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array:24 [ "pii" => "S0213911107720629" "issn" => "02139111" "doi" => "10.1157/13112236" "estado" => "S300" "fechaPublicacion" => "2007-11-01" "aid" => "72062" "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria" "copyrightAnyo" => "2007" "documento" => "article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Gac Sanit. 2007;21:444-51" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4442 "formatos" => array:3 [ "EPUB" => 134 "HTML" => 3829 "PDF" => 479 ] ] "itemSiguiente" => array:19 [ "pii" => "S0213911107720630" "issn" => "02139111" "doi" => "10.1157/13112237" "estado" => "S300" "fechaPublicacion" => "2007-11-01" "aid" => "72063" "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria" "documento" => "article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" 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Arranz, Susana Catalán, Pilar Gómez, Cristina Hidalgo, Alicia Barrasa, Dionisio Herrera" "autores" => array:7 [ 0 => array:2 [ "nombre" => "Victoria" "apellidos" => "Hernando" ] 1 => array:2 [ "nombre" => "Lou" "apellidos" => "Narot Arranz" ] 2 => array:2 [ "nombre" => "Susana" "apellidos" => "Catalán" ] 3 => array:2 [ "nombre" => "Pilar" "apellidos" => "Gómez" ] 4 => array:2 [ "nombre" => "Cristina" "apellidos" => "Hidalgo" ] 5 => array:2 [ "nombre" => "Alicia" "apellidos" => "Barrasa" ] 6 => array:2 [ "nombre" => "Dionisio" "apellidos" => "Herrera" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911107720630?idApp=WGSE" "url" => "/02139111/0000002100000006/v1_201301241551/S0213911107720630/v1_201301241551/es/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0213911107720617" "issn" => "02139111" "doi" => "10.1157/13112235" "estado" => "S300" "fechaPublicacion" => "2007-11-01" "aid" => "72061" "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "edi" "cita" => "Gac Sanit. 2007;21:439-43" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3583 "formatos" => array:3 [ "EPUB" => 104 "HTML" => 3040 "PDF" => 439 ] ] "es" => array:9 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>" "titulo" => "La prevención y el control de las enfermedades infecciosas: una contribución a la construcción de Europa" "tienePdf" => "es" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "439" "paginaFinal" => "443" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Prevention and control of infectious diseases: a contribution to Europe’s building" ] ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Karoline Fernández de la Hoz" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Karoline Fernández" "apellidos" => "de la Hoz" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911107720617?idApp=WGSE" "url" => "/02139111/0000002100000006/v1_201301241551/S0213911107720617/v1_201301241551/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Originales</span>" "titulo" => "Coste del cuidado informal del ictus en una población general no institucionalizada" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "444" "paginaFinal" => "451" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Adolfo Hervás, Juan Cabasés, Tarsicio Forcén" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Adolfo" "apellidos" => "Hervás" "email" => array:1 [ 0 => "ahervasa@cfnavarra.es" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "Juan" "apellidos" => "Cabasés" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 2 => array:3 [ "nombre" => "Tarsicio" "apellidos" => "Forcén" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Centro de Salud Tafalla, Servicio Navarro de Salud-Osasunbidea, Pamplona, Navarra, España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Departamento de Economía, Universidad Pública de Navarra-Nafarroako Unibertsitate Publikoa, Grupo de Investigación de Economía de la Salud, Pamplona, Navarra, España" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Adolfo Hervás. Centro de Salud Tafalla. Camino de la Pedrera, 9. 31300 Tafalla. Navarra. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Cost of informal care for stroke victims in a non-institutionalized general population" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-07-27" "fechaAceptado" => "2007-05-29" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec13898" "palabras" => array:8 [ 0 => "Cuidado informal" 1 => "Cuidadores" 2 => "Costes" 3 => "Costes sociales" 4 => "Enfermedad cerebrovascular" 5 => "Ictus" 6 => "Dependencia" 7 => "Aproximación de abajo arriba" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec13897" "palabras" => array:8 [ 0 => "Informal care" 1 => "Caregivers" 2 => "Costs" 3 => "Social costs" 4 => "Cerebrovascular disease" 5 => "Stroke" 6 => "Dependency" 7 => "Bottom-up approach" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Antecedentes</span><p class="elsevierStyleSimplePara elsevierViewall">El impacto social del ictus es importante por tratarse de una enfermedad invalidante, que causa dependencia y necesidad de cuidados informales. La importancia de la dependencia cada vez es mayor en la sociedad, pero no hay registros de los costes del cuidado informal, y se desconoce cómo valorarla.</p> <span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">Calcular el coste del cuidado informal del ictus en una población general y analizarlo en función del grado de dependencia. Realizar un análisis de sensibilidad con la variable costes unitarios a partir de fuentes diversas.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se estudian todos los casos diagnosticados de ictus a 31 de diciembre de 2004 (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>95) pertenecientes a una zona básica de salud de Navarra, de los que 40 (44,4%) precisan cuidados informales. Se valora la dependencia para las actividades de la vida diaria mediante los índices de Barthel (actividades básicas [ABVD]) y Lawton-Brody (actividades instrumentales [AIVD]). La valoración del tiempo del cuidado informal se realiza con una aproximación de abajo a arriba (<span class="elsevierStyleItalic">bottom-up</span>), mediante un cuestionario de recogida de actividades diarias.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">El coste del cuidado informal de los pacientes con ictus es de 21.551,28 €/año, con un rango, según el análisis de sensibilidad, entre 6.490,80 y 31.436,72 €/año. Hay diferencias estadísticamente significativas en el coste del cuidado informal según el grado de dependencia (ABVD: 24.865,2 €/año; AIVD: 10.442,9 €/año).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El coste del cuidado informal en la atención al ictus es elevado y crece con el nivel de dependencia.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p class="elsevierStyleSimplePara elsevierViewall">Stroke has a strong social impact since it causes disability, leading to dependency and the need for informal care. Although awareness of the importance of dependency is increasing, registries of the cost of informal care are lacking and consequently the real value of this activity to society is still unknown.</p> <span class="elsevierStyleSectionTitle">Objectives</span><p class="elsevierStyleSimplePara elsevierViewall">To calculate the cost of informal care of stroke victims in a general population, evaluate these costs according to patients’ degree of dependency, and perform a oneway sensitivity analysis with variable unit costs from diverse sources.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">Of all the patients with stroke diagnosed at 12-31-2004 (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>95) among the population within a district health service of Navarre (Spain), 40 (44.4%) required informal care. Dependency for activities of daily life was evaluated by means of the Barthel (basic activities of daily life [BADL]) and Lawton-Brody indices (instrumental activities of daily life [IADL]). Time of informal care was evaluated following a bottom-up approach and diary survey method.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The cost of the informal care of patients with stroke was 21,551.28 euros per year. According to the sensitivity analysis the range varied from 6,490.80 to 31,436.72 euros per year. Statistically significant differences in the cost of informal care were found according to patients’ degree of dependency (BADL: 24,865.2 euros per year; IADL: 10,442.9 euros per year).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The cost of informal care in ictus is high and is directly related to the degree of dependency.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:30 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The impact of stroke" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "C.H. 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