Evaluación de un programa de hospitalización a domicilio para niños con cáncer
Evaluation of a home care program for children with cancer
J.M. Fernández Navarro*, B. Pozuelo Muñoz, P. Ortí Martínez, L. López Ferrer, A. Cañete Nieto, V. Verdeguer Miralles, V. Castel Sánchez
Unidad de Oncología Pediátrica. Hospital Universitario Infantil La Fe. Valencia
Leído
8220
Vecesse ha leído el artículo
2796
Total PDF
5424
Total HTML
Compartir estadísticas
array:23 [ "pii" => "S1695403300772894" "issn" => "16954033" "doi" => "10.1016/S1695-4033(00)77289-4" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "77289" "copyright" => "Asociación Española de Pediatría" "copyrightAnyo" => "2000" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "An Pediatr (Barc). 2000;52:41-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 4759 "formatos" => array:3 [ "EPUB" => 73 "HTML" => 3671 "PDF" => 1015 ] ] "itemSiguiente" => array:18 [ "pii" => "S1695403300772900" "issn" => "16954033" "doi" => "10.1016/S1695-4033(00)77290-0" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "77290" "copyright" => "Asociación Española de Pediatría" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "An Pediatr (Barc). 2000;52:47-51" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1424 "formatos" => array:3 [ "EPUB" => 73 "HTML" => 767 "PDF" => 584 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Seudohipoaldosteronismo tipo I múltiple: presentación neonatal y seguimiento" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "47" "paginaFinal" => "51" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Multiple type i pseudohypoaldosteronism: neonatal management and out-come" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M.<span class="elsevierStyleSup">a</span> Cristina de Frutos Martínez, M.<span class="elsevierStyleSup">a</span>D. Elorza Martínez, Sofía Salas Hernández, Pilar García Sánchez, Enrique Jaso Cortés, Jesús Pérez-Rodríguez, José Quero Jiménez" "autores" => array:7 [ 0 => array:2 [ "nombre" => "M.<span class="elsevierStyleSup">a</span>" "apellidos" => "Cristina de Frutos Martínez" ] 1 => array:2 [ "nombre" => "M.<span class="elsevierStyleSup">a</span>D." "apellidos" => "Elorza Martínez" ] 2 => array:2 [ "nombre" => "Sofía" "apellidos" => "Salas Hernández" ] 3 => array:2 [ "nombre" => "Pilar" "apellidos" => "García Sánchez" ] 4 => array:2 [ "nombre" => "Enrique" "apellidos" => "Jaso Cortés" ] 5 => array:2 [ "nombre" => "Jesús" "apellidos" => "Pérez-Rodríguez" ] 6 => array:2 [ "nombre" => "José" "apellidos" => "Quero Jiménez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403300772900?idApp=UINPBA00005H" "url" => "/16954033/0000005200000001/v1_201307051856/S1695403300772900/v1_201307051856/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1695403300772882" "issn" => "16954033" "doi" => "10.1016/S1695-4033(00)77288-2" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "77288" "copyright" => "Asociación Española de Pediatría" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "An Pediatr (Barc). 2000;52:36-40" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 7014 "formatos" => array:3 [ "EPUB" => 66 "HTML" => 6138 "PDF" => 810 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Rabdomiomas cardíacos en la esclerosis tuberosa: manifestaciones clínicas y evolución de 18 casos diagnosticados en la infancia" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "36" "paginaFinal" => "40" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Cardiac rhabdomyomas in tuberous sclerosis: clinical symptoms and followup in 18 cases diagnosed in infancy and childhood" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "S. Jiménez Casso, F. Benito Bartolomé, C. Sánchez Fernández-Bernal" "autores" => array:3 [ 0 => array:2 [ "nombre" => "S." "apellidos" => "Jiménez Casso" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Benito Bartolomé" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Sánchez Fernández-Bernal" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403300772882?idApp=UINPBA00005H" "url" => "/16954033/0000005200000001/v1_201307051856/S1695403300772882/v1_201307051856/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "titulo" => "Evaluación de un programa de hospitalización a domicilio para niños con cáncer" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "41" "paginaFinal" => "46" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.M. Fernández Navarro, B. Pozuelo Muñoz, P. Ortí Martínez, L. López Ferrer, A. Cañete Nieto, V. Verdeguer Miralles, V. Castel Sánchez" "autores" => array:7 [ 0 => array:3 [ "nombre" => "J.M." "apellidos" => "Fernández Navarro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "B." "apellidos" => "Pozuelo Muñoz" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Ortí Martínez" ] 3 => array:2 [ "nombre" => "L." "apellidos" => "López Ferrer" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Cañete Nieto" ] 5 => array:2 [ "nombre" => "V." "apellidos" => "Verdeguer Miralles" ] 6 => array:2 [ "nombre" => "V." "apellidos" => "Castel Sánchez" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Unidad de Oncología Pediátrica. Hospital Universitario Infantil La Fe. Valencia" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Unidad de Oncología Pediátrica. Hospital Universitario Infantil La Fe. Avda. Campanar, 21. 46015 Valencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Evaluation of a home care program for children with cancer" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1999-01-31" "fechaAceptado" => "1999-10-31" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec187626" "palabras" => array:3 [ 0 => "Hospitalización a domicilio" 1 => "Antibioterapia intravenosa a domicilio" 2 => "Cuidados paliativos en el domicilio" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec187625" "palabras" => array:3 [ 0 => "Home care" 1 => "Home intravenous antibiotherapy" 2 => "Home paliative care" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La hospitalización a domicilio para niños con cáncerempezó a funcionar en la Unidad de Oncología Pediátrica(UOP) del Hospital Infantil La Fe en abril de 1997. Recogemos en este trabajo la asistencia realizada en los primeros 17 meses de experiencia. El equipo responsable,integrado en la UOP, está constituido por un oncólogo pediatra, dos enfermeras y una auxiliar con amplia experiencia en la especialidad. El área de cobertura geográficaabarca la totalidad de la Comunidad Valenciana. Atendemos de forma directa a los pacientes residentes en el áreametropolitana de la ciudad de Valencia; en el resto, laasistencia es delegada, en coordinación con los equiposde atención primaria y hospitales comarcales. Un total de127 pacientes han sido ingresados en hospitalización adomicilio en 433 ocasiones. El motivo de ingreso más frecuente fue el alta hospitalaria precoz (61%), seguido porla administración intravenosa de antibióticos (18%) oquimioterapia (12%) en el domicilio. Diecisiete pacientesfueron atendidos en sus casas durante la fase terminal dela enfermedad, para tratamiento paliativo. Cinco de ellosprecisaron tratamiento con opioides para controlar adecuadamente el dolor. Seis de los 8 pacientes residentes enel área metropolitana de Valencia fallecieron en sus domicilios.La causa más frecuente de alta del programa fue el logro de las metas programadas al ingreso (73%). Sólo en2 casos (0,5%) no hubo cooperación por parte de los padres y el tratamiento se completó en el hospital.Este programa es bien aceptado por nuestros pacientesy sus familias y permite acortar la estancia en el hospital</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The home care team dependent from the pediatric oncology unit in our institution started working in April,1997. We evaluate in this paper the medical activities accomplished in seventeen month experience. The team isconstituted by a pediatric oncologist, two pediatric nurses and a clinical assistant with experience in the specialty. The geographic area we cover is la ComunidadValenciana. We directly attend children living in Valencia city and its metropolitan area. For the rest of patients, we coordinate the interventions of the local primary care teams and local hospitals. 127 patients havebeen admitted in the home care unit in 433 occasions.The immediate reasons for the admission were: earlydischarge from the hospital (61%), followed by the administration of antibiotics (18%) and chemotherapy(12%) at home. We attended 17 children in the terminalphase of their diseases. Five of them required opioidtreatment for pain control. Six out of eight patients living in the area of direct intervention of the home careteam died at home. The most common cause of discharge (73%) was theachievement of the goals planned when the pacient wasincluded in the program. Only in two cases (0.5%) we didnot found enough cooperation from the parents and thetreatment was completed in the hospital.This program has been well accepted by our patientsand their parents and permits to shorten the stay in thehospital</p>" ] ] "NotaPie" => array:1 [ 0 => array:1 [ "nota" => "<p class="elsevierStyleNotepara">Cofinanciado por la Fundación “La Caixa” y la Conselleria de Sanidad y Consumo de la Comunidad Valenciana.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Home chemotherapy for children with cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S. Jayabose" 1 => "V. Escobedo" 2 => "O. Tugal" 3 => "A. Nahaczewski" 4 => "P. Donohue" 5 => "V. Fuentes" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Cancer" "fecha" => "1992" "volumen" => "69" "paginaInicial" => "574" "paginaFinal" => "579" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1728389" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Terminal care at home for children with cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "E.J. Oakhill" 1 => "J.M. Cornish" 2 => "S. Curnick" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Bmj" "fecha" => "1989" "volumen" => "298" "paginaInicial" => "937" "paginaFinal" => "940" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2470448" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Experience with the home care of tracheotomised paediatric patients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.B. Campbell" 1 => "D.W. Morgan" 2 => "K. Pearman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Otorhinolaryngol" "fecha" => "1989" "volumen" => "246" "paginaInicial" => "345" "paginaFinal" => "348" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2590049" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Long term home parenteral nutrition in pediatrics: ten years experience in 102 patients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.H. Vargas" 1 => "M.E. Ament" 2 => "W.E. Berquist" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Pediatr Gastroenterol Nutr" "fecha" => "1987" "volumen" => "6" "paginaInicial" => "24" "paginaFinal" => "32" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3098947" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Home care for children dying of cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "I.M. Martinson" 1 => "D.G. Moldow" 2 => "G.D. Armstrong" 3 => "W.F. Henry" 4 => "M.E. Nesbit" 5 => "J.H. Kersey" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Res Nurs Health" "fecha" => "1986" "volumen" => "9" "paginaInicial" => "11" "paginaFinal" => "16" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3634413" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Home visits for the child with cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J. Fergusson" 1 => "W. Hobbie" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Nurs Clin North Am" "fecha" => "1985" "volumen" => "20" "paginaInicial" => "109" "paginaFinal" => "115" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3844812" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dying children at home" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "I.M. Martinson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Nurs Times" "fecha" => "1980" "volumen" => "76" "paginaInicial" => "129" "paginaFinal" => "132" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6906672" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Home care for dying children: a nursing model" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M.E. Lauer" 1 => "B.M. Camitta" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Pediatr" "fecha" => "1980" "volumen" => "97" "paginaInicial" => "1032" "paginaFinal" => "1035" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7441412" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Home care for children dying of cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "I.M. Martinson" 1 => "G.D. Amrstrong" 2 => "D.P. Geis" 3 => "M.A. Anglim" 4 => "E.C. Gronseth" 5 => "H. MacInnis" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Pediatrics" "fecha" => "1978" "volumen" => "62" "paginaInicial" => "106" "paginaFinal" => "113" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/683768" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Home intravenous antibiotherapy: a team approach" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "S.J. Rehm" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Intern Med" "fecha" => "1983" "volumen" => "99" "paginaInicial" => "388" "paginaFinal" => "392" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6614688" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Experience with 211 courses of home iv antimicrobial therapy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "R.J. Baptista" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Hosp Pharm" "fecha" => "1989" "volumen" => "46" "paginaInicial" => "315" "paginaFinal" => "316" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2712055" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evaluation of a home intravenous antibiotic program in pediatric oncology" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.T. Wiernikowski" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Pediatr Hematol Oncol" "fecha" => "1991" "volumen" => "13" "paginaInicial" => "144" "paginaFinal" => "147" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1906246" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M.D. De Damborenea" 1 => "B. Valdivieso" 2 => "V.J. González" 3 => "M. Silva" 4 => "P. Sanroma" 5 => "F. Rosell" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "1998" "editorial" => "Ed. Hoechst Marion Roussel" "editorialLocalizacion" => "Madrid" ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hospitalización domiciliaria para niños con cáncer: un paso más hacia la atención integral en oncología pediátrica" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J.M. Fernández Navarro" 1 => "A. Barahona" 2 => "A. Cañete" 3 => "P. Ortí" 4 => "B. Pozuelo" 5 => "V. Castel" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "An Esp Pediatr" "fecha" => "1998" "volumen" => "48" "paginaInicial" => "1" "paginaFinal" => "3" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9580396" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J.M. Fernández Navarro" 1 => "P. Ortí" 2 => "B. Pozuelo" 3 => "A. Cañete" 4 => "A. Verdeguer" 5 => "V. Castel" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "1998" "editorial" => "Generalitat Valenciana. Consellería de Sanitat. Dirección General de Salud Pública" "editorialLocalizacion" => "Valencia" ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Home antibiotic therapy for low risk cancer patients with fever and neutropenia: a pilot study of 30 patients based an a validated prediction rule" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J.A. Talcott" 1 => "A. Whalen" 2 => "J. Clark" 3 => "P.P. Rieker" 4 => "R. Finberg" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1200/jco.1994.12.1.107" "Revista" => array:6 [ "tituloSerie" => "J Clin Oncol" "fecha" => "1994" "volumen" => "12" "paginaInicial" => "107" "paginaFinal" => "114" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8270967" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0085" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The identification of febrile, neutropenic children with neoplastic disease at low risk for bacteremia and complications of sepsis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "K.G. Lucas" 1 => "A.E. Brown" 2 => "D. Armstrong" 3 => "D. Chapman" 4 => "G. Heller" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Cancer" "fecha" => "1996" "volumen" => "77" "paginaInicial" => "791" "paginaFinal" => "798" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8616774" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib0090" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => ". Infection risk factors in febrile, neutropenic children and adolescents" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "G.R. Jones" 1 => "G.K. Konsler" 2 => "R.P. Dunaway" 3 => "S.N. Pusek" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Pediatr Hematol Oncol" "fecha" => "1996" "volumen" => "13" "paginaInicial" => "217" "paginaFinal" => "219" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8735337" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0095" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A pilot study of outpatient management of febrile neutropenic children with cancer at low risk of bacteriemia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M.M. Mustafa" 1 => "V.M. Aquino" 2 => "A. Pappo" 3 => "I. Tkaczewski" 4 => "G.R. Buchanan" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Pediatr" "fecha" => "1996" "volumen" => "128" "paginaInicial" => "847" "paginaFinal" => "849" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8648546" "web" => "Medline" ] ] ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib0100" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Safety of early hospital discharge of selected febrile children and adolescents with cancer with prolonged neutropenia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "V.M. Aquino" 1 => "G.R. Buchanan" 2 => "I. Tkaczewski" 3 => "M.M. Mustafa" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Med Pediatr Oncol" "fecha" => "1997" "volumen" => "28" "paginaInicial" => "191" "paginaFinal" => "195" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9024515" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0105" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Outpatient treatment with ceftriaxone alone or in combination with teicoplanin in febrile netropenic children and adolescents with cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S. Preis" 1 => "U. Gobel" 2 => "H. Jurgens" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Pediatr" "fecha" => "1997" "volumen" => "130" "paginaInicial" => "500" "paginaFinal" => "501" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9063436" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib0110" "etiqueta" => "22." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Early discharge of low risk febrile neutropenic children and adolescents with cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "V.M. Aquino" 1 => "I. Tkaczewski" 2 => "G.R. Buchanan" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin Infect Dis" "fecha" => "1997" "volumen" => "25" "paginaInicial" => "74" "paginaFinal" => "78" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9243037" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/16954033/0000005200000001/v1_201307051856/S1695403300772894/v1_201307051856/es/main.assets" "Apartado" => array:4 [ "identificador" => "14282" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Originales" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/16954033/0000005200000001/v1_201307051856/S1695403300772894/v1_201307051856/es/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403300772894?idApp=UINPBA00005H" ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 4 | 21 | 25 |
| 2024 Octubre | 35 | 43 | 78 |
| 2024 Septiembre | 34 | 42 | 76 |
| 2024 Agosto | 58 | 82 | 140 |
| 2024 Julio | 29 | 47 | 76 |
| 2024 Junio | 36 | 49 | 85 |
| 2024 Mayo | 41 | 26 | 67 |
| 2024 Abril | 27 | 37 | 64 |
| 2024 Marzo | 33 | 52 | 85 |
| 2024 Febrero | 30 | 47 | 77 |
| 2024 Enero | 25 | 34 | 59 |
| 2023 Diciembre | 26 | 27 | 53 |
| 2023 Noviembre | 20 | 21 | 41 |
| 2023 Octubre | 33 | 20 | 53 |
| 2023 Septiembre | 23 | 30 | 53 |
| 2023 Agosto | 18 | 20 | 38 |
| 2023 Julio | 30 | 53 | 83 |
| 2023 Junio | 27 | 26 | 53 |
| 2023 Mayo | 41 | 21 | 62 |
| 2023 Abril | 24 | 19 | 43 |
| 2023 Marzo | 23 | 24 | 47 |
| 2023 Febrero | 22 | 33 | 55 |
| 2023 Enero | 24 | 33 | 57 |
| 2022 Diciembre | 27 | 13 | 40 |
| 2022 Noviembre | 42 | 45 | 87 |
| 2022 Octubre | 30 | 46 | 76 |
| 2022 Septiembre | 23 | 29 | 52 |
| 2022 Agosto | 26 | 44 | 70 |
| 2022 Julio | 24 | 44 | 68 |
| 2022 Junio | 24 | 34 | 58 |
| 2022 Mayo | 17 | 35 | 52 |
| 2022 Abril | 33 | 38 | 71 |
| 2022 Marzo | 31 | 38 | 69 |
| 2022 Febrero | 23 | 27 | 50 |
| 2022 Enero | 25 | 49 | 74 |
| 2021 Diciembre | 31 | 36 | 67 |
| 2021 Noviembre | 31 | 41 | 72 |
| 2021 Octubre | 67 | 46 | 113 |
| 2021 Septiembre | 31 | 42 | 73 |
| 2021 Agosto | 29 | 23 | 52 |
| 2021 Julio | 36 | 29 | 65 |
| 2021 Junio | 28 | 34 | 62 |
| 2021 Mayo | 31 | 23 | 54 |
| 2021 Abril | 56 | 35 | 91 |
| 2021 Marzo | 60 | 26 | 86 |
| 2021 Febrero | 66 | 18 | 84 |
| 2021 Enero | 48 | 26 | 74 |
| 2020 Diciembre | 29 | 21 | 50 |
| 2020 Noviembre | 19 | 14 | 33 |
| 2020 Octubre | 34 | 6 | 40 |
| 2020 Septiembre | 14 | 15 | 29 |
| 2020 Agosto | 15 | 8 | 23 |
| 2020 Julio | 41 | 20 | 61 |
| 2020 Junio | 20 | 9 | 29 |
| 2020 Mayo | 20 | 19 | 39 |
| 2020 Abril | 30 | 16 | 46 |
| 2020 Marzo | 18 | 13 | 31 |
| 2020 Febrero | 33 | 19 | 52 |
| 2020 Enero | 42 | 18 | 60 |
| 2019 Diciembre | 28 | 37 | 65 |
| 2019 Noviembre | 22 | 28 | 50 |
| 2019 Octubre | 28 | 43 | 71 |
| 2019 Septiembre | 27 | 45 | 72 |
| 2019 Agosto | 22 | 52 | 74 |
| 2019 Julio | 25 | 42 | 67 |
| 2019 Junio | 36 | 24 | 60 |
| 2019 Mayo | 24 | 72 | 96 |
| 2019 Abril | 36 | 59 | 95 |
| 2019 Marzo | 46 | 48 | 94 |
| 2019 Febrero | 19 | 38 | 57 |
| 2019 Enero | 25 | 39 | 64 |
| 2018 Diciembre | 31 | 40 | 71 |
| 2018 Noviembre | 65 | 56 | 121 |
| 2018 Octubre | 49 | 27 | 76 |
| 2018 Septiembre | 14 | 11 | 25 |
| 2018 Agosto | 1 | 0 | 1 |
| 2018 Julio | 2 | 0 | 2 |
| 2018 Mayo | 5 | 0 | 5 |
| 2018 Abril | 9 | 0 | 9 |
| 2018 Marzo | 7 | 0 | 7 |
| 2018 Febrero | 13 | 0 | 13 |
| 2018 Enero | 6 | 0 | 6 |
| 2017 Diciembre | 15 | 0 | 15 |
| 2017 Noviembre | 10 | 0 | 10 |
| 2017 Octubre | 7 | 0 | 7 |
| 2017 Septiembre | 14 | 0 | 14 |
| 2017 Agosto | 8 | 2 | 10 |
| 2017 Julio | 6 | 0 | 6 |
| 2017 Junio | 20 | 41 | 61 |
| 2017 Mayo | 18 | 25 | 43 |
| 2017 Abril | 18 | 21 | 39 |
| 2017 Marzo | 18 | 51 | 69 |
| 2017 Febrero | 12 | 32 | 44 |
| 2017 Enero | 11 | 8 | 19 |
| 2016 Diciembre | 27 | 19 | 46 |
| 2016 Noviembre | 41 | 33 | 74 |
| 2016 Octubre | 39 | 39 | 78 |
| 2016 Septiembre | 29 | 23 | 52 |
| 2016 Agosto | 41 | 19 | 60 |
| 2016 Julio | 22 | 16 | 38 |
| 2016 Marzo | 1 | 0 | 1 |
| 2015 Diciembre | 5 | 0 | 5 |
| 2015 Septiembre | 3 | 0 | 3 |
| 2015 Agosto | 1 | 0 | 1 |
| 2015 Julio | 4 | 0 | 4 |
| 2015 Junio | 5 | 0 | 5 |
| 2015 Mayo | 7 | 0 | 7 |
| 2015 Abril | 12 | 0 | 12 |
| 2015 Marzo | 6 | 0 | 6 |
| 2015 Febrero | 10 | 0 | 10 |
| 2015 Enero | 5 | 0 | 5 |
| 2014 Diciembre | 9 | 0 | 9 |
| 2014 Noviembre | 2 | 0 | 2 |
| 2014 Octubre | 5 | 0 | 5 |
| 2014 Septiembre | 2 | 0 | 2 |
| 2014 Agosto | 7 | 0 | 7 |
| 2014 Julio | 6 | 0 | 6 |
| 2014 Junio | 12 | 0 | 12 |
| 2014 Mayo | 11 | 0 | 11 |
| 2014 Abril | 21 | 0 | 21 |
| 2014 Marzo | 8 | 0 | 8 |
| 2014 Febrero | 12 | 0 | 12 |
| 2014 Enero | 11 | 0 | 11 |
| 2013 Diciembre | 14 | 0 | 14 |
| 2013 Noviembre | 18 | 0 | 18 |
| 2013 Octubre | 24 | 0 | 24 |
| 2013 Septiembre | 13 | 0 | 13 |
| 2013 Agosto | 15 | 0 | 15 |
| 2013 Julio | 6 | 0 | 6 |
| 2013 Junio | 4 | 0 | 4 |
| 2013 Marzo | 2 | 0 | 2 |
| 2013 Febrero | 15 | 0 | 15 |
| 2013 Enero | 4 | 0 | 4 |
| 2012 Diciembre | 3 | 0 | 3 |
| 2012 Noviembre | 3 | 0 | 3 |
| 2012 Octubre | 2 | 0 | 2 |
| 2012 Septiembre | 4 | 0 | 4 |
| 2012 Agosto | 2 | 0 | 2 |
| 2000 Enero | 2417 | 0 | 2417 |
Mostrar todo
