 => array:3 [
"identificador" => "bib0120"
"etiqueta" => "24."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Routine preoperative testing: a systematic review of the evidence"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:3 [
0 => "J. Munro"
1 => "A. Booth"
2 => "J. Nicholl"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:5 [
"tituloSerie" => "Health Technol Assess"
"fecha" => "1997"
"volumen" => "1"
"paginaInicial" => "1"
"paginaFinal" => "62"
]
]
]
]
]
]
24 => array:3 [
"identificador" => "bib0125"
"etiqueta" => "25."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:1 [
"autores" => array:1 [
0 => array:2 [
"colaboracion" => "Evaluación preoperatoria del paciente asintomático"
"etal" => false
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:2 [
"tituloSerie" => "Osteba: Gobierno Vasco"
"fecha" => "1994"
]
]
]
]
]
]
25 => array:3 [
"identificador" => "bib0130"
"etiqueta" => "26."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:1 [
"autores" => array:1 [
0 => array:2 [
"colaboracion" => "Protocol for routine pre-operative testing"
"etal" => false
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:2 [
"tituloSerie" => "Canadian Medical Association, december"
"fecha" => "1996"
]
]
]
]
]
]
26 => array:3 [
"identificador" => "bib0135"
"etiqueta" => "27."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Indications for routine preoperative examinations"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:1 [
0 => "P. Durieux"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"LibroEditado" => array:2 [
"paginaInicial" => "96"
"serieFecha" => "1992"
]
]
]
]
]
]
27 => array:3 [
"identificador" => "bib0140"
"etiqueta" => "28."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Evaluación preoperatoria. Anestesia"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:2 [
0 => "M.F. Roizen"
1 => "R.D. Miller"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"LibroEditado" => array:3 [
"paginaInicial" => "675"
"paginaFinal" => "701"
"serieFecha" => "1993"
]
]
]
]
]
]
28 => array:3 [
"identificador" => "bib0145"
"etiqueta" => "29."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Preoperative chest radiology"
"autores" => array:1 [
0 => array:2 [
"colaboracion" => "National Study by the Royal College of Radiologist"
"etal" => false
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Lancet"
"fecha" => "1979"
"volumen" => "2"
"paginaInicial" => "83"
"paginaFinal" => "86"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/2567878"
"web" => "Medline"
]
]
]
]
]
]
]
]
29 => array:3 [
"identificador" => "bib0150"
"etiqueta" => "30."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Preoperative evaluation of the healthy patient"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:2 [
0 => "J.A. Robbins"
1 => "A.I. Mushling"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Med Clin N Am"
"fecha" => "1979"
"volumen" => "63"
"paginaInicial" => "1145"
"paginaFinal" => "1156"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/529881"
"web" => "Medline"
]
]
]
]
]
]
]
]
30 => array:3 [
"identificador" => "bib0155"
"etiqueta" => "31."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Misuse of laboratory tests and diagnostic procedures"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:2 [
0 => "P.S. Griner"
1 => "R.J. Glaser"
]
]
]
]
]
"host" => array:1 [
0 => array:2 [
"doi" => "10.1056/NEJM198211183072109"
"Revista" => array:6 [
"tituloSerie" => "N Engl J Med"
"fecha" => "1982"
"volumen" => "307"
"paginaInicial" => "1336"
"paginaFinal" => "1339"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/7133071"
"web" => "Medline"
]
]
]
]
]
]
]
]
31 => array:3 [
"identificador" => "bib0160"
"etiqueta" => "32."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Routine investigations in elective surgical patients"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:1 [
0 => "B.R. Catchlove"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Med J Austr"
"fecha" => "1979"
"volumen" => "2"
"numero" => "12"
"paginaInicial" => "654"
"paginaFinal" => "655"
]
]
]
]
]
]
32 => array:3 [
"identificador" => "bib0165"
"etiqueta" => "33."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Why are clinical laboratory tests performed? When are they valid?"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:3 [
0 => "A.F. Krieg"
1 => "R. Gambino"
2 => "R.S. Galen"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "JAMA"
"fecha" => "1975"
"volumen" => "233"
"paginaInicial" => "76"
"paginaFinal" => "78"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/1173430"
"web" => "Medline"
]
]
]
]
]
]
]
]
33 => array:3 [
"identificador" => "bib0170"
"etiqueta" => "34."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Encuesta sobre la valoración preoperatoria en los centros quirúrgicos catalanes (I). ¿Cuál es la práctica preoperatoria?"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:3 [
0 => "J. Vilarasau Farré"
1 => "M. Martín-Baranera"
2 => "G. Oliva"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:7 [
"tituloSerie" => "Rev Esp Anestesiol Reanim"
"fecha" => "2001"
"volumen" => "48"
"numero" => "1"
"paginaInicial" => "4"
"paginaFinal" => "10"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/11234606"
"web" => "Medline"
]
]
]
]
]
]
]
]
34 => array:3 [
"identificador" => "bib0175"
"etiqueta" => "35."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Sobre la necesidad de una medicina basada en la evidencia"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:4 [
0 => "D.L. Sackett"
1 => "W.S. Richardson"
2 => "W. Rosenberg"
3 => "R.B. Haynes"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"LibroEditado" => array:4 [
"titulo" => "Medicina Basada en la Evidencia. Cómo ejercer y enseñar la MBE"
"paginaInicial" => "1"
"paginaFinal" => "17"
"serieFecha" => "1997"
]
]
]
]
]
]
]
]
]
]
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