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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El objetivo de este estudio es conocer los criterios de selecci&#243;n y preparaci&#243;n de los pacientes en las diferentes unidades de cirug&#237;a mayor ambulatoria &#40;UCMA&#41; espa&#241;olas y su impacto en los resultados de &#233;stas&#59; tambi&#233;n se comparan dichos resultados seg&#250;n el tipo de estructura funcional de las unidades &#40;aut&#243;noma o integrada&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo transversal mediante encuesta postal&#46; Encuesta con los siguientes apartados&#58; tipo de unidad&#44; cartera de servicios&#44; criterios de selecci&#243;n&#44; evaluaci&#243;n&#44; manejo preoperatorio e indicadores cualitativos y cuantitativos de la actividad realizada en el a&#241;o 2000&#46; Se incluyeron 123 unidades&#44; con un nivel de respuesta del 39&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Existe un alto grado de consenso en los criterios de selecci&#243;n&#46; En el 97&#44;9&#37; de las unidades se utiliza la consulta de anestesia para la evaluaci&#243;n preoperatoria&#46; La solicitud sistem&#225;tica de las pruebas de laboratorio es elevada &#40;89&#37; para la hemostasia y el hemograma&#44; 72&#44;9&#37; para la bioqu&#237;mica&#41;&#44; mientras que para la radiograf&#237;a de t&#243;rax &#40;33&#44;3&#37;&#41; y el ECG &#40;35&#44;4&#37;&#41; se utilizan criterios m&#225;s selectivos&#46; La implantaci&#243;n de protocolos para el manejo de afecciones asociadas est&#225; poco extendida &#40;25-64&#44;6&#37;&#41;&#46; El &#237;ndice de cancelaciones es ventajoso para las unidades que utilizan la consulta de anestesia en todos los pacientes &#40;el 1&#44;5 frente al 4&#44;4&#37;&#41;&#46; Existe una significativa aceptaci&#243;n de pacientes de mayor riesgo quir&#250;rgico-anest&#233;sico en las unidades de tipo aut&#243;nomo respecto a las integradas&#44; as&#237; como una significativa disminuci&#243;n del n&#250;mero de ingresos &#40;el 1&#44;2 frente al 1&#44;9&#37;&#59; p &#61; 0&#44;003&#41; de las estancias &#40;240 frente a 367 min&#59; p &#61; 0&#44;002&#41;&#44; y del tiempo de recuperaci&#243;n &#40;150 frente a 212 min&#59; p &#61; 0&#44;001&#41;&#46; Las diferencias en el resto de los indicadores analizados no revisten significaci&#243;n&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Es necesario profundizar en la consecuci&#243;n de protocolos basados en evidencias cient&#237;ficas para la se-lecci&#243;n de los pacientes&#44; la evaluaci&#243;n preoperatoria y el manejo perioperatorio de las diferentes enfermedades&#44; as&#237; como para la utilizaci&#243;n racional de las pruebas de laboratorio&#46; Se constata la necesidad de la consulta anest&#233;sica para la evaluaci&#243;n preoperatoria&#46; Los resultados de nuestra encuesta apuntan hacia unos mejores resultados en los indicadores de funcionamiento en las UCMA aut&#243;nomas frente a las integradas&#46; Existe la posibilidad de definir est&#225;ndares de calidad y validarlos&#44; para lo cual ser&#225;n necesarios futuros estudios multic&#233;ntricos&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The objective of this study was to determine both the selection and preparation criteria in patients in various Spanish ambulatory surgery centers&#44; as well as the impact of these criteria on their results&#46; The results were compared according to the type of functional structure of the units &#40;autonomous or integrated&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We performed a cross sectional&#44; descriptive study through postal survey&#46; The survey contained the following items&#58; type of unit&#44; surgical procedures&#44; selection criteria&#44; preoperative assessment and management&#44; and qualitative and quantitative indexes of the activity performed in 2000&#46; A total of 123 units were included with a response rate of 39&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The selection criteria showed a high degree of consensus&#46; The outpatient anesthesia clinic was used for preoperative assessment by 97&#46;9&#37; of the units&#46; Most units routinely requested preoperative tests &#40;hemostasis and hemogram by 89&#37;&#59; biochemical parameters by 72&#46;9&#37;&#41; and to a lesser extent chest X-ray &#40;33&#46;3&#37;&#41; and electrocardiogram &#40;35&#46;4&#37;&#41;&#46; The introduction of procedures for the management of coexisting diseases was scarce &#40;25-64&#46;6&#37;&#41;&#46; Units using the outpatient anesthesia clinic in all patients had a lower cancellation rate &#40;1&#46;5&#37; vs 4&#46;4&#37;&#41;&#46; Autonomous units were significantly more likely to accept patients with high surgical-anesthetic risk than integrated units&#46; Autonomous units also showed a significantly lower number of admissions &#40;1&#46;2&#37; vs 1&#46;9&#37;&#44; p &#61; 0&#46;003&#41;&#44; mean stay &#40;240 min vs 367 min&#44; p &#61; 0&#46;002&#41;&#44; and recovery time &#40;150 min vs 212 min&#44; p &#61; 0&#46;001&#41; than integrated units&#46; No statistically significant differences were found in the remaining parameters&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Scientifically based protocols for patient selection&#44; preoperative assessment and perioperative management of distinct processes and for the rational use of laboratory tests should be more widely used&#46; The need for an outpatient anesthesia clinic for preoperative assessment was notable&#46; The results of our survey indicate that better results in performance indexes are achieved in autonomous ambulatory surgery units than in integrated units&#46; Given the possibility of defining and validating quality standards&#44; further multicenter studies should be performed&#46;</p>"
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                        "paginaFinal" => "222"
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                          "autores" => array:1 [
                            0 => "W&#46;D&#46; Owens"
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                      "Revista" => array:6 [
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                        "paginaInicial" => "239"
                        "paginaFinal" => "241"
                        "link" => array:1 [
                          0 => array:2 [
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                        "paginaInicial" => "169"
                        "link" => array:1 [
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                          "autores" => array:2 [
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                        "tituloSerie" => "Can J Anaesth"
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                        "volumen" => "42"
                        "paginaInicial" => "391"
                        "paginaFinal" => "394"
                        "link" => array:1 [
                          0 => array:2 [
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                          "autores" => array:3 [
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                        "paginaInicial" => "407"
                        "paginaFinal" => "410"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8694327"
                            "web" => "Medline"
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                    0 => array:2 [
                      "titulo" => "Limitation of unnecessary laboratory tests by preoperative questionnaire"
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                          "autores" => array:3 [
                            0 => "M&#46;F&#46; Roizen"
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                        "paginaInicial" => "455A"
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                        "paginaInicial" => "551"
                        "paginaFinal" => "573"
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                            2 => "T&#46;L&#46; Paul"
                            3 => "J&#46;A&#46; Doyle"
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                  "host" => array:1 [
                    0 => array:2 [
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                        "tituloSerie" => "Can J Anaesth"
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                        "paginaInicial" => "87"
                        "paginaFinal" => "92"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9466037"
                            "web" => "Medline"
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                0 => array:2 [
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                    0 => array:2 [
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                          "autores" => array:4 [
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                            3 => "K&#46;M&#46; Hillman"
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                      "Revista" => array:6 [
                        "tituloSerie" => "Anaesth Intensive Care"
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                        "paginaInicial" => "591"
                        "paginaFinal" => "596"
                        "link" => array:1 [
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                        "paginaFinal" => "683"
                        "link" => array:1 [
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                        "tituloSerie" => "N Engl J Med"
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                        "paginaFinal" => "1511"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9154771"
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                            2 => "J&#46; Planell Piqueras"
                            3 => "M&#46; Bassols Farr&#233;s"
                            4 => "M&#46; Serra Dom&#237;nguez"
                            5 => "V&#46; Moral Garc&#237;a"
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                        ]
                      ]
                    ]
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                      "Revista" => array:5 [
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                        "paginaFinal" => "3010"
                        "link" => array:1 [
                          0 => array:2 [
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                            "web" => "Medline"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The New York experience&#58; quality assurance analysis of unanticipated hospital admission following ambulatory surgery"
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Anesthesiology"
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                        "paginaInicial" => "26A"
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                    ]
                  ]
                ]
              ]
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            33 => array:3 [
              "identificador" => "bib0170"
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                      "Revista" => array:6 [
                        "tituloSerie" => "Can J Anaesth"
                        "fecha" => "1998"
                        "volumen" => "45"
                        "paginaInicial" => "612"
                        "paginaFinal" => "619"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9717590"
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                  "contribucion" => array:1 [
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
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                        "tituloSerie" => "Qual Assur Util Rev"
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                        "volumen" => "5"
                        "paginaInicial" => "2"
                        "paginaFinal" => "6"
                        "link" => array:1 [
                          0 => array:2 [
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                      "titulo" => "Preadmision anesthesia consultation clinic"
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                        0 => array:2 [
                          "etal" => false
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                    ]
                  ]
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                        "paginaFinal" => "1011"
                        "link" => array:1 [
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Encuesta nacional sobre manejo preoperatorio y criterios de selección de pacientes en las unidades de cirugía mayor ambulatoria españolas
National survey of preoperative management and patient selection in ambulatory surgery centers
J. Papaceita,
Autor para correspondencia
jpapa@comt.es

Correspondencia: Hospital Universitari de Tarragona Joan XXIII. Unitat de Cirurgia Sense Ingrés (UCSI). Dr. Mallafré Guasch, 4. 43007 Tarragona. España.
, M. Olonab, C. Ramónc, R. García-Aguadod, R. Rodrígueze, M. Rulla
a Servicio de Anestesiología y Reanimación. Hospital Universitari de Tarragona Joan XXIII. Tarragona
b Servicio de Epidemiología y Medicina Preventiva. Hospital Universitari de Tarragona Joan XXIII. Tarragona. España
c Director-Gerente. Hospital de Manacor. Mallorca. España
d Servicio de Anestesiología y Reanimación. Hospital General Universitario de Valencia. España
e Servicio de Anestesiología y Reanimación. Hospital de Manacor. Mallorca. España
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            "correspondencia" => "Correspondencia&#58; Hospital Universitari de Tarragona Joan XXIII&#46; Unitat de Cirurgia Sense Ingr&#233;s &#40;UCSI&#41;&#46; Dr&#46; Mallafr&#233; Guasch&#44; 4&#46; 43007 Tarragona&#46; Espa&#241;a&#46;"
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    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "National survey of preoperative management and patient selection in ambulatory surgery centers"
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    ]
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    "fechaRecibido" => "2002-08-29"
    "fechaAceptado" => "2003-02-25"
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          "clase" => "keyword"
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          "palabras" => array:3 [
            0 => "Cirug&#237;a mayor ambulatoria"
            1 => "Evaluaci&#243;n preoperatoria"
            2 => "Indicadores de calidad"
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        0 => array:4 [
          "clase" => "keyword"
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            0 => "Ambulatory surgery"
            1 => "Preoperative assessment"
            2 => "Quality indicators"
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      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El objetivo de este estudio es conocer los criterios de selecci&#243;n y preparaci&#243;n de los pacientes en las diferentes unidades de cirug&#237;a mayor ambulatoria &#40;UCMA&#41; espa&#241;olas y su impacto en los resultados de &#233;stas&#59; tambi&#233;n se comparan dichos resultados seg&#250;n el tipo de estructura funcional de las unidades &#40;aut&#243;noma o integrada&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo transversal mediante encuesta postal&#46; Encuesta con los siguientes apartados&#58; tipo de unidad&#44; cartera de servicios&#44; criterios de selecci&#243;n&#44; evaluaci&#243;n&#44; manejo preoperatorio e indicadores cualitativos y cuantitativos de la actividad realizada en el a&#241;o 2000&#46; Se incluyeron 123 unidades&#44; con un nivel de respuesta del 39&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Existe un alto grado de consenso en los criterios de selecci&#243;n&#46; En el 97&#44;9&#37; de las unidades se utiliza la consulta de anestesia para la evaluaci&#243;n preoperatoria&#46; La solicitud sistem&#225;tica de las pruebas de laboratorio es elevada &#40;89&#37; para la hemostasia y el hemograma&#44; 72&#44;9&#37; para la bioqu&#237;mica&#41;&#44; mientras que para la radiograf&#237;a de t&#243;rax &#40;33&#44;3&#37;&#41; y el ECG &#40;35&#44;4&#37;&#41; se utilizan criterios m&#225;s selectivos&#46; La implantaci&#243;n de protocolos para el manejo de afecciones asociadas est&#225; poco extendida &#40;25-64&#44;6&#37;&#41;&#46; El &#237;ndice de cancelaciones es ventajoso para las unidades que utilizan la consulta de anestesia en todos los pacientes &#40;el 1&#44;5 frente al 4&#44;4&#37;&#41;&#46; Existe una significativa aceptaci&#243;n de pacientes de mayor riesgo quir&#250;rgico-anest&#233;sico en las unidades de tipo aut&#243;nomo respecto a las integradas&#44; as&#237; como una significativa disminuci&#243;n del n&#250;mero de ingresos &#40;el 1&#44;2 frente al 1&#44;9&#37;&#59; p &#61; 0&#44;003&#41; de las estancias &#40;240 frente a 367 min&#59; p &#61; 0&#44;002&#41;&#44; y del tiempo de recuperaci&#243;n &#40;150 frente a 212 min&#59; p &#61; 0&#44;001&#41;&#46; Las diferencias en el resto de los indicadores analizados no revisten significaci&#243;n&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Es necesario profundizar en la consecuci&#243;n de protocolos basados en evidencias cient&#237;ficas para la se-lecci&#243;n de los pacientes&#44; la evaluaci&#243;n preoperatoria y el manejo perioperatorio de las diferentes enfermedades&#44; as&#237; como para la utilizaci&#243;n racional de las pruebas de laboratorio&#46; Se constata la necesidad de la consulta anest&#233;sica para la evaluaci&#243;n preoperatoria&#46; Los resultados de nuestra encuesta apuntan hacia unos mejores resultados en los indicadores de funcionamiento en las UCMA aut&#243;nomas frente a las integradas&#46; Existe la posibilidad de definir est&#225;ndares de calidad y validarlos&#44; para lo cual ser&#225;n necesarios futuros estudios multic&#233;ntricos&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The objective of this study was to determine both the selection and preparation criteria in patients in various Spanish ambulatory surgery centers&#44; as well as the impact of these criteria on their results&#46; The results were compared according to the type of functional structure of the units &#40;autonomous or integrated&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We performed a cross sectional&#44; descriptive study through postal survey&#46; The survey contained the following items&#58; type of unit&#44; surgical procedures&#44; selection criteria&#44; preoperative assessment and management&#44; and qualitative and quantitative indexes of the activity performed in 2000&#46; A total of 123 units were included with a response rate of 39&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The selection criteria showed a high degree of consensus&#46; The outpatient anesthesia clinic was used for preoperative assessment by 97&#46;9&#37; of the units&#46; Most units routinely requested preoperative tests &#40;hemostasis and hemogram by 89&#37;&#59; biochemical parameters by 72&#46;9&#37;&#41; and to a lesser extent chest X-ray &#40;33&#46;3&#37;&#41; and electrocardiogram &#40;35&#46;4&#37;&#41;&#46; The introduction of procedures for the management of coexisting diseases was scarce &#40;25-64&#46;6&#37;&#41;&#46; Units using the outpatient anesthesia clinic in all patients had a lower cancellation rate &#40;1&#46;5&#37; vs 4&#46;4&#37;&#41;&#46; Autonomous units were significantly more likely to accept patients with high surgical-anesthetic risk than integrated units&#46; Autonomous units also showed a significantly lower number of admissions &#40;1&#46;2&#37; vs 1&#46;9&#37;&#44; p &#61; 0&#46;003&#41;&#44; mean stay &#40;240 min vs 367 min&#44; p &#61; 0&#46;002&#41;&#44; and recovery time &#40;150 min vs 212 min&#44; p &#61; 0&#46;001&#41; than integrated units&#46; No statistically significant differences were found in the remaining parameters&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Scientifically based protocols for patient selection&#44; preoperative assessment and perioperative management of distinct processes and for the rational use of laboratory tests should be more widely used&#46; The need for an outpatient anesthesia clinic for preoperative assessment was notable&#46; The results of our survey indicate that better results in performance indexes are achieved in autonomous ambulatory surgery units than in integrated units&#46; Given the possibility of defining and validating quality standards&#44; further multicenter studies should be performed&#46;</p>"
      ]
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              "identificador" => "bib0005"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Unidad de cirug&#237;a sin ingreso&#58; nuevas perspectivas de la cirug&#237;a ambulatoria"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Colomer"
                            1 => "C&#46; Ram&#243;n"
                            2 => "A&#46; Alonso"
                            3 => "A&#46; Garc&#237;a"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Chir Catal"
                        "fecha" => "1992"
                        "volumen" => "13"
                        "paginaInicial" => "37"
                        "paginaFinal" => "41"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Quality improvement in Ambulatory Surgery&#58; the US perspective"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "R&#46;S&#46; Tersky"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Ambul Surg"
                        "fecha" => "1994"
                        "volumen" => "2"
                        "paginaInicial" => "216"
                        "paginaFinal" => "222"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "La cirug&#237;a ambulatoria en Espa&#241;a&#58; un estudio Delphy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Colomer Mascar&#243;"
                            1 => "C&#46; Ram&#243;n Roca"
                            2 => "J&#46; Varela Pedragosa"
                            3 => "J&#46;M&#46; Borr&#225;s Andr&#233;s"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Gac Sanit"
                        "fecha" => "1996"
                        "volumen" => "10"
                        "paginaInicial" => "238"
                        "paginaFinal" => "246"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20524273"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ambulatory surgery in Spain"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Marin"
                            1 => "S&#46; Esteban"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Ambul Surg"
                        "fecha" => "1998"
                        "volumen" => "6"
                        "paginaInicial" => "157"
                        "paginaFinal" => "162"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estado actual de la cirug&#237;a mayor ambulatoria en Espa&#241;a&#46; Encuesta nacional"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46;P&#46; Rivas Lacarte"
                            1 => "F&#46; Sancho"
                            2 => "F&#46; Rivas"
                            3 => "J&#46;A&#46; Fat&#225;s"
                            4 => "M&#46; Giner"
                            5 => "M&#46; Guti&#233;rrez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Cirug&#237;a Mayor Ambulatoria"
                        "fecha" => "1999"
                        "volumen" => "4"
                        "paginaInicial" => "441"
                        "paginaFinal" => "458"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "ASA physical status classification&#46; A study of consistency of rating"
                      "autores" => array:1 [
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                          "autores" => array:1 [
                            0 => "W&#46;D&#46; Owens"
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Anesthesiology"
                        "fecha" => "1978"
                        "volumen" => "49"
                        "paginaInicial" => "239"
                        "paginaFinal" => "241"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/697077"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The anaesthetic outpatient clinic"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46;A&#46; Lee"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Anaesthesia"
                        "fecha" => "1949"
                        "volumen" => "4"
                        "paginaInicial" => "169"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18140320"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Charning the admission process for elective surgery&#46; An economic analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46; Boote"
                            1 => "B&#46;A&#46; Finegan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/BF03015483"
                      "Revista" => array:6 [
                        "tituloSerie" => "Can J Anaesth"
                        "fecha" => "1995"
                        "volumen" => "42"
                        "paginaInicial" => "391"
                        "paginaFinal" => "394"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7614645"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Where are de cost in preoperative care&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Macario"
                            1 => "T&#46;S&#46; Vitez"
                            2 => "T&#46; Dunn B McDonald"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Analysis of hospital and cost and charges for impatient for surgical care&#46; Anesthesiology"
                        "fecha" => "1995"
                        "volumen" => "83"
                        "paginaInicial" => "1138"
                        "paginaFinal" => "1154"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Economic benefits attributed to opening a preoperative evaluation clinic for outpatients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;B&#46; Pollard"
                            1 => "A&#46;L&#46; Zhoray"
                            2 => "R&#46;L&#46; Marze"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Anesth Analg"
                        "fecha" => "1996"
                        "volumen" => "83"
                        "paginaInicial" => "407"
                        "paginaFinal" => "410"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8694327"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0055"
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              "referencia" => array:1 [
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Limitation of unnecessary laboratory tests by preoperative questionnaire"
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                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;F&#46; Roizen"
                            1 => "E&#46;B&#46; Kaplan"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Anesthesiology"
                        "fecha" => "1984"
                        "volumen" => "61"
                        "paginaInicial" => "455A"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "12&#46;"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Preoperative evaluation"
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                          "autores" => array:1 [
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                  "host" => array:1 [
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                      "LibroEditado" => array:4 [
                        "titulo" => "Anesthesia"
                        "paginaInicial" => "824"
                        "paginaFinal" => "883"
                        "serieFecha" => "2000"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Preoperative evaluation and preanestesia clinics&#46; In Anesthesiology Clinics of North America"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C&#46;M&#46; Haberkern"
                            1 => "J&#46;H&#46; Lecky"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Ambulatory Anesthesia"
                        "fecha" => "1995"
                        "volumen" => "14"
                        "paginaInicial" => "551"
                        "paginaFinal" => "573"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Anaesthesia preadmisi&#243;n assessment&#58; a new approach through use of a screening questionnaire"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "N&#46;I&#46; Badner"
                            1 => "R&#46;A&#46; Craen"
                            2 => "T&#46;L&#46; Paul"
                            3 => "J&#46;A&#46; Doyle"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/BF03012002"
                      "Revista" => array:6 [
                        "tituloSerie" => "Can J Anaesth"
                        "fecha" => "1998"
                        "volumen" => "45"
                        "paginaInicial" => "87"
                        "paginaFinal" => "92"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9466037"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The preoperative system&#58; a new approach to managing elective surgery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46; Kerridge"
                            1 => "A&#46; Lee"
                            2 => "S&#46; Beeham"
                            3 => "K&#46;M&#46; Hillman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Anaesth Intensive Care"
                        "fecha" => "1995"
                        "volumen" => "23"
                        "paginaInicial" => "591"
                        "paginaFinal" => "596"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8787260"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
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                          0 => array:2 [
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                        "link" => array:1 [
                          0 => array:2 [
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                      "titulo" => "Gu&#237;a de Pr&#225;ctica Cl&#237;nica de Anestesiolog&#237;a y Reanimaci&#243;n"
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                      "Revista" => array:2 [
                        "tituloSerie" => "Sociedad Espa&#241;ola de Anestesiolog&#237;a-Reanimaci&#243;n y Terapia del Dolor"
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              "identificador" => "bib0110"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25738533"
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                        "paginaFinal" => "250"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11473837"
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                      "titulo" => "The prevalence and predictive value of abnormal preoperative laboratory tests in elderly surgical patients"
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                        "paginaFinal" => "308"
                        "link" => array:1 [
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11473849"
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                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1899710"
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                      "Revista" => array:6 [
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                        "link" => array:1 [
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                        "link" => array:1 [
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                        "tituloSerie" => "N Engl J Med"
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                        "link" => array:1 [
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                        "tituloSerie" => "Can J Anaesth"
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                        "paginaFinal" => "619"
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                        "paginaFinal" => "6"
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Información del artículo
ISSN: 02139111
Idioma original: Español
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