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        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Curvas de mortalidad por cualquier causa a 30 d&#237;as &#40;arriba&#41; y de evento adverso durante los 30 d&#237;as posteriores al alta &#40;abajo&#41; de los pacientes hospitalizados en unidades de corta estancia y los pacientes que fueron hospitalizados en otros servicios hospitalarios&#46;</p> <p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">HR&#58; <span class="elsevierStyleItalic">hazard ratio</span>&#59; UCE&#58; unidad de corta estancia&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introducci&#243;n</span><p id="par0005" class="elsevierStylePara elsevierViewall">Uno de los principales motivos de consulta a los servicios de urgencias hospitalarios &#40;SUH&#41; y una de las primeras causas de hospitalizaci&#243;n en Espa&#241;a es la insuficiencia card&#237;aca aguda &#40;ICA&#41;&#44; entendida como la aparici&#243;n r&#225;pida o gradual de s&#237;ntomas y&#47;o signos de insuficiencia card&#237;aca &#40;IC&#41;&#44; lo suficientemente grave como para que el paciente busque atenci&#243;n m&#233;dica urgente&#44; que conduce a un ingreso hospitalario no planificado o una visita al servicio de urgencias<a class="elsevierStyleCrossRefs" href="#bib0165"><span class="elsevierStyleSup">1&#8211;3</span></a>&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">M&#225;s del 80&#37; de las hospitalizaciones de los pacientes con ICA se realiza tras una consulta y tratamiento inicial en el SUH<a class="elsevierStyleCrossRefs" href="#bib0180"><span class="elsevierStyleSup">4&#44;5</span></a>&#46; Estas descompensaciones se asocian con una elevada mortalidad a corto plazo&#44; as&#237; como un alto &#237;ndice de reingreso postalta&#46; Los servicios hospitalarios en los que estas hospitalizaciones se producen son diversos &#40;mayoritariamente en medicina interna y cardiolog&#237;a&#41; y&#44; con frecuencia&#44; cambiantes para un mismo paciente<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">6</span></a>&#46; As&#237;&#44; el estudio NOVICA mostr&#243; que&#44; tras la consulta en un SUH por un primer episodio de ICA&#44; la mediana de supervivencia se sit&#250;a en 3&#44;9 a&#241;os&#44; y el 77&#37; de los pacientes precisa de nuevas hospitalizaciones&#44; de las cuales el 51&#37; lo son por nuevos episodios de ICA&#46; Sin embargo&#44; menos de la mitad de estas nuevas hospitalizaciones se produce en el mismo servicio que asumi&#243; el primer episodio<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">7</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">En relaci&#243;n con el proceso de hospitalizaci&#243;n&#44; muchos hospitales espa&#241;oles han desarrollado unidades espec&#237;ficas de ingreso para pacientes con descompensaci&#243;n de procesos cr&#243;nicos&#44; que no requieren de un nuevo abordaje diagn&#243;stico&#44; y para los que el ingreso se prev&#233; corto&#44; finalista &#40;con alta a domicilio&#41; y&#44; en general&#44; inferior a 96<span class="elsevierStyleHsp" style=""></span>h&#46; Estas unidades se conocen con el nombre de unidad de corta estancia &#40;UCE&#41; y su dependencia organizativa y asistencial es diversa&#44; pudiendo depender de un &#250;nico servicio hospitalario o ser multidisciplinares y multiservicio<a class="elsevierStyleCrossRefs" href="#bib0200"><span class="elsevierStyleSup">8&#44;9</span></a>&#46; Uno de los procesos que encajan en la cartera de servicios de la UCE es la ICA&#46; De hecho&#44; en algunas series&#44; hasta el 15&#37; del total de los ingresos que se llevan a cabo en estas unidades corresponde a pacientes con ICA<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">10</span></a>&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Diversos estudios han subrayado que las UCE son efectivas&#44; eficientes y seguras&#44; cuando se ha analizado su actividad de forma gen&#233;rica o restringida a determinados procesos tales como las neumon&#237;as&#44; infecciones&#44; patolog&#237;as metab&#243;licas&#44; exacerbaciones de la enfermedad pulmonar obstructiva cr&#243;nica<a class="elsevierStyleCrossRefs" href="#bib0215"><span class="elsevierStyleSup">11&#8211;14</span></a>&#46; No obstante&#44; algunos autores han criticado la falta de evidencia cient&#237;fica respecto a la eficacia y seguridad de estas unidades ya que el perfil del paciente que ingresa en las UCE es m&#225;s favorable a estos buenos resultados por distintos motivos&#58; una preselecci&#243;n previa en urgencias que lo facilitar&#237;a&#59; los excesivos traslados desde las UCE de los pacientes m&#225;s complejos&#44; las complicaciones en los servicios de hospitalizaci&#243;n convencional&#44; o la reducci&#243;n del tiempo de hospitalizaci&#243;n en las UCE que se conseguir&#237;a pagando el peaje de incrementar los reingresos posteriores tras el alta<a class="elsevierStyleCrossRefs" href="#bib0235"><span class="elsevierStyleSup">15&#8211;17</span></a>&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">El presente estudio analiza de forma comparativa pacientes diagnosticados de ICA en urgencias e ingresados inicialmente en UCE con pacientes de caracter&#237;sticas similares hospitalizados en otros servicios hospitalarios&#44; y estudia si el ingreso de pacientes con ICA en UCE consigue disminuir de forma significativa la duraci&#243;n global de la hospitalizaci&#243;n &#8211;eficiencia&#8211; y que ello no compromete la evoluci&#243;n del paciente a corto plazo &#8211;seguridad&#8211;&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Material y m&#233;todos</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">&#193;mbito del estudio</span><p id="par0030" class="elsevierStylePara elsevierViewall">Se planific&#243; un an&#225;lisis secundario del registro EAHFE <span class="elsevierStyleItalic">&#40;Epidemiology of Acute Heart Failure in Emergency departments&#41;</span>&#44; que es un registro multic&#233;ntrico&#44; multiprop&#243;sito&#44; anal&#237;tico no intervencionista&#44; y con seguimiento prospectivo que incluye&#44; de forma consecutiva&#44; a los pacientes que acuden por episodio de ICA al SUH&#46; Se defini&#243; ICA como la aparici&#243;n r&#225;pida o gradual de s&#237;ntomas y&#47;o signos de IC&#44; lo suficientemente grave como para que el paciente busque atenci&#243;n m&#233;dica urgente&#44; que conduce a un ingreso hospitalario no planificado o una visita al servicio de urgencias<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">1</span></a>&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Se han realizado 6 fases de reclutamiento &#40;en los a&#241;os 2007&#44; 2009&#44; 2011&#44; 2014&#44; 2016 y 2018&#41; y 45 SUH espa&#241;oles han aportado pacientes al registro&#46; Los detalles y caracter&#237;sticas de estos pacientes ya han sido previamente publicados<a class="elsevierStyleCrossRefs" href="#bib0190"><span class="elsevierStyleSup">6&#44;18&#44;19</span></a>&#46; La inclusi&#243;n de pacientes con ICA en el registro EAHFE se basa en el cumplimiento de los criterios cl&#237;nicos de Framingham&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">El diagn&#243;stico cl&#237;nico final lo adjudica el investigador principal de cada centro y&#44; cuando es posible&#44; se confirma mediante la determinaci&#243;n de p&#233;ptidos natriur&#233;ticos en plasma y&#47;o mediante una ecocardiograf&#237;a siguiendo las recomendaciones en vigor en cada momento<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">1</span></a>&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">El &#250;nico criterio de exclusi&#243;n del registro es la presencia concomitante de un s&#237;ndrome coronario agudo &#40;SCA&#41; con elevaci&#243;n del segmento ST e ICA&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Dise&#241;o del estudio</span><p id="par0050" class="elsevierStylePara elsevierViewall">Se incluyeron todos los pacientes con ICA del registro EAHFE quienes&#44; tras su diagn&#243;stico y tratamiento en urgencias&#44; requirieron hospitalizaci&#243;n&#46; Los pacientes se dividieron en 2 grupos&#58; pacientes hospitalizados en una UCE &#40;grupo UCE&#41; y pacientes hospitalizados en otros servicios o unidades &#40;grupo No-UCE&#41;&#46; La asignaci&#243;n a uno de los 2 grupos se realiz&#243; exclusivamente en funci&#243;n del lugar de hospitalizaci&#243;n tras su atenci&#243;n en urgencias&#59; por lo tanto&#44; los pacientes hospitalizados inicialmente en una UCE que requirieron posterior traslado a otros servicios o unidades formaron parte del grupo UCE&#46; Para algunos de los an&#225;lisis posteriores&#44; los pacientes del grupo No-UCE se dividieron&#44; a su vez&#44; en pacientes hospitalizados en centros que contaban con UCE y pacientes hospitalizados en centros sin UCE&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Variables independientes</span><p id="par0055" class="elsevierStylePara elsevierViewall">Se recogieron 28 variables independientes&#58; edad&#44; sexo&#44; comorbilidades &#40;hipertensi&#243;n arterial&#44; diabetes mellitus&#44; cardiopat&#237;a isqu&#233;mica&#44; fibrilaci&#243;n auricular&#44; enfermedad renal cr&#243;nica&#44; enfermedad valvular card&#237;aca&#44; enfermedad pulmonar obstructiva cr&#243;nica&#44; demencia&#44; neoplasia&#44; enfermedad cerebrovascular&#44; enfermedad arterial perif&#233;rica y episodios previos de ICA&#41;&#44; tratamientos cr&#243;nicos &#40;diur&#233;ticos&#44; betabloqueantes&#44; inhibidores del eje renina-angiotensina&#44; y bloqueadores de los receptores de mineralocorticoides&#41;&#44; situaci&#243;n funcional basal &#40;estimada mediante la clase funcional NYHA&#44; la fracci&#243;n de eyecci&#243;n del ventr&#237;culo izquierdo &#8211;FEVI&#8211; y el &#237;ndice de Barthel&#41;&#44; y factores precipitantes &#40;infecci&#243;n&#44; taquiarritmia&#44; anemia&#44; crisis hipertensiva&#44; transgresi&#243;n diet&#233;tico-farmacol&#243;gica y SCA&#41; y gravedad del episodio actual de ICA&#46; Este &#250;ltimo se estim&#243; mediante la escala MEESSI&#44; la cual est&#225; integrada por 13 variables&#58; edad&#44; si el episodio estuvo desencadenado por un SCA&#44; &#237;ndice de Barthel&#44; clase NYHA y presencia de signos de bajo gasto card&#237;aco a la llegada a urgencias&#44; la primera determinaci&#243;n de presi&#243;n arterial sist&#243;lica&#44; frecuencia respiratoria y saturaci&#243;n basal de ox&#237;geno en urgencias&#44; la presencia de hipertrofia ventricular izquierda en el ECG&#44; y los valores de creatinina&#44; potasio&#44; troponina y NT-proBP&#46; Diversos estudios en Espa&#241;a y Suiza han mostrado que esta escala estratifica adecuadamente a los pacientes de acuerdo con la probabilidad predicha de fallecer los 30 d&#237;as siguientes al episodio de ICA<a class="elsevierStyleCrossRefs" href="#bib0260"><span class="elsevierStyleSup">20&#8211;22</span></a>&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Variables de resultado</span><p id="par0060" class="elsevierStylePara elsevierViewall">Como variable de eficiencia&#44; se recogi&#243; la estancia hospitalaria&#44; contabilizada desde el momento de la llegada del paciente al SUH hasta el alta a domicilio o residencia&#46; Esta variable se calcul&#243; 2 veces&#44; incluyendo y sin incluir en su c&#225;lculo a los pacientes que fallecieron durante dicha hospitalizaci&#243;n&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Como variables de seguridad del ingreso en UCE&#44; se recogieron 2 variables distintas&#46; En primer lugar&#44; se consign&#243; la mortalidad por cualquier causa a 30 d&#237;as&#44; contabilizados a partir de la llegada del paciente al SUH&#46; En segundo lugar&#44; se consign&#243; el evento adverso combinado a 30 d&#237;as postalta&#44; los cuales se contabilizaron a partir del momento en el que el paciente fue dado de alta a domicilio o residencia&#46; Para esta variable de resultado&#44; no se computaron los pacientes que fallecieron durante el evento &#237;ndice &#40;y&#44; por tanto&#44; no fueron dados de alta a domicilio o residencia&#41;&#46; El evento combinado estuvo formado por reconsulta a urgencias o rehospitalizaci&#243;n debidas a ICA o muerte por cualquier causa &#40;el primero que aconteciese&#41;&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Dada la objetividad de las variables de resultado&#44; estas fueron adjudicadas por el investigador principal del centro&#44; sin revisi&#243;n externa&#46; Para la adjudicaci&#243;n&#44; se llev&#243; a cabo revisi&#243;n de la historia cl&#237;nica del hospital&#44; historia cl&#237;nica de atenci&#243;n primaria y contacto telef&#243;nico una vez transcurridos al menos 30 d&#237;as desde el evento &#237;ndice&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">An&#225;lisis estad&#237;stico</span><p id="par0075" class="elsevierStylePara elsevierViewall">Las variables categ&#243;ricas se describieron mediante frecuencias y porcentajes&#44; y las continuas con la mediana y rango intercuart&#237;lico &#40;RIC&#41;&#46; El an&#225;lisis de distribuci&#243;n de las variables categ&#243;ricas se realiz&#243; con el test de ji-cuadrado o test exacto de Fisher seg&#250;n correspondiera&#44; y el de las continuas mediante el test de Mann-Whitney&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">Dado el diferente perfil cl&#237;nico del paciente que ingresa en las UCE&#44; se planific&#243; un an&#225;lisis basado en puntuaci&#243;n de propensi&#243;n de ingreso en la UCE&#46; Este m&#233;todo permite emparejar y hacer coincidir las caracter&#237;sticas &#250;nicas que distinguen a los grupos para tratar de hacerlos m&#225;s parecidos&#46; Para el c&#225;lculo de dicha puntuaci&#243;n&#44; se utiliz&#243; un modelo de regresi&#243;n log&#237;stica en el que se incluyeron las 28 variables independientes mencionadas anteriormente&#46; Posteriormente se emparejaron &#40;1&#58;1&#41; pacientes de los grupos UCE y No-UCE con una diferencia en sus puntuaciones de propensi&#243;n inferior a 0&#44;001&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">El c&#225;lculo de la puntuaci&#243;n de propensi&#243;n y el emparejamiento de los pacientes del grupo UCE se realiz&#243; en 3 ocasiones de forma independiente utilizando grupos distintos de pacientes No-UCE&#44; con el fin de permitir 3 comparaciones distintas&#46; En la comparaci&#243;n A&#44; el grupo No-UCE estuvo integrado por todos los pacientes hospitalizados en &#225;reas o servicios diferentes a la UCE&#44; independientemente de que procediesen de un hospital con o sin UCE&#46; Por el contrario&#44; en la comparaci&#243;n B&#44; el grupo No-UCE estuvo integrado exclusivamente por pacientes procedentes de hospitales con UCE&#44; mientras que en la comparaci&#243;n C el grupo No-UCE estuvo formado solo por pacientes procedentes de hospitales sin UCE&#46; Con ello&#44; se quiso limitar el posible efecto sobre los resultados que pudiesen tener el centro &#40;comparaci&#243;n B&#44; todos los pacientes de los grupos UCE y No-UCE proced&#237;an de los mismos hospitales con UCE&#41; y variables no contempladas en el c&#225;lculo de la puntuaci&#243;n de propensi&#243;n a ingresar en UCE &#40;comparaci&#243;n C&#44; los pacientes del grupo No-UCE incluye todos los pacientes&#44; no se han eliminado los que tienen un perfil determinado por el que se haya hospitalizado en UCE&#44; puesto que los hospitales no tienen UCE&#41;&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Con los grupos as&#237; emparejados mediante puntuaci&#243;n de propensi&#243;n de ingreso en UCE&#44; se compar&#243; la estancia hospitalaria de los pacientes del grupo UCE respecto al grupo No-UCE&#44; as&#237; como la magnitud de la asociaci&#243;n de ingreso en UCE con mortalidad a 30 d&#237;as y evento adverso postalta a 30 d&#237;as&#46; Para esto &#250;ltimo&#44; se elaboraron curvas de supervivencia mediante el m&#233;todo de Kaplan Meier&#44; y se calcul&#243; el riesgo proporcional &#40;<span class="elsevierStyleItalic">hazard ratio</span> &#91;HR&#93;&#41; con su intervalo de confianza del 95&#37; &#40;IC95&#37;&#41; mediante regresi&#243;n de Cox&#46; Como se ha comentado en el p&#225;rrafo anterior&#44; estas comparaciones se repitieron en 3 ocasiones&#44; utilizando 3 grupos control &#40;No-UCE&#41; diferentes &#40;comparaciones A&#44; B y C&#41;&#46; En todas las comparaciones&#44; se acept&#243; que las diferencias eran estad&#237;sticamente significativas si el valor de p era inferior a 0&#44;05&#44; o si el IC95&#37; de la HR exclu&#237;a el valor 1&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">El an&#225;lisis estad&#237;stico se realiz&#243; con el programa SPSS versi&#243;n 24&#46;0 para Windows &#40;IBM Corp&#46;&#44; IBM SPSS Statistics for Windows&#44; Versi&#243;n 24&#46;0&#44; Armonk&#44; Nueva York&#44; EE&#46; UU&#46;&#41;&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Aspectos &#233;ticos</span><p id="par0100" class="elsevierStylePara elsevierViewall">Se siguieron los principios &#233;ticos de la Declaraci&#243;n de Helsinki sobre investigaci&#243;n en seres humanos&#44; y se solicit&#243; el consentimiento informado a todos los pacientes para participar en el estudio&#46; El protocolo fue aprobado por el Comit&#233; de &#201;tica e Investigaci&#243;n Cl&#237;nica del Hospital Universitario Central de Asturias como comit&#233; principal &#40;protocolos 49&#47;2010&#44; 69&#47;2011&#44; 166&#47;13&#44; 160&#47;15 y 205&#47;17&#41; y por los del resto de los centros participantes&#46;</p></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Resultados</span><p id="par0105" class="elsevierStylePara elsevierViewall">De los 18&#46;370 pacientes incluidos en el registro EAHFE&#44; 14&#46;196 fueron hospitalizados tras su atenci&#243;n en urgencias y son los que se incluyeron en el presente estudio &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#46; Los pacientes proced&#237;an de 45 SUH diferentes&#44; de los cuales 16 dispon&#237;an de UCE&#44; 27 no dispon&#237;an de UCE y 2 &#40;Hospital Universitario de Burgos y Consorci Sanitari de Terrassa&#41; han implementado una UCE tras la puesta en marcha del registro EAHFE&#44; de forma que en las primeras fases del registro no contaban con ella y en las &#250;ltimas&#44; s&#237;&#46; En estos casos&#44; el hospital se clasific&#243; como con UCE o sin UCE en funci&#243;n de su situaci&#243;n en el momento de inclusi&#243;n de pacientes en el registro EAHFE&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0110" class="elsevierStylePara elsevierViewall">En total&#44; hubo 2&#46;003 pacientes &#40;14&#37;&#41; que ingresaron en UCE&#46; En relaci&#243;n con los 12&#46;193 pacientes que ingresaron en otros servicios&#44; los que ingresaron en UCE eran de mayor edad&#44; con mayor frecuencia eran mujeres&#59; ten&#237;an hipertensi&#243;n arterial&#44; episodios previos de ICA y fibrilaci&#243;n auricular&#59; estaban en tratamiento cr&#243;nico con diur&#233;ticos y betabloqueantes&#44; y ten&#237;an una mejor clase funcional NYHA y una FEVI m&#225;s preservada &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46; En relaci&#243;n con el episodio de descompensaci&#243;n&#44; el factor precipitante de la misma fue con menor frecuencia una infecci&#243;n o un SCA y con mayor frecuencia una crisis hipertensiva o una transgresi&#243;n diet&#233;tico-farmacol&#243;gica&#44; y la gravedad del episodio de descompensaci&#243;n fue menor &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0115" class="elsevierStylePara elsevierViewall">Estas caracter&#237;sticas asociadas con hospitalizaci&#243;n en UCE fueron pr&#225;cticamente id&#233;nticas cuando los 2&#46;003 pacientes ingresados en UCE se compararon con los 6&#46;870 pacientes de hospitales con UCE que no ingresaron en una UCE &#40;como diferencias&#44; en esta comparaci&#243;n los pacientes ingresados en UCE presentaban tambi&#233;n menos frecuencia de neoplasias&#44; y&#44; en cambio&#44; no ten&#237;an mayor representaci&#243;n de pacientes con crisis hipertensiva como desencadenante de la ICA&#44; <a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41; o con los 5&#46;323 pacientes de hospitales sin UCE que no ingresaron en una UCE &#40;la &#250;nica diferencia en este caso fue una menor frecuencia de anemia como desencadenante de la ICA en los pacientes ingresados en UCE&#44; <a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0120" class="elsevierStylePara elsevierViewall">Tras el c&#225;lculo de la puntuaci&#243;n de propensi&#243;n de ingreso en una UCE&#44; fue posible emparejar 674 pares de pacientes hospitalizados en UCE y en No-UCE con puntuaci&#243;n superponible para la comparaci&#243;n A &#40;en la que todos los hospitales proporcionan pacientes para formar el grupo No-UCE&#44; <a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#44; 634 pares para la comparaci&#243;n B &#40;solo los hospitales con UCE proporcionan pacientes para formar el grupo No-UCE&#44; <a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#44; y 588 pares para la comparaci&#243;n C &#40;solo los hospitales sin UCE proporcionan pacientes para formar el grupo No-UCE&#44; <a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a>&#41;&#46; En estos grupos emparejados&#44; los pacientes hospitalizados en UCE no fueron estad&#237;sticamente diferentes a los hospitalizados en No-UCE en pr&#225;cticamente ninguna caracter&#237;stica en ninguna de las 3 comparaciones &#40;<a class="elsevierStyleCrossRefs" href="#tbl0005">tablas 1-3</a>&#41;&#46; La &#250;nica excepci&#243;n fue en la comparaci&#243;n A&#44; en la que los pacientes emparejados que hab&#237;an ingresado en UCE ten&#237;an m&#225;s frecuencia de episodios previos de ICA&#44; menor FEVI y menor &#237;ndice de Barthel &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">Los pacientes correspondientes al grupo UCE tuvieron siempre estancias significativamente m&#225;s cortas que los pacientes del grupo No-UCE&#44; cualquiera que fuese la comparaci&#243;n que se estableciese &#40;con todos los hospitales&#44; o con hospitales con o sin UCE&#41; &#40;<a class="elsevierStyleCrossRef" href="#sec0080">ver material adicional&#58; fig&#46; 1</a>&#41;&#46; La diferencia entre las medianas de estancia fue de 4 d&#237;as en todas las comparaciones &#40;4 d&#237;as en el grupo UCE y 8 d&#237;as en el grupo No-UCE&#41;&#46; Estos mismos resultados se obtuvieron cuando se excluyeron del c&#225;lculo los pacientes que fallecieron durante la hospitalizaci&#243;n &#40;<a class="elsevierStyleCrossRef" href="#sec0080">ver material adicional&#58; fig&#46; 1</a>&#41;&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">No se detectaron diferencias significativas respecto a mortalidad y eventos adversos postalta entre ambos grupos&#46; La mortalidad a 30 d&#237;as en los pacientes hospitalizados en UCE y no UCE fue&#44; respectivamente&#44; del 6&#44;8&#37; y del 6&#44;7&#37; en la comparaci&#243;n A &#40;HR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;027&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;681-1&#44;549&#41;&#44; del 7&#44;1&#37; y del 7&#44;3&#37; en la comparaci&#243;n B &#40;HR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;976&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;647-1&#44;472&#41; y del 7&#37; y del 10&#44;4&#37; en la comparaci&#243;n C &#40;HR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;818&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;662-1&#44;010&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0010">fig&#46; 2</a>&#41;&#46; Por otro lado&#44; el evento combinado adverso postalta a 30 d&#237;as en los grupos UCE y No-UCE fue&#44; respectivamente&#44; del 29&#44;6&#37; y del 29&#44;7&#37; en la comparaci&#243;n A &#40;HR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;002&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;816-1&#44;232&#41;&#44; del 29&#44;8&#37; y del 30&#44;3&#37; en la comparaci&#243;n B &#40;HR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;983&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;796-1&#44;215&#41; y del 30&#44;5&#37; y del 27&#44;9&#37; en la comparaci&#243;n C &#40;HR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;135&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;905-1&#44;424&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0010">fig&#46; 2</a>&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Discusi&#243;n</span><p id="par0135" class="elsevierStylePara elsevierViewall">El presente estudio&#44; en el que se han emparejado pacientes hospitalizados en UCE con pacientes hospitalizados en otros servicios hospitalarios con las mismas caracter&#237;sticas basales y del episodio de descompensaci&#243;n&#44; muestra que el ingreso en UCE se asocia con una estancia hospitalaria significativamente menor &#40;4 d&#237;as menos&#41; sin que la seguridad de los pacientes&#44; en t&#233;rminos de mortalidad y eventos adversos postalta&#44; se vea afectada en este grupo de pacientes seleccionado&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Los pacientes con ICA que precisan hospitalizaci&#243;n y que esta se realiza en UCE presentan un perfil cl&#237;nico caracter&#237;stico&#46; Ello puede atribuirse a la selecci&#243;n que se lleva a cabo en el SUH para adecuar al paciente a las caracter&#237;sticas que definen la funcionalidad de las UCE&#46; En concreto&#44; los pacientes con ICA ingresados en UCE son de mayor edad&#44; con m&#225;s frecuencia de algunas comorbilidades y episodios previos de ICA&#44; mejor clase NYHA&#44; FEVI m&#225;s preservada y una descompensaci&#243;n actual menos grave&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">El perfil cl&#237;nico de los pacientes que ingresaron en la UCE&#44; en todas las comparaciones realizadas&#44; fue de un riesgo bajo o intermedio de la escala MEESSI en alrededor del 80&#37; de los casos&#44; siendo del 74&#37; en los pacientes que ingresaron en hospitalizaci&#243;n convencional&#46; Esta circunstancia es l&#243;gica teniendo en cuenta que existen unos criterios bien definidos para que un paciente se pueda beneficiar de un ingreso en una UCE&#46; Estos criterios son especialmente de estabilidad cl&#237;nica y hemodin&#225;mica con una buena respuesta terap&#233;utica&#44; la no necesidad de exploraciones complementarias complejas y la ausencia de problem&#225;tica social que pueda dificultar el alta a domicilio tras el ingreso<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">14</span></a>&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">En este &#250;ltimo sentido se puede criticar de este an&#225;lisis que no se dispone de una valoraci&#243;n objetiva de la dificultad de alta a domicilio por problem&#225;tica social&#44; que en muchas ocasiones est&#225; vinculada a la existencia de dependencia y fragilidad&#44; requiriendo una adecuada transici&#243;n de estos pacientes en el momento del alta hospitalaria<a class="elsevierStyleCrossRefs" href="#bib0270"><span class="elsevierStyleSup">22&#8211;25</span></a>&#46; Si bien no se disponen de datos de fragilidad&#44; s&#237; que los pacientes analizados presentan una dependencia similar&#44; medida con el &#237;ndice de Barthel&#44; el cual sabemos que se relaciona con peores resultados evolutivos en estos pacientes<a class="elsevierStyleCrossRefs" href="#bib0255"><span class="elsevierStyleSup">19&#44;23</span></a>&#46; Adem&#225;s&#44; la presencia de comorbilidades fue mayor en los pacientes que ingresan en una UCE&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">La fortaleza del presente estudio es que mediante el uso de una metodolog&#237;a de puntuaci&#243;n de propensi&#243;n se observa que en ausencia de diferencias en la puntuaci&#243;n de la escala MEESSI el ingreso en UCE resulta coste efectivo y seguro&#44; como ha sucedido en otros escenarios cl&#237;nicos<a class="elsevierStyleCrossRefs" href="#bib0215"><span class="elsevierStyleSup">11&#44;12</span></a>&#46; Existe escasa evidencia al respecto de la seguridad del ingreso en la UCE comparado con las unidades de hospitalizaci&#243;n convencional en el escenario de la ICA&#46;</p><p id="par0160" class="elsevierStylePara elsevierViewall">Un estudio aleatorizado&#44; publicado &#250;nicamente como resumen hasta la actualidad&#44; asigna al azar 139 pacientes ancianos con ICA&#44; que presentan un estado social&#44; cognitivo y cl&#237;nico conservado y con un episodio sin complicaciones&#46; Los resultados de este estudio ponen de manifiesto que el ingreso en UCE es seguro y rentable&#44; siendo una buena alternativa al ingreso convencional<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">26</span></a>&#46; Una revisi&#243;n realizada para evaluar los efectos beneficiosos y perjudiciales de la hospitalizaci&#243;n en UCE llega a la conclusi&#243;n de que no se sabe si hay efectos beneficiosos o perjudiciales de la hospitalizaci&#243;n en UCE para los pacientes adultos con afecciones y enfermedades cl&#237;nicas y que es necesario realizar m&#225;s ensayos que comparen los efectos de las UCE con la atenci&#243;n habitual<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">27</span></a>&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">Sin embargo&#44; los eventos postalta siguen siendo inquietantemente altos y no est&#225; claro que la hospitalizaci&#243;n mitigue estas tasas de eventos&#46; Esto es especialmente relevante si se tiene en cuenta que los costes derivados de la hospitalizaci&#243;n por IC son los que tienen un mayor peso en el coste sanitario del proceso<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">2&#44;28</span></a>&#46; En este sentido&#44; es altamente interesante que un recurso como la UCE permita reducir a la mitad los d&#237;as de estancia media&#44; resultados consistentes en todas las comparaciones realizadas&#46; Parece obvio que en el &#225;mbito de la gesti&#243;n sanitaria es de gran inter&#233;s su implementaci&#243;n de manera generalizada en los hospitales que atienden a estos pacientes&#46; Y esta circunstancia no es &#250;nicamente por el ahorro econ&#243;mico que supone disminuir el n&#250;mero de d&#237;as de ingreso&#44; sino que tambi&#233;n porque pone a disposici&#243;n del hospital camas de hospitalizaci&#243;n que se pueden utilizar para la actividad programada<a class="elsevierStyleCrossRef" href="#bib0305"><span class="elsevierStyleSup">29</span></a>&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">Actualmente se considera que hasta el 50&#37; de los pacientes con ICA podr&#237;an ser candidatos para el alta directa o una breve estancia hospitalaria en unidades espec&#237;ficas&#46; A pesar de que las unidades de observaci&#243;n de urgencias y las UCE se utilizan actualmente en la pr&#225;ctica diaria&#44; no hay ensayos cl&#237;nicos que hayan evaluado a estas unidades frente al ingreso hospitalario&#46; Sin embargo&#44; apoyando nuestros resultados&#44; existen estudios observacionales que indican que los pacientes con ICA tratados en unidades relacionadas tienen resultados similares a los de los pacientes ingresados con el mismo riesgo&#44; y a un costo m&#225;s bajo<a class="elsevierStyleCrossRef" href="#bib0310"><span class="elsevierStyleSup">30</span></a>&#46;</p><p id="par0175" class="elsevierStylePara elsevierViewall">Es importante destacar que estos resultados en reducci&#243;n de la estancia media se acompa&#241;an de unos resultados de seguridad excelentes&#44; sin diferencias en la mortalidad por cualquier causa y en el evento combinado a los 30 d&#237;as &#40;reconsulta a urgencias o rehospitalizaci&#243;n debidas a ICA o muerte por cualquier causa&#41;&#46; Esto es especialmente importante en una entidad como es la ICA&#44; la cual tiene una elevada mortalidad y reconsulta a corto y largo plazo&#46;</p><p id="par0180" class="elsevierStylePara elsevierViewall">Este estudio aporta un nivel de evidencia favorable al uso de la UCE en la ICA hasta ahora no publicada&#44; y que ha sido motivo de cr&#237;tica en estudios de revisi&#243;n<a class="elsevierStyleCrossRefs" href="#bib0235"><span class="elsevierStyleSup">15&#8211;17</span></a>&#46; El valor de nuestro estudio no solo reside en el tama&#241;o de la muestra y su car&#225;cter multic&#233;ntrico&#44; sino que tambi&#233;n la metodolog&#237;a empleada le da una gran validez&#46; Todo ello hace que sus conclusiones sean generalizables a nuestro &#225;mbito sanitario&#46; Es pues recomendable insistir en la implementaci&#243;n de estas UCE siempre que sea posible&#46;</p><p id="par0185" class="elsevierStylePara elsevierViewall">En las UCE se tratan pacientes con enfermedades agudas o cr&#243;nicas reagudizadas&#44; en quienes es previsible el alta tras un corto per&#237;odo de tiempo&#44; por no ser necesarios&#44; en general&#44; procedimientos diagn&#243;sticos o terap&#233;uticos complejos&#44; por existir un buen apoyo social y familiar y un equipo m&#233;dico especializado en una unidad estructuralmente diferenciada&#46; Nuestros datos dar&#237;an m&#225;s argumentos a los estudios previos que muestran que el perfil del paciente que se beneficia del ingreso en UCE ser&#237;a aquel de riesgo intermedio o bajo&#44; con factores precipitantes no graves&#44; estable desde un punto de vista respiratorio y hemodin&#225;mico&#44; con respuesta&#44; al menos parcial&#44; al tratamiento inmediato y que probablemente se recupere en un corto per&#237;odo de tiempo<a class="elsevierStyleCrossRef" href="#bib0285"><span class="elsevierStyleSup">25</span></a>&#46;</p><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Limitaciones</span><p id="par0190" class="elsevierStylePara elsevierViewall">Nuestro estudio tiene varias limitaciones&#46; En primer lugar&#44; no se ha tenido en cuenta variables sociodemogr&#225;ficas ni medioambientales que pueden impactar en la evoluci&#243;n a corto plazo de estos pacientes&#44; y que no se han considerado en nuestro estudio<a class="elsevierStyleCrossRefs" href="#bib0315"><span class="elsevierStyleSup">31&#44;32</span></a>&#46; En segundo lugar&#44; no se dispon&#237;a de datos objetivos de la fragilidad tanto cl&#237;nica como social asociada a estos pacientes&#46; Sin embargo&#44; s&#237; disponemos de datos de dependencia que tienen un gran impacto como variable pron&#243;stico de eventos adversos asociados que pensamos que pueden minimizar este d&#233;ficit de informaci&#243;n&#46; En tercer lugar&#44; no se han contemplado pacientes en situaci&#243;n paliativa&#44; con problem&#225;tica social o vulnerabilidad socioecon&#243;mica y que pueden afectar a los resultados tanto en t&#233;rminos evolutivos o de estancia hospitalaria&#46; Por &#250;ltimo&#44; se debe tener en cuenta que las UCE pueden tener un funcionamiento diferente en cuanto a los criterios de admisi&#243;n&#44; horarios laborales de los profesionales&#44; tiempos de estancia m&#225;ximo admitidos que condicionen acciones diferentes&#46;</p></span></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Conclusi&#243;n</span><p id="par0195" class="elsevierStylePara elsevierViewall">Como conclusi&#243;n de nuestros resultados&#44; fruto de un an&#225;lisis mediante emparejamiento por puntuaci&#243;n de propensi&#243;n&#44; podemos decir que el ingreso en las UCE de los pacientes con ICA y correctamente seleccionados resulta eficiente y seguro&#44; lo cual puede ayudar a mejorar la gesti&#243;n de los recursos de urgencias y hospitalarios&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Financiaci&#243;n</span><p id="par0200" class="elsevierStylePara elsevierViewall">El presente estudio ha sido posible en parte gracias a las becasPI15&#47;01019&#44; PI15&#47;00773&#44; PI11&#47;01021 y PI10&#47;01918&#44; del Instituto de Salud Carlos III&#44; procedentes de fondos del Ministerio de Sanidad&#44; Servicios Sociales e Igualdad &#40;MSSSI&#41; y el Fondo Europeo de Desarrollo Regional &#40;FEDER&#41;&#59; a las becas de la Generalitat de Catalunya para Grupos de Investigaci&#243;n Consolidados &#40;GRC 2009&#47;1385 and2014&#47;0313&#41;&#44; y a la beca Fundaci&#243; La Marat&#243; de TV3 &#40;2015&#47;2510&#41;&#46;</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Conflicto de intereses</span><p id="par0205" class="elsevierStylePara elsevierViewall">Los autores declaran no tener ning&#250;n conflicto de intereses&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Analizar si la hospitalizaci&#243;n en unidades de corta estancia &#40;UCE&#41; de pacientes diagnosticados en urgencias de insuficiencia card&#237;aca aguda &#40;ICA&#41; resulta efectiva en t&#233;rminos de estancia hospitalaria y si se asocia con diferencias en la evoluci&#243;n a corto plazo&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">M&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se incluyeron los pacientes del registro EAHFE diagnosticados de ICA que ingresaron en UCE &#40;grupo UCE&#41; y se compararon con los hospitalizados en otros servicios &#40;grupo No-UCE&#41; procedentes de todos los hospitales &#40;comparaci&#243;n A&#41; y&#44; separadamente&#44; de hospitales con UCE &#40;comparaci&#243;n B&#41; y sin UCE &#40;comparaci&#243;n C&#41;&#46; Para cada comparaci&#243;n&#44; se emparejaron pacientes de los grupos UCE&#47;No-UCE por puntuaci&#243;n de propensi&#243;n&#44; y se compar&#243; la estancia hospitalaria &#40;eficacia&#41; y mortalidad a 30 d&#237;as y evento adverso postalta a 30 d&#237;as &#40;seguridad&#41;&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se identificaron 2&#46;003 pacientes UCE y 12&#46;193 No-UCE&#46; Se emparejaron 674 pares de pacientes para la comparaci&#243;n A&#44; 634 para la comparaci&#243;n B y 588 para la comparaci&#243;n C&#46; La estancia hospitalaria fue significativamente inferior en el grupo UCE en todas las comparaciones &#40;A&#58; mediana 4 d&#237;as &#91;RIC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2-5&#93; versus 8 &#91;5-12&#93; d&#237;as&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#59; B&#58; 4 &#91;2-5&#93; versus 8 &#91;5-12&#93;&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#59; C&#58; 4 &#91;2-5&#93; versus 8 &#91;6-12&#93;&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; El ingreso en UCE no se asoci&#243; a diferencias en mortalidad &#40;A&#58; HR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;027&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;681-1&#44;549&#59; B&#58; 0&#44;976&#59; 0&#44;647-1&#44;472&#59; C&#58; 0&#44;818&#59; 0&#44;662-1&#44;010&#41; ni en eventos adversos postalta &#40;A&#58; 1&#44;002&#59; 0&#44;816-1&#44;232&#59; B&#58; 0&#44;983&#59; 0&#44;796-1&#44;215&#59; C&#58; 1&#44;135&#59; 0&#44;905-1&#44;424&#41;&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusi&#243;n</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La hospitalizaci&#243;n de los pacientes con ICA en UCE se asocia con estancias m&#225;s cortas sin diferencias en la evoluci&#243;n a corto plazo&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0005"
            "titulo" => "Objetivos"
          ]
          1 => array:2 [
            "identificador" => "abst0010"
            "titulo" => "M&#233;todo"
          ]
          2 => array:2 [
            "identificador" => "abst0015"
            "titulo" => "Resultados"
          ]
          3 => array:2 [
            "identificador" => "abst0020"
            "titulo" => "Conclusi&#243;n"
          ]
        ]
      ]
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">This work aims to analyze if hospitalization in short-stay units &#40;SSU&#41; of patients diagnosed in the emergency department with acute heart failure &#40;AHF&#41; is effective in terms of the length of hospital stay and if it is associated with differences in short-term progress&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Patients from the EAHFE registry diagnosed with AHF who were admitted to the SSU &#40;SSU group&#41; were included and compared to those hospitalized in other departments &#40;non-SSU group&#41; from all hospitals &#40;comparison A&#41; and&#44; separately&#44; those from hospitals with an SSU &#40;comparison B&#41; and without an SSU &#40;comparison C&#41;&#46; For each comparison&#44; patients in the SSU&#47;non-SSU groups were matched by propensity score&#46; The length of hospital stay &#40;efficacy&#41;&#44; 30-day mortality&#44; and post-discharge adverse events at 30 days &#40;safety&#41; were compared&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A total of 2&#44;003 SSU patients and 12&#44;193 non-SSU patients were identified&#46; Of them&#44; 674 pairs of patients were matched for comparison A&#44; 634 for comparison B&#44; and 588 for comparison C&#46; The hospital stay was significantly shorter in the SSU group in all comparisons &#40;A&#58; median 4 days &#40;IQR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2-5&#41; versus 8 &#40;5-12&#41; days&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#59; B&#58; 4 &#40;2-5&#41; versus 8 &#40;5-12&#41;&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#59; C&#58; 4 &#40;2-5&#41; versus 8 &#40;6-12&#41;&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; Admission to the SSU was not associated with differences in mortality &#40;A&#58; HR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;027&#44; 95&#37;CI<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;681-1&#46;549&#59; B&#58; 0&#46;976&#44; 0&#46;647-1&#46;472&#59; C&#58; 0&#46;818&#44; 0&#46;662-1&#46;010&#41; or post-discharge adverse events &#40;A&#58; HR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;002&#44; 95&#37;CI<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;816-1&#46;232&#59; B&#58; 0&#46;983&#44; 0&#46;796-1&#46;215&#59; C&#58; 1&#46;135&#44; 0&#46;905-1&#46;424&#41;&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The hospitalization of patients with AHF in the SSU is associated with shorter hospital stays but there were no differences in short-term progress&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0025"
            "titulo" => "Objectives"
          ]
          1 => array:2 [
            "identificador" => "abst0030"
            "titulo" => "Method"
          ]
          2 => array:2 [
            "identificador" => "abst0035"
            "titulo" => "Results"
          ]
          3 => array:2 [
            "identificador" => "abst0040"
            "titulo" => "Conclusion"
          ]
        ]
      ]
    ]
    "NotaPie" => array:2 [
      0 => array:3 [
        "etiqueta" => "1"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0050">Ambos autores tuvieron la misma contribuci&#243;n en el art&#237;culo&#46;</p>"
        "identificador" => "fn0005"
      ]
      1 => array:3 [
        "etiqueta" => "&#9674;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0055">El listado completo del grupo de investigaci&#243;n ICA-SEMES est&#225; en el <a class="elsevierStyleCrossRef" href="#sec0075">anexo A</a>&#46;</p>"
        "identificador" => "fn0010"
      ]
    ]
    "apendice" => array:1 [
      0 => array:1 [
        "seccion" => array:2 [
          0 => array:4 [
            "apendice" => "<p id="par0215" class="elsevierStylePara elsevierViewall">Marta Fuentes&#44; Cristina Gil &#40;Hospital Universitario de Salamanca&#41;&#44; H&#233;ctor Alonso&#44; Enrique P&#233;rez-Llantada &#40;Hospital Marqu&#233;s de Valdecilla de Santander&#41;&#44; Francisco Javier Mart&#237;n-S&#225;nchez&#44; Guillermo Llopis-Garc&#237;a&#44; Mar Su&#225;rez-Cadenas &#40;Hospital Cl&#237;nico San Carlos de Madrid&#41;&#44; &#210;scar Mir&#243;&#44; V&#237;ctor Gil&#44; Rosa Escoda&#44; Sira Aguil&#243;&#44; Carolina S&#225;nchez &#40;Hospital Cl&#237;nic de Barcelona&#41;&#44; Carmen Gargallo &#40;Hospital Polit&#233;nic La Fe de Valencia&#41;&#44; Jos&#233; Pav&#243;n &#40;Hospital Dr&#46; Negr&#237;n de Las Palmas de Gran Canaria&#41;&#44; Antonio Noval &#40;Hospital Insular de Las Palmas de Gran Canaria&#41;&#44; Mar&#237;a Luisa L&#243;pez-Grima&#44; Amparo Valero&#44; Mar&#237;a &#193;ngeles Juan &#40;Hospital Dr&#46; Peset de Valencia&#41;&#44; Alfons Aguirre&#44; Maria Angels Pedragosa&#44; Silvia M&#237;nguez-Mas&#243; &#40;Hospital del Mar de Barcelona&#41;&#44; Mar&#237;a Isabel Alonso&#44; Francisco Ruiz &#40;Hospital de Valme de Sevilla&#41;&#44; Jos&#233; Miguel Franco &#40;Hospital Miguel Servet de Zaragoza&#41;&#44; Ana Bel&#233;n Mecina &#40;Hospital de Alcorc&#243;n de Madrid&#41;&#44; Josep Tost&#44; Marta Berenguer&#44; Ruxandra Donea &#40;Consorci Sanitari de Terrassa&#41;&#44; Susana S&#225;nchez-Ram&#243;n&#44; Virginia Carbajosa &#40;Hospital Universitario Rio Hortega de Valladolid&#41;&#44; Pascual Pi&#241;era&#44; Jos&#233; Andr&#233;s S&#225;nchez-Nicol&#225;s &#40;Hospital Reina Sof&#237;a de Murcia&#41;&#44; Raquel Torres-Garate &#40;Hospital Severo Ochoa de Madrid&#41;&#44; Aitor Alqu&#233;zar-Arb&#233;&#44; Miguel Alberto Rizzi&#44; Sergio Herrera &#40;Hospital de la Santa Creu y Sant Pau de Barcelona&#41;&#44; Javier Jacob&#44; Alex Roset&#44; Irene Cabello&#44; Antonio Haro&#44; L&#237;dia Fuentes &#40;Hospital Universitari de Bellvitge de Barcelona&#41;&#44; Fernando Richard&#44; Jos&#233; Mar&#237;a &#193;lvarez-P&#233;rez&#44; Mar&#237;a Pilar L&#243;pez-Diez &#40;Hospital Universitario de Burgos&#41;&#44; Pablo Herrero&#44; Joaqu&#237;n V&#225;zquez-&#193;lvarez&#44; Bel&#233;n Prieto-Garc&#237;a&#44; Mar&#237;a Garc&#237;a-Garc&#237;a&#44; Marta S&#225;nchez-Gonz&#225;lez &#40;Hospital Universitario Central de Asturias de Oviedo&#41;&#44; Pere Llorens&#44; Patricia Javaloyes&#44; Inmaculada Jim&#233;nez&#44; N&#233;stor Hern&#225;ndez&#44; Bego&#241;a Espinosa&#44; Adriana Gil&#44; Francisca Molina&#44; Tamara Garc&#237;a &#40;Hospital General de Alicante&#41;&#44; Juan Antonio Andueza &#40;Hospital General Universitario Gregorio Mara&#241;&#243;n de Madrid&#41;&#44; Rodolfo Romero &#40;Hospital Universitario de Getafe de Madrid&#41;&#44; Mart&#237;n Ru&#237;z&#44; Roberto Calvache &#40;Hospital de Henares de Madrid&#41;&#44; Mar&#237;a Teresa Lorca-Serralta&#44; Luis Ernesto Calder&#243;n-Jave &#40;Hospital del Tajo de Madrid&#41;&#44; Beatriz Amores-Arriaga&#44; Beatriz Sierra-Bergua &#40;Hospital Cl&#237;nico Lozano Blesa de Zaragoza&#41;&#44; Enrique Mart&#237;n-Mojarro&#44; Brigitte Silvana Alarc&#243;n-Jim&#233;nez &#40;Hospital Sant Pau i Santa Tecla de Tarragona&#41;&#44; Lisette Traver&#237;a-B&#233;cquer&#44; Guillermo Burillo &#40;Hospital Universitario de Canarias de Tenerife&#41;&#44; Llu&#237;s Llauger&#44; Gerard Corominas-LaSalle&#46; &#40;Hospital Universitari de Vic de Barcelona&#41;&#44; Carmen Ag&#252;era-Urbano&#44; Ana Bel&#233;n Garc&#237;a-Soto&#44; Elisa Delgado-Padial &#40;Hospital Costa del Sol de Marbella de M&#225;laga&#41;&#44; Ester Soy&#44; Mar&#237;a Adroher-M&#250;&#241;oz &#40;Hospital Josep Trueta de Girona&#41;&#46; Jos&#233; Manuel Garrido &#40;Hospital Virgen Macarena de Sevilla&#41;&#44; Francisco Javier Lucas-Imbern&#243;n &#40;Hospital General Universitario de Albacete&#41;&#44; Rut Gaya &#40;Hospital Juan XXIII de Tarragona&#41;&#44; Carlos Bibiano&#44; Mar&#237;a Mir&#44; Beatriz Rodr&#237;guez &#40;Hospital Infanta Leonor de Madrid&#41;&#44; Jos&#233; Luis Carballo &#40;Complejo Hospitalario Universitario de Ourense&#41;&#44; Esther Rodr&#237;guez-Adrada&#44; Bel&#233;n Rodr&#237;guez-Miranda&#44; Monika Vicente-Mart&#237;n &#40;Hospital Rey Juan Carlos de M&#243;stoles de Madrid&#41;&#46; Pere Coma-Casanova&#44; Joan Espinach-Alvar&#243;s &#40;Hospital San Joan de Deu de Martorell&#44; Barcelona&#41;&#46;</p>"
            "etiqueta" => "Appendix A"
            "titulo" => "Anexo A&#46; Investigadores del grupo ICA-SEMES"
            "identificador" => "sec0075"
          ]
          1 => array:4 [
            "apendice" => "<p id="par0225" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>"
            "etiqueta" => "Anexo A"
            "titulo" => "Material adicional"
            "identificador" => "sec0085"
          ]
        ]
      ]
    ]
    "multimedia" => array:6 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figura 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1741
            "Ancho" => 2508
            "Tamanyo" => 314867
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        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Diagrama de flujo de inclusi&#243;n de pacientes&#46;</p> <p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">EAHFE&#58; <span class="elsevierStyleItalic">Epidemiology of Acute Heart Failure in Emergency departments</span>&#59; ICA&#58; insuficiencia card&#237;aca&#59; UCE&#58; unidad de corta estancia<span class="elsevierStyleItalic">&#46;</span></p> <p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">&#42;La puntuaci&#243;n de propensi&#243;n de ingreso en UCE se calcul&#243; por regresi&#243;n log&#237;stica m&#250;ltiple utilizando como covariables todas las variables incluidas en las <a class="elsevierStyleCrossRefs" href="#tbl0005">tablas 1&#44; 2 y 3</a>&#44; e incluyen datos demogr&#225;ficos&#44; comorbilidad&#44; tratamiento cr&#243;nico en domicilio&#44; situaci&#243;n funcional basal&#44; factor precipitante de la descompensaci&#243;n y gravedad de la descompensaci&#243;n&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figura 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 2081
            "Ancho" => 3167
            "Tamanyo" => 429471
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        "descripcion" => array:1 [
          "es" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Curvas de mortalidad por cualquier causa a 30 d&#237;as &#40;arriba&#41; y de evento adverso durante los 30 d&#237;as posteriores al alta &#40;abajo&#41; de los pacientes hospitalizados en unidades de corta estancia y los pacientes que fueron hospitalizados en otros servicios hospitalarios&#46;</p> <p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">HR&#58; <span class="elsevierStyleItalic">hazard ratio</span>&#59; UCE&#58; unidad de corta estancia&#46;</p>"
        ]
      ]
      2 => array:8 [
        "identificador" => "tbl0005"
        "etiqueta" => "Tabla 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at1"
            "detalle" => "Tabla "
            "rol" => "short"
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        ]
        "tabla" => array:3 [
          "leyenda" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">RIC&#58; rango intercuart&#237;lico&#59; UCE&#58; unidad de corta estancia&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:1 [
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Todos los pacientes</th><th class="td" title="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Pacientes emparejados por puntuaci&#243;n de propensi&#243;n<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a></th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#37; pacientes con valores v&#225;lidos&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ingreso UCE N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#46;003n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ingreso No-UCEN<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>12&#46;193n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ingreso UCEN<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>674n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ingreso No-UCEN<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>674n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Datos epidemiol&#243;gicos</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Edad &#91;mediana &#40;RIC&#41;&#93;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">99&#44;9&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">84 &#40;79-89&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">83 &#40;76-88&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">83 &#40;77-87&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">84 &#40;77-88&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;985&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sexo femenino&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">99&#44;7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;237 &#40;61&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">407 &#40;60&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">393 &#40;58&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="8" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="8" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Comorbilidades</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Hipertensi&#243;n arterial&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">10&#46;145 &#40;83&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">596 &#40;88&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">608 &#40;90&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;290&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Episodios previos de insuficiencia card&#237;aca aguda&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">7&#46;211 &#40;61&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">534 &#40;81&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">483 &#40;75&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">0&#44;017</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Fibrilaci&#243;n auricular&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">414 &#40;61&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">424 &#40;62&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;574&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Diabetes mellitus&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">839 &#40;42&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5&#46;140 &#40;42&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;764&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">322 &#40;47&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">315 &#40;46&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;703&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Cardiopat&#237;a isqu&#233;mica&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">544 &#40;27&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&#46;336 &#40;27&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;797&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">225 &#40;33&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">207 &#40;30&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;293&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad renal cr&#243;nica &#40;creatinina<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>2<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">578 &#40;28&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&#46;448 &#40;28&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;640&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">236 &#40;35&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">227 &#40;33&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;606&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Valvulopat&#237;a card&#237;aca&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">506 &#40;25&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">3&#46;154 &#40;26&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;534&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">226 &#40;33&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">230 &#40;34&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;818&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad pulmonar obstructiva cr&#243;nica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">466 &#40;23&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;969 &#40;24&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;282&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">176 &#40;26&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">169 &#40;25&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;662&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Demencia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">92&#44;2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">216 &#40;11&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;452 &#40;12&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;175&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">70 &#40;10&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">58 &#40;8&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;265&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Neoplasia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">92&#44;1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">238 &#40;13&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;628 &#40;14&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;089&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">97 &#40;14&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">97 &#40;14&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;000&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad cerebrovascular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">275 &#40;13&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;581 &#40;13&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;370&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">96 &#40;14&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">89 &#40;13&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;580&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad arterial perif&#233;rica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">185 &#40;9&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;200 &#40;9&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;382&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">90 &#40;13&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">86 &#40;12&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;746&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Tratamiento cr&#243;nico en domicilio</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Diur&#233;ticos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">97&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;561 &#40;78&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">8&#46;876 &#40;74&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">562 &#40;83&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">545 &#40;80&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;227&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Inhibidores del sistema renina-angiotensina&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">97&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;128 &#40;56&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#46;545 &#40;55&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;204&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">391 &#40;58&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">416 &#40;61&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;165&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Betabloqueantes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">97&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">916 &#40;46&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">5&#46;021 &#40;42&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">0&#44;002</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">362 &#40;46&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Antagonistas de los receptores mineralocorticoides&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Situaci&#243;n funcional basal</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Clase funcional NYHA III-IV&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">168 &#40;24&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;444&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Fracci&#243;n eyecci&#243;n del ventr&#237;culo izquierdo &#40;&#37;&#41; &#91;mediana &#40;RIC&#41;&#93;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#205;ndice de Barthel &#91;mediana &#40;RIC&#41;&#93;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Factor precipitante de la descompensaci&#243;n</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Infecci&#243;n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;737&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Fibrilaci&#243;n auricular r&#225;pida&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">84 &#40;12&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">86 &#40;12&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;870&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Crisis hipertensiva&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">119 &#40;6&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">574 &#40;5&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">50 &#40;7&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">60 &#40;8&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Anemia&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">108 &#40;6&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">794 &#40;7&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">39 &#40;5&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;000&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Trasgresi&#243;n diet&#233;tico-farmacol&#243;gica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">89&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">84 &#40;4&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">321 &#40;2&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31 &#40;4&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29 &#40;4&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;792&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>S&#237;ndrome coronario agudo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22 &#40;1&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">382 &#40;3&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6 &#40;0&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;0&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;526&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Gravedad de la descompensaci&#243;n</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Categor&#237;a de riesgo seg&#250;n la escala MEESSI<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">59&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;088&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo bajo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">515 &#40;39&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;275 &#40;31&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">274 &#40;40&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">304 &#40;45&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo intermedio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">541 &#40;41&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;021 &#40;42&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">299 &#40;44&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">277 &#40;41&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo alto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">124 &#40;9&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">956 &#40;13&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">56 &#40;8&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">62 &#40;9&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo muy alto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">113 &#40;8&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">886 &#40;12&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45 &#40;6&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31 &#40;4&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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            0 => array:3 [
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0005">La puntuaci&#243;n de propensi&#243;n de ingreso en UCE se calcul&#243; por regresi&#243;n log&#237;stica m&#250;ltiple utilizando como covariables todas las variables incluidas en la tabla &#40;datos demogr&#225;ficos&#44; comorbilidad&#44; tratamiento cr&#243;nico en domicilio&#44; situaci&#243;n funcional basal&#44; factor precipitante de la descompensaci&#243;n y gravedad de la descompensaci&#243;n&#41;&#46;</p>"
            ]
            1 => array:3 [
              "identificador" => "tblfn0010"
              "etiqueta" => "b"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0010">La escala MEESSI est&#225; integrada por 13 variables obtenidas a la llegada del paciente a urgencias &#40;edad&#59; si el episodio estuvo desencadenado por un s&#237;ndrome coronario agudo&#59; &#237;ndice de Barthel&#44; clase NYHA y presencia de signos de bajo gasto card&#237;aco a la llegada a urgencias&#59; la primera determinaci&#243;n de presi&#243;n arterial sist&#243;lica&#44; frecuencia respiratoria y saturaci&#243;n basal de ox&#237;geno en urgencias&#59; la presencia de hipertrofia ventricular izquierda en el ECG&#59; y los valores de creatinina&#44; potasio&#44; troponina y NT-proBNP&#41; y estratifican el riesgo de fallecer durante los 30 d&#237;as siguientes a la llegada a urgencias&#46;</p> <p class="elsevierStyleNotepara" id="npar0015">Los valores de p en negrita denotan aquellos que alcanzaron significaci&#243;n estad&#237;stica &#40;p &#60; 0&#44;05&#41;&#46;</p>"
            ]
          ]
        ]
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          "es" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Caracter&#237;sticas de los pacientes hospitalizados en unidades de corta estancia y de los pacientes que fueron hospitalizados en otros servicios hospitalarios &#40;procedentes de todos los hospitales que participaron en el estudio&#41;&#44; y comparaci&#243;n entre ambos grupos antes y despu&#233;s del emparejamiento por puntuaci&#243;n de propensi&#243;n</p>"
        ]
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        "identificador" => "tbl0010"
        "etiqueta" => "Tabla 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
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            "detalle" => "Tabla "
            "rol" => "short"
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        "tabla" => array:3 [
          "leyenda" => "<p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">RIC&#58; rango intercuart&#237;lico&#59; UCE&#58; unidad de corta estancia&#46;</p>"
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                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="4" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Todos los pacientes</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Pacientes emparejados por puntuaci&#243;n de propensi&#243;n<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">a</span></a></th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#37; pacientes con valores v&#225;lidos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ingreso UCE N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#46;003n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ingreso No-UCEN<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>6&#46;870n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ingreso UCEN<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>634n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ingreso No-UCEN<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>634n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Datos epidemiol&#243;gicos</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Edad &#91;mediana &#40;RIC&#41;&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">84 &#40;79-89&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">83 &#40;75-88&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">83 &#40;78-87&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">84 &#40;78-88&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;221&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sexo femenino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;237 &#40;61&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;747 &#40;54&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">380 &#40;59&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">366 &#40;57&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;424&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Comorbilidades</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Hipertensi&#243;n arterial&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;740 &#40;87&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#46;717 &#40;83&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">561 &#40;88&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">568 &#40;89&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;529&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Episodios previos de insuficiencia card&#237;aca aguda&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;338 &#40;69&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#46;078 &#40;62&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">513 &#40;80&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">494 &#40;77&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;187&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Fibrilaci&#243;n auricular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;140 &#40;57&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;258 &#40;47&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">390 &#40;61&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">398 &#40;62&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;643&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Diabetes mellitus&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">839 &#40;42&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;943 &#40;43&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;396&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">303 &#40;47&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">289 &#40;45&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;431&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Cardiopat&#237;a isqu&#233;mica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">544 &#40;27&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;822 &#40;26&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;622&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">216 &#40;34&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">206 &#40;32&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;551&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad renal cr&#243;nica &#40;creatinina<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>2<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">578 &#40;28&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;954 &#40;28&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;775&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">223 &#40;35&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">214 &#40;33&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;595&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Valvulopat&#237;a card&#237;aca&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">506 &#40;25&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;721 &#40;25&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;896&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">217 &#40;34&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">217 &#40;34&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;000&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad pulmonar obstructiva cr&#243;nica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">466 &#40;23&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;683 &#40;24&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;242&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">167 &#40;26&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">162 &#40;25&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;749&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Demencia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">92&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">216 &#40;11&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">795 &#40;12&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;463&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">68 &#40;10&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">59 &#40;9&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;400&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Neoplasia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">92&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">238 &#40;13&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;011 &#40;15&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">0&#44;003</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">92 &#40;14&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">97 &#40;15&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;693&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad cerebrovascular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">275 &#40;13&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">932 &#40;13&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;894&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">87 &#40;13&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">88 &#40;13&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;935&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad arterial perif&#233;rica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">185 &#40;9&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">707 &#40;10&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;156&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">82 &#40;12&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">68 &#40;10&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;223&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Tratamiento cr&#243;nico en domicilio</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Diur&#233;ticos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">98&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;561 &#40;78&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#46;984 &#40;73&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">532 &#40;83&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Inhibidores del sistema renina-angiotensina&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Betabloqueantes&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">916 &#40;46&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">344 &#40;54&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">356 &#40;56&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Antagonistas de los receptores mineralocorticoides&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">98&#44;9&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">337 &#40;16&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;845&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">124 &#40;19&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">114 &#40;18&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;472&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="8" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Situaci&#243;n funcional basal</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Clase funcional NYHA III-IV&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">95&#44;4&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">429 &#40;22&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">164 &#40;25&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">158 &#40;24&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;699&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Fracci&#243;n eyecci&#243;n del ventr&#237;culo izquierdo &#40;&#37;&#41; &#91;mediana &#40;RIC&#41;&#93;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">55 &#40;46-63&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">55 &#40;48-64&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">55 &#40;49-60&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#205;ndice de Barthel &#91;mediana &#40;RIC&#41;&#93;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">85 &#40;65-100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">85 &#40;60100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">85 &#40;70-100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">90 &#40;75-100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Factor precipitante de la descompensaci&#243;n</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Infecci&#243;n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">90&#44;3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">699 &#40;39&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">0&#44;010</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">254 &#40;40&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">247 &#40;39&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;688&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Fibrilaci&#243;n auricular r&#225;pida&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">90&#44;3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">288 &#40;16&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">889 &#40;14&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;065&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">76 &#40;12&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">71 &#40;11&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;661&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Crisis hipertensiva&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Anemia&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">441 &#40;7&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">38 &#40;6&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;570&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Trasgresi&#243;n diet&#233;tico-farmacol&#243;gica&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">90&#44;3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">84 &#40;4&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">188 &#40;3&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">25 &#40;3&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;886&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>S&#237;ndrome coronario agudo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">99&#44;1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">22 &#161;1&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">229 &#40;3&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5 &#40;0&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;062&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Gravedad de la descompensaci&#243;n</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Categor&#237;a de riesgo seg&#250;n la escala MEESSI<a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">59&#44;3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;379&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo bajo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">515 &#40;39&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;238 &#40;31&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">252 &#40;39&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">255 &#40;40&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo intermedio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">541 &#40;41&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;711 &#40;43&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">284 &#40;44&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">292 &#40;46&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo alto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">124 &#40;9&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">531 &#40;13&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">54 &#40;8&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">55 &#40;8&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo muy alto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0020">La puntuaci&#243;n de propensi&#243;n de ingreso en UCE se calcul&#243; por regresi&#243;n log&#237;stica m&#250;ltiple utilizando como covariables todas las variables incluidas en la tabla &#40;datos demogr&#225;ficos&#44; comorbilidad&#44; tratamiento cr&#243;nico en domicilio&#44; situaci&#243;n funcional basal&#44; factor precipitante de la descompensaci&#243;n y gravedad de la descompensaci&#243;n&#41;&#46;</p>"
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0025">La escala MEESSI est&#225; integrada por 13 variables obtenidas a la llegada del paciente a urgencias &#40;edad&#59; si el episodio estuvo desencadenado por un s&#237;ndrome coronario agudo&#59; &#237;ndice de Barthel&#44; clase NYHA y presencia de signos de bajo gasto card&#237;aco a la llegada a urgencias&#59; la primera determinaci&#243;n de presi&#243;n arterial sist&#243;lica&#44; frecuencia respiratoria y saturaci&#243;n basal de ox&#237;geno en urgencias&#59; la presencia de hipertrofia ventricular izquierda en el ECG&#59; y los valores de creatinina&#44; potasio&#44; troponina y NT-proBNP&#41; y estratifican el riesgo de fallecer durante los 30 d&#237;as siguientes a la llegada a urgencias&#46;</p> <p class="elsevierStyleNotepara" id="npar0030">Los valores de p en negrita denotan aquellos que alcanzaron significaci&#243;n estad&#237;stica &#40;p &#60; 0&#44;05&#41;&#46;</p>"
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Todos los pacientes</th><th class="td" title="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#37; pacientes con valores v&#225;lidos&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ingreso UCEN<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>588n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ingreso No-UCEN<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>588n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">83 &#40;76-88&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;237 &#40;61&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#46;928 &#40;55&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">351 &#40;59&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">0&#44;635&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Hipertensi&#243;n arterial&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;740 &#40;87&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">517 &#40;87&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">0&#44;928&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;338 &#40;69&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">3&#46;133 &#40;61&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">465 &#40;79&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">477 &#40;81&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">0&#44;381&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Fibrilaci&#243;n auricular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">99&#44;7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;140 &#40;57&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;599 &#40;49&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">354 &#40;60&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">360 &#40;61&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;720&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Diabetes mellitus&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">839 &#40;42&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;197 &#40;41&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;667&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">275 &#40;46&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">284 &#40;48&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;599&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Cardiopat&#237;a isqu&#233;mica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">544 &#40;27&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;514 &#40;28&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;253&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">203 &#40;34&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">196 &#40;33&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;666&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad renal cr&#243;nica &#40;creatinina<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>2<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">578 &#40;28&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;494 &#40;28&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;530&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">201 &#40;34&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">187 &#40;31&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;385&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Valvulopat&#237;a card&#237;aca&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">506 &#40;25&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;433 &#40;27&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;145&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">203 &#40;34&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">208 &#40;35&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;760&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad pulmonar obstructiva cr&#243;nica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">466 &#40;23&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;286 &#40;24&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;420&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">161 &#40;27&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">167 &#40;28&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;696&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Demencia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">91&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">216 &#40;11&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">657 &#40;13&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;051&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">60 &#40;10&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">68 &#40;11&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;454&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Neoplasia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">91&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">238 &#40;13&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">617 &#40;12&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;796&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">82 &#40;13&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">89 &#40;15&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;563&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad cerebrovascular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">275 &#40;13&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">649 &#40;12&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;081&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">83 &#40;14&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">82 &#40;13&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;933&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad arterial perif&#233;rica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">185 &#40;9&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">493 &#40;9&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">76 &#40;12&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Tratamiento cr&#243;nico en domicilio</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Diur&#233;ticos&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">496 &#40;84&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">503 &#40;85&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;568&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Inhibidores del sistema renina-angiotensina&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Betabloqueantes&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">916 &#40;46&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">310 &#40;52&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">282 &#40;48&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Antagonistas de los receptores mineralocorticoides&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">337 &#40;16&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">784 &#40;15&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">109 &#40;18&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">116 &#40;19&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Situaci&#243;n funcional basal</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Clase funcional NYHA III-IV&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">94&#44;5&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">429 &#40;22&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;289 &#40;25&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">0&#44;002</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">148 &#40;25&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">141 &#40;24&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;635&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Fracci&#243;n eyecci&#243;n del ventr&#237;culo izquierdo &#40;&#37;&#41; &#91;mediana &#40;RIC&#41;&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">56&#44;3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">55 &#40;46-63&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">55 &#40;40-61&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">55 &#40;46-64&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">55 &#40;46-64&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;744&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#205;ndice de Barthel &#91;mediana &#40;RIC&#41;&#93;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">90&#44;9&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">85 &#40;65-100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">90 &#40;60-100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">85 &#40;70-100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">90 &#40;65-100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="8" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Factor precipitante</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Infecci&#243;n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">237 &#40;40&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;678&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Fibrilaci&#243;n auricular r&#225;pida&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">81 &#40;13&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;732&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Crisis hipertensiva&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">220 &#40;4&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;622&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Anemia&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Trasgresi&#243;n diet&#233;tico-farmacol&#243;gica&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">89&#44;1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">84 &#40;4&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">133 &#40;2&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">23 &#40;3&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>S&#237;ndrome coronario agudo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">22 &#40;1&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">153 &#40;2&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5 &#40;0&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5 &#40;0&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="8" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Gravedad de la descompensaci&#243;n</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Categor&#237;a de riesgo seg&#250;n la escala MEESSI<a class="elsevierStyleCrossRef" href="#tblfn0030"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">60&#44;9&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;457&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo bajo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">515 &#40;39&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;037 &#40;32&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">229 &#40;38&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">215 &#40;36&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo intermedio&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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ORIGINAL
Análisis de la efectividad y seguridad de las unidades de estancia corta en la hospitalización de pacientes con insuficiencia cardíaca aguda. Propensity Score UCE-EAHFE
Analysis of the effectiveness and safety of short-stay units in the hospitalization of patients with acute heart failure. Propensity Score SSU-EAHFE
C. Sánchez-Marcosa,1, J. Jacobb,1, P. Llorensc, B. Rodríguezd, F.J. Martín-Sáncheze, S. Herreraf, L.E. Castillero-Díazg, P. Herreroh, V. Gila, Ò. Miróa,
Autor para correspondencia
omiro@clinic.cat

Autor para correspondencia.
, en representación del grupo de investigación ICA-SEMES ◊
a Área de Urgencias, Hospital Clínic, IDIBAPS, Universitat de Barcelona, Barcelona, España
b Servicio de Urgencias, Hospital Universitari de Bellvitge, IDIBELL, Universitat de Barcelona, L’Hospitalet de Llobregat, Barcelona, España
c Servicio de Urgencias, Corta Estancia y Hospitalización a Domicilio, Hospital General de Alicante, Instituto de Investigación Sanitaria y Biómedica de Alicante (ISABIAL), Universidad Miguel Hernández, Alicante, España
d Servicio de Urgencias, Hospital Universitario Infanta Leonor, Madrid, España
e Servicio de Urgencias, Hospital Clínico San Carlos, Universidad Complutense, Madrid, España
f Servicio de Urgencias, Hospital de la Santa Creu i Sant Pau, Barcelona, España
g Servicio de Urgencias, Hospital del Mar, Barcelona, España
h Servicio de Urgencias, Hospital Central de Asturias, Oviedo, España
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          "es" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Curvas de mortalidad por cualquier causa a 30 d&#237;as &#40;arriba&#41; y de evento adverso durante los 30 d&#237;as posteriores al alta &#40;abajo&#41; de los pacientes hospitalizados en unidades de corta estancia y los pacientes que fueron hospitalizados en otros servicios hospitalarios&#46;</p> <p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">HR&#58; <span class="elsevierStyleItalic">hazard ratio</span>&#59; UCE&#58; unidad de corta estancia&#46;</p>"
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Estas descompensaciones se asocian con una elevada mortalidad a corto plazo&#44; as&#237; como un alto &#237;ndice de reingreso postalta&#46; Los servicios hospitalarios en los que estas hospitalizaciones se producen son diversos &#40;mayoritariamente en medicina interna y cardiolog&#237;a&#41; y&#44; con frecuencia&#44; cambiantes para un mismo paciente<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">6</span></a>&#46; As&#237;&#44; el estudio NOVICA mostr&#243; que&#44; tras la consulta en un SUH por un primer episodio de ICA&#44; la mediana de supervivencia se sit&#250;a en 3&#44;9 a&#241;os&#44; y el 77&#37; de los pacientes precisa de nuevas hospitalizaciones&#44; de las cuales el 51&#37; lo son por nuevos episodios de ICA&#46; Sin embargo&#44; menos de la mitad de estas nuevas hospitalizaciones se produce en el mismo servicio que asumi&#243; el primer episodio<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">7</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">En relaci&#243;n con el proceso de hospitalizaci&#243;n&#44; muchos hospitales espa&#241;oles han desarrollado unidades espec&#237;ficas de ingreso para pacientes con descompensaci&#243;n de procesos cr&#243;nicos&#44; que no requieren de un nuevo abordaje diagn&#243;stico&#44; y para los que el ingreso se prev&#233; corto&#44; finalista &#40;con alta a domicilio&#41; y&#44; en general&#44; inferior a 96<span class="elsevierStyleHsp" style=""></span>h&#46; Estas unidades se conocen con el nombre de unidad de corta estancia &#40;UCE&#41; y su dependencia organizativa y asistencial es diversa&#44; pudiendo depender de un &#250;nico servicio hospitalario o ser multidisciplinares y multiservicio<a class="elsevierStyleCrossRefs" href="#bib0200"><span class="elsevierStyleSup">8&#44;9</span></a>&#46; Uno de los procesos que encajan en la cartera de servicios de la UCE es la ICA&#46; De hecho&#44; en algunas series&#44; hasta el 15&#37; del total de los ingresos que se llevan a cabo en estas unidades corresponde a pacientes con ICA<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">10</span></a>&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Diversos estudios han subrayado que las UCE son efectivas&#44; eficientes y seguras&#44; cuando se ha analizado su actividad de forma gen&#233;rica o restringida a determinados procesos tales como las neumon&#237;as&#44; infecciones&#44; patolog&#237;as metab&#243;licas&#44; exacerbaciones de la enfermedad pulmonar obstructiva cr&#243;nica<a class="elsevierStyleCrossRefs" href="#bib0215"><span class="elsevierStyleSup">11&#8211;14</span></a>&#46; No obstante&#44; algunos autores han criticado la falta de evidencia cient&#237;fica respecto a la eficacia y seguridad de estas unidades ya que el perfil del paciente que ingresa en las UCE es m&#225;s favorable a estos buenos resultados por distintos motivos&#58; una preselecci&#243;n previa en urgencias que lo facilitar&#237;a&#59; los excesivos traslados desde las UCE de los pacientes m&#225;s complejos&#44; las complicaciones en los servicios de hospitalizaci&#243;n convencional&#44; o la reducci&#243;n del tiempo de hospitalizaci&#243;n en las UCE que se conseguir&#237;a pagando el peaje de incrementar los reingresos posteriores tras el alta<a class="elsevierStyleCrossRefs" href="#bib0235"><span class="elsevierStyleSup">15&#8211;17</span></a>&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">El presente estudio analiza de forma comparativa pacientes diagnosticados de ICA en urgencias e ingresados inicialmente en UCE con pacientes de caracter&#237;sticas similares hospitalizados en otros servicios hospitalarios&#44; y estudia si el ingreso de pacientes con ICA en UCE consigue disminuir de forma significativa la duraci&#243;n global de la hospitalizaci&#243;n &#8211;eficiencia&#8211; y que ello no compromete la evoluci&#243;n del paciente a corto plazo &#8211;seguridad&#8211;&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Material y m&#233;todos</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">&#193;mbito del estudio</span><p id="par0030" class="elsevierStylePara elsevierViewall">Se planific&#243; un an&#225;lisis secundario del registro EAHFE <span class="elsevierStyleItalic">&#40;Epidemiology of Acute Heart Failure in Emergency departments&#41;</span>&#44; que es un registro multic&#233;ntrico&#44; multiprop&#243;sito&#44; anal&#237;tico no intervencionista&#44; y con seguimiento prospectivo que incluye&#44; de forma consecutiva&#44; a los pacientes que acuden por episodio de ICA al SUH&#46; Se defini&#243; ICA como la aparici&#243;n r&#225;pida o gradual de s&#237;ntomas y&#47;o signos de IC&#44; lo suficientemente grave como para que el paciente busque atenci&#243;n m&#233;dica urgente&#44; que conduce a un ingreso hospitalario no planificado o una visita al servicio de urgencias<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">1</span></a>&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Se han realizado 6 fases de reclutamiento &#40;en los a&#241;os 2007&#44; 2009&#44; 2011&#44; 2014&#44; 2016 y 2018&#41; y 45 SUH espa&#241;oles han aportado pacientes al registro&#46; Los detalles y caracter&#237;sticas de estos pacientes ya han sido previamente publicados<a class="elsevierStyleCrossRefs" href="#bib0190"><span class="elsevierStyleSup">6&#44;18&#44;19</span></a>&#46; La inclusi&#243;n de pacientes con ICA en el registro EAHFE se basa en el cumplimiento de los criterios cl&#237;nicos de Framingham&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">El diagn&#243;stico cl&#237;nico final lo adjudica el investigador principal de cada centro y&#44; cuando es posible&#44; se confirma mediante la determinaci&#243;n de p&#233;ptidos natriur&#233;ticos en plasma y&#47;o mediante una ecocardiograf&#237;a siguiendo las recomendaciones en vigor en cada momento<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">1</span></a>&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">El &#250;nico criterio de exclusi&#243;n del registro es la presencia concomitante de un s&#237;ndrome coronario agudo &#40;SCA&#41; con elevaci&#243;n del segmento ST e ICA&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Dise&#241;o del estudio</span><p id="par0050" class="elsevierStylePara elsevierViewall">Se incluyeron todos los pacientes con ICA del registro EAHFE quienes&#44; tras su diagn&#243;stico y tratamiento en urgencias&#44; requirieron hospitalizaci&#243;n&#46; Los pacientes se dividieron en 2 grupos&#58; pacientes hospitalizados en una UCE &#40;grupo UCE&#41; y pacientes hospitalizados en otros servicios o unidades &#40;grupo No-UCE&#41;&#46; La asignaci&#243;n a uno de los 2 grupos se realiz&#243; exclusivamente en funci&#243;n del lugar de hospitalizaci&#243;n tras su atenci&#243;n en urgencias&#59; por lo tanto&#44; los pacientes hospitalizados inicialmente en una UCE que requirieron posterior traslado a otros servicios o unidades formaron parte del grupo UCE&#46; Para algunos de los an&#225;lisis posteriores&#44; los pacientes del grupo No-UCE se dividieron&#44; a su vez&#44; en pacientes hospitalizados en centros que contaban con UCE y pacientes hospitalizados en centros sin UCE&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Variables independientes</span><p id="par0055" class="elsevierStylePara elsevierViewall">Se recogieron 28 variables independientes&#58; edad&#44; sexo&#44; comorbilidades &#40;hipertensi&#243;n arterial&#44; diabetes mellitus&#44; cardiopat&#237;a isqu&#233;mica&#44; fibrilaci&#243;n auricular&#44; enfermedad renal cr&#243;nica&#44; enfermedad valvular card&#237;aca&#44; enfermedad pulmonar obstructiva cr&#243;nica&#44; demencia&#44; neoplasia&#44; enfermedad cerebrovascular&#44; enfermedad arterial perif&#233;rica y episodios previos de ICA&#41;&#44; tratamientos cr&#243;nicos &#40;diur&#233;ticos&#44; betabloqueantes&#44; inhibidores del eje renina-angiotensina&#44; y bloqueadores de los receptores de mineralocorticoides&#41;&#44; situaci&#243;n funcional basal &#40;estimada mediante la clase funcional NYHA&#44; la fracci&#243;n de eyecci&#243;n del ventr&#237;culo izquierdo &#8211;FEVI&#8211; y el &#237;ndice de Barthel&#41;&#44; y factores precipitantes &#40;infecci&#243;n&#44; taquiarritmia&#44; anemia&#44; crisis hipertensiva&#44; transgresi&#243;n diet&#233;tico-farmacol&#243;gica y SCA&#41; y gravedad del episodio actual de ICA&#46; Este &#250;ltimo se estim&#243; mediante la escala MEESSI&#44; la cual est&#225; integrada por 13 variables&#58; edad&#44; si el episodio estuvo desencadenado por un SCA&#44; &#237;ndice de Barthel&#44; clase NYHA y presencia de signos de bajo gasto card&#237;aco a la llegada a urgencias&#44; la primera determinaci&#243;n de presi&#243;n arterial sist&#243;lica&#44; frecuencia respiratoria y saturaci&#243;n basal de ox&#237;geno en urgencias&#44; la presencia de hipertrofia ventricular izquierda en el ECG&#44; y los valores de creatinina&#44; potasio&#44; troponina y NT-proBP&#46; Diversos estudios en Espa&#241;a y Suiza han mostrado que esta escala estratifica adecuadamente a los pacientes de acuerdo con la probabilidad predicha de fallecer los 30 d&#237;as siguientes al episodio de ICA<a class="elsevierStyleCrossRefs" href="#bib0260"><span class="elsevierStyleSup">20&#8211;22</span></a>&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Variables de resultado</span><p id="par0060" class="elsevierStylePara elsevierViewall">Como variable de eficiencia&#44; se recogi&#243; la estancia hospitalaria&#44; contabilizada desde el momento de la llegada del paciente al SUH hasta el alta a domicilio o residencia&#46; Esta variable se calcul&#243; 2 veces&#44; incluyendo y sin incluir en su c&#225;lculo a los pacientes que fallecieron durante dicha hospitalizaci&#243;n&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Como variables de seguridad del ingreso en UCE&#44; se recogieron 2 variables distintas&#46; En primer lugar&#44; se consign&#243; la mortalidad por cualquier causa a 30 d&#237;as&#44; contabilizados a partir de la llegada del paciente al SUH&#46; En segundo lugar&#44; se consign&#243; el evento adverso combinado a 30 d&#237;as postalta&#44; los cuales se contabilizaron a partir del momento en el que el paciente fue dado de alta a domicilio o residencia&#46; Para esta variable de resultado&#44; no se computaron los pacientes que fallecieron durante el evento &#237;ndice &#40;y&#44; por tanto&#44; no fueron dados de alta a domicilio o residencia&#41;&#46; El evento combinado estuvo formado por reconsulta a urgencias o rehospitalizaci&#243;n debidas a ICA o muerte por cualquier causa &#40;el primero que aconteciese&#41;&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Dada la objetividad de las variables de resultado&#44; estas fueron adjudicadas por el investigador principal del centro&#44; sin revisi&#243;n externa&#46; Para la adjudicaci&#243;n&#44; se llev&#243; a cabo revisi&#243;n de la historia cl&#237;nica del hospital&#44; historia cl&#237;nica de atenci&#243;n primaria y contacto telef&#243;nico una vez transcurridos al menos 30 d&#237;as desde el evento &#237;ndice&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">An&#225;lisis estad&#237;stico</span><p id="par0075" class="elsevierStylePara elsevierViewall">Las variables categ&#243;ricas se describieron mediante frecuencias y porcentajes&#44; y las continuas con la mediana y rango intercuart&#237;lico &#40;RIC&#41;&#46; El an&#225;lisis de distribuci&#243;n de las variables categ&#243;ricas se realiz&#243; con el test de ji-cuadrado o test exacto de Fisher seg&#250;n correspondiera&#44; y el de las continuas mediante el test de Mann-Whitney&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">Dado el diferente perfil cl&#237;nico del paciente que ingresa en las UCE&#44; se planific&#243; un an&#225;lisis basado en puntuaci&#243;n de propensi&#243;n de ingreso en la UCE&#46; Este m&#233;todo permite emparejar y hacer coincidir las caracter&#237;sticas &#250;nicas que distinguen a los grupos para tratar de hacerlos m&#225;s parecidos&#46; Para el c&#225;lculo de dicha puntuaci&#243;n&#44; se utiliz&#243; un modelo de regresi&#243;n log&#237;stica en el que se incluyeron las 28 variables independientes mencionadas anteriormente&#46; Posteriormente se emparejaron &#40;1&#58;1&#41; pacientes de los grupos UCE y No-UCE con una diferencia en sus puntuaciones de propensi&#243;n inferior a 0&#44;001&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">El c&#225;lculo de la puntuaci&#243;n de propensi&#243;n y el emparejamiento de los pacientes del grupo UCE se realiz&#243; en 3 ocasiones de forma independiente utilizando grupos distintos de pacientes No-UCE&#44; con el fin de permitir 3 comparaciones distintas&#46; En la comparaci&#243;n A&#44; el grupo No-UCE estuvo integrado por todos los pacientes hospitalizados en &#225;reas o servicios diferentes a la UCE&#44; independientemente de que procediesen de un hospital con o sin UCE&#46; Por el contrario&#44; en la comparaci&#243;n B&#44; el grupo No-UCE estuvo integrado exclusivamente por pacientes procedentes de hospitales con UCE&#44; mientras que en la comparaci&#243;n C el grupo No-UCE estuvo formado solo por pacientes procedentes de hospitales sin UCE&#46; Con ello&#44; se quiso limitar el posible efecto sobre los resultados que pudiesen tener el centro &#40;comparaci&#243;n B&#44; todos los pacientes de los grupos UCE y No-UCE proced&#237;an de los mismos hospitales con UCE&#41; y variables no contempladas en el c&#225;lculo de la puntuaci&#243;n de propensi&#243;n a ingresar en UCE &#40;comparaci&#243;n C&#44; los pacientes del grupo No-UCE incluye todos los pacientes&#44; no se han eliminado los que tienen un perfil determinado por el que se haya hospitalizado en UCE&#44; puesto que los hospitales no tienen UCE&#41;&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Con los grupos as&#237; emparejados mediante puntuaci&#243;n de propensi&#243;n de ingreso en UCE&#44; se compar&#243; la estancia hospitalaria de los pacientes del grupo UCE respecto al grupo No-UCE&#44; as&#237; como la magnitud de la asociaci&#243;n de ingreso en UCE con mortalidad a 30 d&#237;as y evento adverso postalta a 30 d&#237;as&#46; Para esto &#250;ltimo&#44; se elaboraron curvas de supervivencia mediante el m&#233;todo de Kaplan Meier&#44; y se calcul&#243; el riesgo proporcional &#40;<span class="elsevierStyleItalic">hazard ratio</span> &#91;HR&#93;&#41; con su intervalo de confianza del 95&#37; &#40;IC95&#37;&#41; mediante regresi&#243;n de Cox&#46; Como se ha comentado en el p&#225;rrafo anterior&#44; estas comparaciones se repitieron en 3 ocasiones&#44; utilizando 3 grupos control &#40;No-UCE&#41; diferentes &#40;comparaciones A&#44; B y C&#41;&#46; En todas las comparaciones&#44; se acept&#243; que las diferencias eran estad&#237;sticamente significativas si el valor de p era inferior a 0&#44;05&#44; o si el IC95&#37; de la HR exclu&#237;a el valor 1&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">El an&#225;lisis estad&#237;stico se realiz&#243; con el programa SPSS versi&#243;n 24&#46;0 para Windows &#40;IBM Corp&#46;&#44; IBM SPSS Statistics for Windows&#44; Versi&#243;n 24&#46;0&#44; Armonk&#44; Nueva York&#44; EE&#46; UU&#46;&#41;&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Aspectos &#233;ticos</span><p id="par0100" class="elsevierStylePara elsevierViewall">Se siguieron los principios &#233;ticos de la Declaraci&#243;n de Helsinki sobre investigaci&#243;n en seres humanos&#44; y se solicit&#243; el consentimiento informado a todos los pacientes para participar en el estudio&#46; El protocolo fue aprobado por el Comit&#233; de &#201;tica e Investigaci&#243;n Cl&#237;nica del Hospital Universitario Central de Asturias como comit&#233; principal &#40;protocolos 49&#47;2010&#44; 69&#47;2011&#44; 166&#47;13&#44; 160&#47;15 y 205&#47;17&#41; y por los del resto de los centros participantes&#46;</p></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Resultados</span><p id="par0105" class="elsevierStylePara elsevierViewall">De los 18&#46;370 pacientes incluidos en el registro EAHFE&#44; 14&#46;196 fueron hospitalizados tras su atenci&#243;n en urgencias y son los que se incluyeron en el presente estudio &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#46; Los pacientes proced&#237;an de 45 SUH diferentes&#44; de los cuales 16 dispon&#237;an de UCE&#44; 27 no dispon&#237;an de UCE y 2 &#40;Hospital Universitario de Burgos y Consorci Sanitari de Terrassa&#41; han implementado una UCE tras la puesta en marcha del registro EAHFE&#44; de forma que en las primeras fases del registro no contaban con ella y en las &#250;ltimas&#44; s&#237;&#46; En estos casos&#44; el hospital se clasific&#243; como con UCE o sin UCE en funci&#243;n de su situaci&#243;n en el momento de inclusi&#243;n de pacientes en el registro EAHFE&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0110" class="elsevierStylePara elsevierViewall">En total&#44; hubo 2&#46;003 pacientes &#40;14&#37;&#41; que ingresaron en UCE&#46; En relaci&#243;n con los 12&#46;193 pacientes que ingresaron en otros servicios&#44; los que ingresaron en UCE eran de mayor edad&#44; con mayor frecuencia eran mujeres&#59; ten&#237;an hipertensi&#243;n arterial&#44; episodios previos de ICA y fibrilaci&#243;n auricular&#59; estaban en tratamiento cr&#243;nico con diur&#233;ticos y betabloqueantes&#44; y ten&#237;an una mejor clase funcional NYHA y una FEVI m&#225;s preservada &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46; En relaci&#243;n con el episodio de descompensaci&#243;n&#44; el factor precipitante de la misma fue con menor frecuencia una infecci&#243;n o un SCA y con mayor frecuencia una crisis hipertensiva o una transgresi&#243;n diet&#233;tico-farmacol&#243;gica&#44; y la gravedad del episodio de descompensaci&#243;n fue menor &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0115" class="elsevierStylePara elsevierViewall">Estas caracter&#237;sticas asociadas con hospitalizaci&#243;n en UCE fueron pr&#225;cticamente id&#233;nticas cuando los 2&#46;003 pacientes ingresados en UCE se compararon con los 6&#46;870 pacientes de hospitales con UCE que no ingresaron en una UCE &#40;como diferencias&#44; en esta comparaci&#243;n los pacientes ingresados en UCE presentaban tambi&#233;n menos frecuencia de neoplasias&#44; y&#44; en cambio&#44; no ten&#237;an mayor representaci&#243;n de pacientes con crisis hipertensiva como desencadenante de la ICA&#44; <a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41; o con los 5&#46;323 pacientes de hospitales sin UCE que no ingresaron en una UCE &#40;la &#250;nica diferencia en este caso fue una menor frecuencia de anemia como desencadenante de la ICA en los pacientes ingresados en UCE&#44; <a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0120" class="elsevierStylePara elsevierViewall">Tras el c&#225;lculo de la puntuaci&#243;n de propensi&#243;n de ingreso en una UCE&#44; fue posible emparejar 674 pares de pacientes hospitalizados en UCE y en No-UCE con puntuaci&#243;n superponible para la comparaci&#243;n A &#40;en la que todos los hospitales proporcionan pacientes para formar el grupo No-UCE&#44; <a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#44; 634 pares para la comparaci&#243;n B &#40;solo los hospitales con UCE proporcionan pacientes para formar el grupo No-UCE&#44; <a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#44; y 588 pares para la comparaci&#243;n C &#40;solo los hospitales sin UCE proporcionan pacientes para formar el grupo No-UCE&#44; <a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a>&#41;&#46; En estos grupos emparejados&#44; los pacientes hospitalizados en UCE no fueron estad&#237;sticamente diferentes a los hospitalizados en No-UCE en pr&#225;cticamente ninguna caracter&#237;stica en ninguna de las 3 comparaciones &#40;<a class="elsevierStyleCrossRefs" href="#tbl0005">tablas 1-3</a>&#41;&#46; La &#250;nica excepci&#243;n fue en la comparaci&#243;n A&#44; en la que los pacientes emparejados que hab&#237;an ingresado en UCE ten&#237;an m&#225;s frecuencia de episodios previos de ICA&#44; menor FEVI y menor &#237;ndice de Barthel &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">Los pacientes correspondientes al grupo UCE tuvieron siempre estancias significativamente m&#225;s cortas que los pacientes del grupo No-UCE&#44; cualquiera que fuese la comparaci&#243;n que se estableciese &#40;con todos los hospitales&#44; o con hospitales con o sin UCE&#41; &#40;<a class="elsevierStyleCrossRef" href="#sec0080">ver material adicional&#58; fig&#46; 1</a>&#41;&#46; La diferencia entre las medianas de estancia fue de 4 d&#237;as en todas las comparaciones &#40;4 d&#237;as en el grupo UCE y 8 d&#237;as en el grupo No-UCE&#41;&#46; Estos mismos resultados se obtuvieron cuando se excluyeron del c&#225;lculo los pacientes que fallecieron durante la hospitalizaci&#243;n &#40;<a class="elsevierStyleCrossRef" href="#sec0080">ver material adicional&#58; fig&#46; 1</a>&#41;&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">No se detectaron diferencias significativas respecto a mortalidad y eventos adversos postalta entre ambos grupos&#46; La mortalidad a 30 d&#237;as en los pacientes hospitalizados en UCE y no UCE fue&#44; respectivamente&#44; del 6&#44;8&#37; y del 6&#44;7&#37; en la comparaci&#243;n A &#40;HR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;027&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;681-1&#44;549&#41;&#44; del 7&#44;1&#37; y del 7&#44;3&#37; en la comparaci&#243;n B &#40;HR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;976&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;647-1&#44;472&#41; y del 7&#37; y del 10&#44;4&#37; en la comparaci&#243;n C &#40;HR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;818&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;662-1&#44;010&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0010">fig&#46; 2</a>&#41;&#46; Por otro lado&#44; el evento combinado adverso postalta a 30 d&#237;as en los grupos UCE y No-UCE fue&#44; respectivamente&#44; del 29&#44;6&#37; y del 29&#44;7&#37; en la comparaci&#243;n A &#40;HR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;002&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;816-1&#44;232&#41;&#44; del 29&#44;8&#37; y del 30&#44;3&#37; en la comparaci&#243;n B &#40;HR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;983&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;796-1&#44;215&#41; y del 30&#44;5&#37; y del 27&#44;9&#37; en la comparaci&#243;n C &#40;HR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;135&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;905-1&#44;424&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0010">fig&#46; 2</a>&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Discusi&#243;n</span><p id="par0135" class="elsevierStylePara elsevierViewall">El presente estudio&#44; en el que se han emparejado pacientes hospitalizados en UCE con pacientes hospitalizados en otros servicios hospitalarios con las mismas caracter&#237;sticas basales y del episodio de descompensaci&#243;n&#44; muestra que el ingreso en UCE se asocia con una estancia hospitalaria significativamente menor &#40;4 d&#237;as menos&#41; sin que la seguridad de los pacientes&#44; en t&#233;rminos de mortalidad y eventos adversos postalta&#44; se vea afectada en este grupo de pacientes seleccionado&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Los pacientes con ICA que precisan hospitalizaci&#243;n y que esta se realiza en UCE presentan un perfil cl&#237;nico caracter&#237;stico&#46; Ello puede atribuirse a la selecci&#243;n que se lleva a cabo en el SUH para adecuar al paciente a las caracter&#237;sticas que definen la funcionalidad de las UCE&#46; En concreto&#44; los pacientes con ICA ingresados en UCE son de mayor edad&#44; con m&#225;s frecuencia de algunas comorbilidades y episodios previos de ICA&#44; mejor clase NYHA&#44; FEVI m&#225;s preservada y una descompensaci&#243;n actual menos grave&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">El perfil cl&#237;nico de los pacientes que ingresaron en la UCE&#44; en todas las comparaciones realizadas&#44; fue de un riesgo bajo o intermedio de la escala MEESSI en alrededor del 80&#37; de los casos&#44; siendo del 74&#37; en los pacientes que ingresaron en hospitalizaci&#243;n convencional&#46; Esta circunstancia es l&#243;gica teniendo en cuenta que existen unos criterios bien definidos para que un paciente se pueda beneficiar de un ingreso en una UCE&#46; Estos criterios son especialmente de estabilidad cl&#237;nica y hemodin&#225;mica con una buena respuesta terap&#233;utica&#44; la no necesidad de exploraciones complementarias complejas y la ausencia de problem&#225;tica social que pueda dificultar el alta a domicilio tras el ingreso<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">14</span></a>&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">En este &#250;ltimo sentido se puede criticar de este an&#225;lisis que no se dispone de una valoraci&#243;n objetiva de la dificultad de alta a domicilio por problem&#225;tica social&#44; que en muchas ocasiones est&#225; vinculada a la existencia de dependencia y fragilidad&#44; requiriendo una adecuada transici&#243;n de estos pacientes en el momento del alta hospitalaria<a class="elsevierStyleCrossRefs" href="#bib0270"><span class="elsevierStyleSup">22&#8211;25</span></a>&#46; Si bien no se disponen de datos de fragilidad&#44; s&#237; que los pacientes analizados presentan una dependencia similar&#44; medida con el &#237;ndice de Barthel&#44; el cual sabemos que se relaciona con peores resultados evolutivos en estos pacientes<a class="elsevierStyleCrossRefs" href="#bib0255"><span class="elsevierStyleSup">19&#44;23</span></a>&#46; Adem&#225;s&#44; la presencia de comorbilidades fue mayor en los pacientes que ingresan en una UCE&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">La fortaleza del presente estudio es que mediante el uso de una metodolog&#237;a de puntuaci&#243;n de propensi&#243;n se observa que en ausencia de diferencias en la puntuaci&#243;n de la escala MEESSI el ingreso en UCE resulta coste efectivo y seguro&#44; como ha sucedido en otros escenarios cl&#237;nicos<a class="elsevierStyleCrossRefs" href="#bib0215"><span class="elsevierStyleSup">11&#44;12</span></a>&#46; Existe escasa evidencia al respecto de la seguridad del ingreso en la UCE comparado con las unidades de hospitalizaci&#243;n convencional en el escenario de la ICA&#46;</p><p id="par0160" class="elsevierStylePara elsevierViewall">Un estudio aleatorizado&#44; publicado &#250;nicamente como resumen hasta la actualidad&#44; asigna al azar 139 pacientes ancianos con ICA&#44; que presentan un estado social&#44; cognitivo y cl&#237;nico conservado y con un episodio sin complicaciones&#46; Los resultados de este estudio ponen de manifiesto que el ingreso en UCE es seguro y rentable&#44; siendo una buena alternativa al ingreso convencional<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">26</span></a>&#46; Una revisi&#243;n realizada para evaluar los efectos beneficiosos y perjudiciales de la hospitalizaci&#243;n en UCE llega a la conclusi&#243;n de que no se sabe si hay efectos beneficiosos o perjudiciales de la hospitalizaci&#243;n en UCE para los pacientes adultos con afecciones y enfermedades cl&#237;nicas y que es necesario realizar m&#225;s ensayos que comparen los efectos de las UCE con la atenci&#243;n habitual<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">27</span></a>&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">Sin embargo&#44; los eventos postalta siguen siendo inquietantemente altos y no est&#225; claro que la hospitalizaci&#243;n mitigue estas tasas de eventos&#46; Esto es especialmente relevante si se tiene en cuenta que los costes derivados de la hospitalizaci&#243;n por IC son los que tienen un mayor peso en el coste sanitario del proceso<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">2&#44;28</span></a>&#46; En este sentido&#44; es altamente interesante que un recurso como la UCE permita reducir a la mitad los d&#237;as de estancia media&#44; resultados consistentes en todas las comparaciones realizadas&#46; Parece obvio que en el &#225;mbito de la gesti&#243;n sanitaria es de gran inter&#233;s su implementaci&#243;n de manera generalizada en los hospitales que atienden a estos pacientes&#46; Y esta circunstancia no es &#250;nicamente por el ahorro econ&#243;mico que supone disminuir el n&#250;mero de d&#237;as de ingreso&#44; sino que tambi&#233;n porque pone a disposici&#243;n del hospital camas de hospitalizaci&#243;n que se pueden utilizar para la actividad programada<a class="elsevierStyleCrossRef" href="#bib0305"><span class="elsevierStyleSup">29</span></a>&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">Actualmente se considera que hasta el 50&#37; de los pacientes con ICA podr&#237;an ser candidatos para el alta directa o una breve estancia hospitalaria en unidades espec&#237;ficas&#46; A pesar de que las unidades de observaci&#243;n de urgencias y las UCE se utilizan actualmente en la pr&#225;ctica diaria&#44; no hay ensayos cl&#237;nicos que hayan evaluado a estas unidades frente al ingreso hospitalario&#46; Sin embargo&#44; apoyando nuestros resultados&#44; existen estudios observacionales que indican que los pacientes con ICA tratados en unidades relacionadas tienen resultados similares a los de los pacientes ingresados con el mismo riesgo&#44; y a un costo m&#225;s bajo<a class="elsevierStyleCrossRef" href="#bib0310"><span class="elsevierStyleSup">30</span></a>&#46;</p><p id="par0175" class="elsevierStylePara elsevierViewall">Es importante destacar que estos resultados en reducci&#243;n de la estancia media se acompa&#241;an de unos resultados de seguridad excelentes&#44; sin diferencias en la mortalidad por cualquier causa y en el evento combinado a los 30 d&#237;as &#40;reconsulta a urgencias o rehospitalizaci&#243;n debidas a ICA o muerte por cualquier causa&#41;&#46; Esto es especialmente importante en una entidad como es la ICA&#44; la cual tiene una elevada mortalidad y reconsulta a corto y largo plazo&#46;</p><p id="par0180" class="elsevierStylePara elsevierViewall">Este estudio aporta un nivel de evidencia favorable al uso de la UCE en la ICA hasta ahora no publicada&#44; y que ha sido motivo de cr&#237;tica en estudios de revisi&#243;n<a class="elsevierStyleCrossRefs" href="#bib0235"><span class="elsevierStyleSup">15&#8211;17</span></a>&#46; El valor de nuestro estudio no solo reside en el tama&#241;o de la muestra y su car&#225;cter multic&#233;ntrico&#44; sino que tambi&#233;n la metodolog&#237;a empleada le da una gran validez&#46; Todo ello hace que sus conclusiones sean generalizables a nuestro &#225;mbito sanitario&#46; Es pues recomendable insistir en la implementaci&#243;n de estas UCE siempre que sea posible&#46;</p><p id="par0185" class="elsevierStylePara elsevierViewall">En las UCE se tratan pacientes con enfermedades agudas o cr&#243;nicas reagudizadas&#44; en quienes es previsible el alta tras un corto per&#237;odo de tiempo&#44; por no ser necesarios&#44; en general&#44; procedimientos diagn&#243;sticos o terap&#233;uticos complejos&#44; por existir un buen apoyo social y familiar y un equipo m&#233;dico especializado en una unidad estructuralmente diferenciada&#46; Nuestros datos dar&#237;an m&#225;s argumentos a los estudios previos que muestran que el perfil del paciente que se beneficia del ingreso en UCE ser&#237;a aquel de riesgo intermedio o bajo&#44; con factores precipitantes no graves&#44; estable desde un punto de vista respiratorio y hemodin&#225;mico&#44; con respuesta&#44; al menos parcial&#44; al tratamiento inmediato y que probablemente se recupere en un corto per&#237;odo de tiempo<a class="elsevierStyleCrossRef" href="#bib0285"><span class="elsevierStyleSup">25</span></a>&#46;</p><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Limitaciones</span><p id="par0190" class="elsevierStylePara elsevierViewall">Nuestro estudio tiene varias limitaciones&#46; En primer lugar&#44; no se ha tenido en cuenta variables sociodemogr&#225;ficas ni medioambientales que pueden impactar en la evoluci&#243;n a corto plazo de estos pacientes&#44; y que no se han considerado en nuestro estudio<a class="elsevierStyleCrossRefs" href="#bib0315"><span class="elsevierStyleSup">31&#44;32</span></a>&#46; En segundo lugar&#44; no se dispon&#237;a de datos objetivos de la fragilidad tanto cl&#237;nica como social asociada a estos pacientes&#46; Sin embargo&#44; s&#237; disponemos de datos de dependencia que tienen un gran impacto como variable pron&#243;stico de eventos adversos asociados que pensamos que pueden minimizar este d&#233;ficit de informaci&#243;n&#46; En tercer lugar&#44; no se han contemplado pacientes en situaci&#243;n paliativa&#44; con problem&#225;tica social o vulnerabilidad socioecon&#243;mica y que pueden afectar a los resultados tanto en t&#233;rminos evolutivos o de estancia hospitalaria&#46; Por &#250;ltimo&#44; se debe tener en cuenta que las UCE pueden tener un funcionamiento diferente en cuanto a los criterios de admisi&#243;n&#44; horarios laborales de los profesionales&#44; tiempos de estancia m&#225;ximo admitidos que condicionen acciones diferentes&#46;</p></span></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Conclusi&#243;n</span><p id="par0195" class="elsevierStylePara elsevierViewall">Como conclusi&#243;n de nuestros resultados&#44; fruto de un an&#225;lisis mediante emparejamiento por puntuaci&#243;n de propensi&#243;n&#44; podemos decir que el ingreso en las UCE de los pacientes con ICA y correctamente seleccionados resulta eficiente y seguro&#44; lo cual puede ayudar a mejorar la gesti&#243;n de los recursos de urgencias y hospitalarios&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Financiaci&#243;n</span><p id="par0200" class="elsevierStylePara elsevierViewall">El presente estudio ha sido posible en parte gracias a las becasPI15&#47;01019&#44; PI15&#47;00773&#44; PI11&#47;01021 y PI10&#47;01918&#44; del Instituto de Salud Carlos III&#44; procedentes de fondos del Ministerio de Sanidad&#44; Servicios Sociales e Igualdad &#40;MSSSI&#41; y el Fondo Europeo de Desarrollo Regional &#40;FEDER&#41;&#59; a las becas de la Generalitat de Catalunya para Grupos de Investigaci&#243;n Consolidados &#40;GRC 2009&#47;1385 and2014&#47;0313&#41;&#44; y a la beca Fundaci&#243; La Marat&#243; de TV3 &#40;2015&#47;2510&#41;&#46;</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Conflicto de intereses</span><p id="par0205" class="elsevierStylePara elsevierViewall">Los autores declaran no tener ning&#250;n conflicto de intereses&#46;</p></span></span>"
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    "fechaRecibido" => "2022-02-02"
    "fechaAceptado" => "2022-03-27"
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            1 => "Short stay unit"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Analizar si la hospitalizaci&#243;n en unidades de corta estancia &#40;UCE&#41; de pacientes diagnosticados en urgencias de insuficiencia card&#237;aca aguda &#40;ICA&#41; resulta efectiva en t&#233;rminos de estancia hospitalaria y si se asocia con diferencias en la evoluci&#243;n a corto plazo&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">M&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se incluyeron los pacientes del registro EAHFE diagnosticados de ICA que ingresaron en UCE &#40;grupo UCE&#41; y se compararon con los hospitalizados en otros servicios &#40;grupo No-UCE&#41; procedentes de todos los hospitales &#40;comparaci&#243;n A&#41; y&#44; separadamente&#44; de hospitales con UCE &#40;comparaci&#243;n B&#41; y sin UCE &#40;comparaci&#243;n C&#41;&#46; Para cada comparaci&#243;n&#44; se emparejaron pacientes de los grupos UCE&#47;No-UCE por puntuaci&#243;n de propensi&#243;n&#44; y se compar&#243; la estancia hospitalaria &#40;eficacia&#41; y mortalidad a 30 d&#237;as y evento adverso postalta a 30 d&#237;as &#40;seguridad&#41;&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se identificaron 2&#46;003 pacientes UCE y 12&#46;193 No-UCE&#46; Se emparejaron 674 pares de pacientes para la comparaci&#243;n A&#44; 634 para la comparaci&#243;n B y 588 para la comparaci&#243;n C&#46; La estancia hospitalaria fue significativamente inferior en el grupo UCE en todas las comparaciones &#40;A&#58; mediana 4 d&#237;as &#91;RIC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2-5&#93; versus 8 &#91;5-12&#93; d&#237;as&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#59; B&#58; 4 &#91;2-5&#93; versus 8 &#91;5-12&#93;&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#59; C&#58; 4 &#91;2-5&#93; versus 8 &#91;6-12&#93;&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; El ingreso en UCE no se asoci&#243; a diferencias en mortalidad &#40;A&#58; HR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;027&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;681-1&#44;549&#59; B&#58; 0&#44;976&#59; 0&#44;647-1&#44;472&#59; C&#58; 0&#44;818&#59; 0&#44;662-1&#44;010&#41; ni en eventos adversos postalta &#40;A&#58; 1&#44;002&#59; 0&#44;816-1&#44;232&#59; B&#58; 0&#44;983&#59; 0&#44;796-1&#44;215&#59; C&#58; 1&#44;135&#59; 0&#44;905-1&#44;424&#41;&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusi&#243;n</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La hospitalizaci&#243;n de los pacientes con ICA en UCE se asocia con estancias m&#225;s cortas sin diferencias en la evoluci&#243;n a corto plazo&#46;</p></span>"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">This work aims to analyze if hospitalization in short-stay units &#40;SSU&#41; of patients diagnosed in the emergency department with acute heart failure &#40;AHF&#41; is effective in terms of the length of hospital stay and if it is associated with differences in short-term progress&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Patients from the EAHFE registry diagnosed with AHF who were admitted to the SSU &#40;SSU group&#41; were included and compared to those hospitalized in other departments &#40;non-SSU group&#41; from all hospitals &#40;comparison A&#41; and&#44; separately&#44; those from hospitals with an SSU &#40;comparison B&#41; and without an SSU &#40;comparison C&#41;&#46; For each comparison&#44; patients in the SSU&#47;non-SSU groups were matched by propensity score&#46; The length of hospital stay &#40;efficacy&#41;&#44; 30-day mortality&#44; and post-discharge adverse events at 30 days &#40;safety&#41; were compared&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A total of 2&#44;003 SSU patients and 12&#44;193 non-SSU patients were identified&#46; Of them&#44; 674 pairs of patients were matched for comparison A&#44; 634 for comparison B&#44; and 588 for comparison C&#46; The hospital stay was significantly shorter in the SSU group in all comparisons &#40;A&#58; median 4 days &#40;IQR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2-5&#41; versus 8 &#40;5-12&#41; days&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#59; B&#58; 4 &#40;2-5&#41; versus 8 &#40;5-12&#41;&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#59; C&#58; 4 &#40;2-5&#41; versus 8 &#40;6-12&#41;&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; Admission to the SSU was not associated with differences in mortality &#40;A&#58; HR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;027&#44; 95&#37;CI<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;681-1&#46;549&#59; B&#58; 0&#46;976&#44; 0&#46;647-1&#46;472&#59; C&#58; 0&#46;818&#44; 0&#46;662-1&#46;010&#41; or post-discharge adverse events &#40;A&#58; HR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;002&#44; 95&#37;CI<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;816-1&#46;232&#59; B&#58; 0&#46;983&#44; 0&#46;796-1&#46;215&#59; C&#58; 1&#46;135&#44; 0&#46;905-1&#46;424&#41;&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The hospitalization of patients with AHF in the SSU is associated with shorter hospital stays but there were no differences in short-term progress&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0055">El listado completo del grupo de investigaci&#243;n ICA-SEMES est&#225; en el <a class="elsevierStyleCrossRef" href="#sec0075">anexo A</a>&#46;</p>"
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            "apendice" => "<p id="par0215" class="elsevierStylePara elsevierViewall">Marta Fuentes&#44; Cristina Gil &#40;Hospital Universitario de Salamanca&#41;&#44; H&#233;ctor Alonso&#44; Enrique P&#233;rez-Llantada &#40;Hospital Marqu&#233;s de Valdecilla de Santander&#41;&#44; Francisco Javier Mart&#237;n-S&#225;nchez&#44; Guillermo Llopis-Garc&#237;a&#44; Mar Su&#225;rez-Cadenas &#40;Hospital Cl&#237;nico San Carlos de Madrid&#41;&#44; &#210;scar Mir&#243;&#44; V&#237;ctor Gil&#44; Rosa Escoda&#44; Sira Aguil&#243;&#44; Carolina S&#225;nchez &#40;Hospital Cl&#237;nic de Barcelona&#41;&#44; Carmen Gargallo &#40;Hospital Polit&#233;nic La Fe de Valencia&#41;&#44; Jos&#233; Pav&#243;n &#40;Hospital Dr&#46; Negr&#237;n de Las Palmas de Gran Canaria&#41;&#44; Antonio Noval &#40;Hospital Insular de Las Palmas de Gran Canaria&#41;&#44; Mar&#237;a Luisa L&#243;pez-Grima&#44; Amparo Valero&#44; Mar&#237;a &#193;ngeles Juan &#40;Hospital Dr&#46; Peset de Valencia&#41;&#44; Alfons Aguirre&#44; Maria Angels Pedragosa&#44; Silvia M&#237;nguez-Mas&#243; &#40;Hospital del Mar de Barcelona&#41;&#44; Mar&#237;a Isabel Alonso&#44; Francisco Ruiz &#40;Hospital de Valme de Sevilla&#41;&#44; Jos&#233; Miguel Franco &#40;Hospital Miguel Servet de Zaragoza&#41;&#44; Ana Bel&#233;n Mecina &#40;Hospital de Alcorc&#243;n de Madrid&#41;&#44; Josep Tost&#44; Marta Berenguer&#44; Ruxandra Donea &#40;Consorci Sanitari de Terrassa&#41;&#44; Susana S&#225;nchez-Ram&#243;n&#44; Virginia Carbajosa &#40;Hospital Universitario Rio Hortega de Valladolid&#41;&#44; Pascual Pi&#241;era&#44; Jos&#233; Andr&#233;s S&#225;nchez-Nicol&#225;s &#40;Hospital Reina Sof&#237;a de Murcia&#41;&#44; Raquel Torres-Garate &#40;Hospital Severo Ochoa de Madrid&#41;&#44; Aitor Alqu&#233;zar-Arb&#233;&#44; Miguel Alberto Rizzi&#44; Sergio Herrera &#40;Hospital de la Santa Creu y Sant Pau de Barcelona&#41;&#44; Javier Jacob&#44; Alex Roset&#44; Irene Cabello&#44; Antonio Haro&#44; L&#237;dia Fuentes &#40;Hospital Universitari de Bellvitge de Barcelona&#41;&#44; Fernando Richard&#44; Jos&#233; Mar&#237;a &#193;lvarez-P&#233;rez&#44; Mar&#237;a Pilar L&#243;pez-Diez &#40;Hospital Universitario de Burgos&#41;&#44; Pablo Herrero&#44; Joaqu&#237;n V&#225;zquez-&#193;lvarez&#44; Bel&#233;n Prieto-Garc&#237;a&#44; Mar&#237;a Garc&#237;a-Garc&#237;a&#44; Marta S&#225;nchez-Gonz&#225;lez &#40;Hospital Universitario Central de Asturias de Oviedo&#41;&#44; Pere Llorens&#44; Patricia Javaloyes&#44; Inmaculada Jim&#233;nez&#44; N&#233;stor Hern&#225;ndez&#44; Bego&#241;a Espinosa&#44; Adriana Gil&#44; Francisca Molina&#44; Tamara Garc&#237;a &#40;Hospital General de Alicante&#41;&#44; Juan Antonio Andueza &#40;Hospital General Universitario Gregorio Mara&#241;&#243;n de Madrid&#41;&#44; Rodolfo Romero &#40;Hospital Universitario de Getafe de Madrid&#41;&#44; Mart&#237;n Ru&#237;z&#44; Roberto Calvache &#40;Hospital de Henares de Madrid&#41;&#44; Mar&#237;a Teresa Lorca-Serralta&#44; Luis Ernesto Calder&#243;n-Jave &#40;Hospital del Tajo de Madrid&#41;&#44; Beatriz Amores-Arriaga&#44; Beatriz Sierra-Bergua &#40;Hospital Cl&#237;nico Lozano Blesa de Zaragoza&#41;&#44; Enrique Mart&#237;n-Mojarro&#44; Brigitte Silvana Alarc&#243;n-Jim&#233;nez &#40;Hospital Sant Pau i Santa Tecla de Tarragona&#41;&#44; Lisette Traver&#237;a-B&#233;cquer&#44; Guillermo Burillo &#40;Hospital Universitario de Canarias de Tenerife&#41;&#44; Llu&#237;s Llauger&#44; Gerard Corominas-LaSalle&#46; &#40;Hospital Universitari de Vic de Barcelona&#41;&#44; Carmen Ag&#252;era-Urbano&#44; Ana Bel&#233;n Garc&#237;a-Soto&#44; Elisa Delgado-Padial &#40;Hospital Costa del Sol de Marbella de M&#225;laga&#41;&#44; Ester Soy&#44; Mar&#237;a Adroher-M&#250;&#241;oz &#40;Hospital Josep Trueta de Girona&#41;&#46; Jos&#233; Manuel Garrido &#40;Hospital Virgen Macarena de Sevilla&#41;&#44; Francisco Javier Lucas-Imbern&#243;n &#40;Hospital General Universitario de Albacete&#41;&#44; Rut Gaya &#40;Hospital Juan XXIII de Tarragona&#41;&#44; Carlos Bibiano&#44; Mar&#237;a Mir&#44; Beatriz Rodr&#237;guez &#40;Hospital Infanta Leonor de Madrid&#41;&#44; Jos&#233; Luis Carballo &#40;Complejo Hospitalario Universitario de Ourense&#41;&#44; Esther Rodr&#237;guez-Adrada&#44; Bel&#233;n Rodr&#237;guez-Miranda&#44; Monika Vicente-Mart&#237;n &#40;Hospital Rey Juan Carlos de M&#243;stoles de Madrid&#41;&#46; Pere Coma-Casanova&#44; Joan Espinach-Alvar&#243;s &#40;Hospital San Joan de Deu de Martorell&#44; Barcelona&#41;&#46;</p>"
            "etiqueta" => "Appendix A"
            "titulo" => "Anexo A&#46; Investigadores del grupo ICA-SEMES"
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                  \t\t\t\t">83 &#40;76-88&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;237 &#40;61&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">10&#46;145 &#40;83&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">596 &#40;88&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">608 &#40;90&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;290&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Episodios previos de insuficiencia card&#237;aca aguda&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">95&#44;8&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;338 &#40;69&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">7&#46;211 &#40;61&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">534 &#40;81&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">483 &#40;75&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Fibrilaci&#243;n auricular&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;140 &#40;57&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">414 &#40;61&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">424 &#40;62&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;574&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Diabetes mellitus&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">839 &#40;42&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#46;140 &#40;42&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#46;764&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">322 &#40;47&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">315 &#40;46&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;703&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Cardiopat&#237;a isqu&#233;mica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">544 &#40;27&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;336 &#40;27&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;797&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">225 &#40;33&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">207 &#40;30&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;293&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad renal cr&#243;nica &#40;creatinina<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>2<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">578 &#40;28&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;448 &#40;28&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;640&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">236 &#40;35&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">227 &#40;33&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;606&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Valvulopat&#237;a card&#237;aca&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">506 &#40;25&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;154 &#40;26&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;534&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">226 &#40;33&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">230 &#40;34&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;818&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad pulmonar obstructiva cr&#243;nica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">466 &#40;23&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;969 &#40;24&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;282&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">176 &#40;26&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">169 &#40;25&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;662&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Demencia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">92&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">216 &#40;11&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;452 &#40;12&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;175&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">70 &#40;10&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">58 &#40;8&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;265&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Neoplasia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">92&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">238 &#40;13&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;628 &#40;14&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;089&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">97 &#40;14&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">97 &#40;14&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;000&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad cerebrovascular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">275 &#40;13&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;581 &#40;13&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;370&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">96 &#40;14&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">89 &#40;13&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;580&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad arterial perif&#233;rica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">185 &#40;9&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;200 &#40;9&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;382&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">90 &#40;13&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">86 &#40;12&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;746&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Tratamiento cr&#243;nico en domicilio</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Diur&#233;ticos&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">562 &#40;83&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">545 &#40;80&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Inhibidores del sistema renina-angiotensina&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">391 &#40;58&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Betabloqueantes&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">916 &#40;46&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">362 &#40;46&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">367 &#40;54&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;785&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Antagonistas de los receptores mineralocorticoides&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">337 &#40;16&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;918 &#40;16&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">126 &#40;18&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">140 &#40;20&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;338&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Situaci&#243;n funcional basal</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Clase funcional NYHA III-IV&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">94&#44;8&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">429 &#40;22&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&#46;176 &#40;27&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">168 &#40;24&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">156 &#40;23&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;444&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Fracci&#243;n eyecci&#243;n del ventr&#237;culo izquierdo &#40;&#37;&#41; &#91;mediana &#40;RIC&#41;&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">56&#44;9&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">55 &#40;46-63&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">55 &#40;42-61&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">55 &#40;48-64&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">55 &#40;49-60&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">0&#44;027</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#205;ndice de Barthel &#91;mediana &#40;RIC&#41;&#93;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">91&#44;3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">85 &#40;65-100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">90 &#40;60-100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;369&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">90 &#40;70-100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">90 &#40;75-100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">0&#44;034</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Factor precipitante de la descompensaci&#243;n</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Infecci&#243;n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">89&#44;8&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">699 &#40;39&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">0&#44;006</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Crisis hipertensiva&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Anemia&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Trasgresi&#243;n diet&#233;tico-farmacol&#243;gica&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">84 &#40;4&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>S&#237;ndrome coronario agudo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Gravedad de la descompensaci&#243;n</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Categor&#237;a de riesgo seg&#250;n la escala MEESSI<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo bajo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo intermedio&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">541 &#40;41&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">299 &#40;44&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo alto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">124 &#40;9&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">956 &#40;13&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">56 &#40;8&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">62 &#40;9&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo muy alto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">113 &#40;8&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">886 &#40;12&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45 &#40;6&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">31 &#40;4&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0005">La puntuaci&#243;n de propensi&#243;n de ingreso en UCE se calcul&#243; por regresi&#243;n log&#237;stica m&#250;ltiple utilizando como covariables todas las variables incluidas en la tabla &#40;datos demogr&#225;ficos&#44; comorbilidad&#44; tratamiento cr&#243;nico en domicilio&#44; situaci&#243;n funcional basal&#44; factor precipitante de la descompensaci&#243;n y gravedad de la descompensaci&#243;n&#41;&#46;</p>"
            ]
            1 => array:3 [
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              "etiqueta" => "b"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0010">La escala MEESSI est&#225; integrada por 13 variables obtenidas a la llegada del paciente a urgencias &#40;edad&#59; si el episodio estuvo desencadenado por un s&#237;ndrome coronario agudo&#59; &#237;ndice de Barthel&#44; clase NYHA y presencia de signos de bajo gasto card&#237;aco a la llegada a urgencias&#59; la primera determinaci&#243;n de presi&#243;n arterial sist&#243;lica&#44; frecuencia respiratoria y saturaci&#243;n basal de ox&#237;geno en urgencias&#59; la presencia de hipertrofia ventricular izquierda en el ECG&#59; y los valores de creatinina&#44; potasio&#44; troponina y NT-proBNP&#41; y estratifican el riesgo de fallecer durante los 30 d&#237;as siguientes a la llegada a urgencias&#46;</p> <p class="elsevierStyleNotepara" id="npar0015">Los valores de p en negrita denotan aquellos que alcanzaron significaci&#243;n estad&#237;stica &#40;p &#60; 0&#44;05&#41;&#46;</p>"
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          "es" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Caracter&#237;sticas de los pacientes hospitalizados en unidades de corta estancia y de los pacientes que fueron hospitalizados en otros servicios hospitalarios &#40;procedentes de todos los hospitales que participaron en el estudio&#41;&#44; y comparaci&#243;n entre ambos grupos antes y despu&#233;s del emparejamiento por puntuaci&#243;n de propensi&#243;n</p>"
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        "tipo" => "MULTIMEDIATABLA"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Todos los pacientes</th><th class="td" title="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Pacientes emparejados por puntuaci&#243;n de propensi&#243;n<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">a</span></a></th></tr><tr title="table-row"><th class="td" title="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#37; pacientes con valores v&#225;lidos&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ingreso No-UCEN<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>6&#46;870n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ingreso UCEN<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>634n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ingreso No-UCEN<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>634n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="8" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Datos epidemiol&#243;gicos</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Edad &#91;mediana &#40;RIC&#41;&#93;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">100&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">84 &#40;79-89&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">83 &#40;75-88&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">83 &#40;78-87&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">84 &#40;78-88&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;221&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sexo femenino&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">99&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;237 &#40;61&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;747 &#40;54&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">380 &#40;59&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">366 &#40;57&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;424&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Comorbilidades</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Hipertensi&#243;n arterial&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;740 &#40;87&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#46;717 &#40;83&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">561 &#40;88&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">568 &#40;89&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;529&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Episodios previos de insuficiencia card&#237;aca aguda&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;338 &#40;69&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">4&#46;078 &#40;62&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">513 &#40;80&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">494 &#40;77&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;187&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Fibrilaci&#243;n auricular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;140 &#40;57&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">3&#46;258 &#40;47&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">390 &#40;61&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">398 &#40;62&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;643&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Diabetes mellitus&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">839 &#40;42&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">2&#46;943 &#40;43&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;396&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">303 &#40;47&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">289 &#40;45&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;431&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Cardiopat&#237;a isqu&#233;mica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">544 &#40;27&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;822 &#40;26&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;622&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">216 &#40;34&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">206 &#40;32&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">0&#44;551&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad renal cr&#243;nica &#40;creatinina<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>2<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">578 &#40;28&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;954 &#40;28&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;775&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">223 &#40;35&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">214 &#40;33&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;595&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Valvulopat&#237;a card&#237;aca&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">506 &#40;25&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;721 &#40;25&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;896&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">217 &#40;34&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">217 &#40;34&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;000&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad pulmonar obstructiva cr&#243;nica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">99&#44;5&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">466 &#40;23&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;683 &#40;24&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;242&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">167 &#40;26&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">162 &#40;25&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;749&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Demencia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">92&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">216 &#40;11&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">795 &#40;12&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;463&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">68 &#40;10&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">59 &#40;9&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;400&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Neoplasia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">92&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">238 &#40;13&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;011 &#40;15&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleBold">0&#44;003</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">92 &#40;14&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">97 &#40;15&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad cerebrovascular&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">275 &#40;13&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">932 &#40;13&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">87 &#40;13&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">88 &#40;13&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;935&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad arterial perif&#233;rica&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">185 &#40;9&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">707 &#40;10&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">82 &#40;12&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">68 &#40;10&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;223&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="8" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Tratamiento cr&#243;nico en domicilio</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Diur&#233;ticos&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">4&#46;984 &#40;73&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">532 &#40;83&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">517 &#40;81&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;265&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Inhibidores del sistema renina-angiotensina&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">365 &#40;57&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">370 &#40;58&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Betabloqueantes&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">916 &#40;46&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#46;936 &#40;43&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">0&#44;037</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">344 &#40;54&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">356 &#40;56&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;498&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Antagonistas de los receptores mineralocorticoides&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">337 &#40;16&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;134 &#40;16&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;845&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">124 &#40;19&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">114 &#40;18&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;472&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Situaci&#243;n funcional basal</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Clase funcional NYHA III-IV&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">95&#44;4&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">429 &#40;22&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;887 &#40;28&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">164 &#40;25&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">158 &#40;24&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">0&#44;699&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Fracci&#243;n eyecci&#243;n del ventr&#237;culo izquierdo &#40;&#37;&#41; &#91;mediana &#40;RIC&#41;&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">57&#44;8&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">55 &#40;46-63&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">55 &#40;42-62&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">55 &#40;48-64&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">55 &#40;49-60&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#205;ndice de Barthel &#91;mediana &#40;RIC&#41;&#93;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Factor precipitante de la descompensaci&#243;n</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Infecci&#243;n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Fibrilaci&#243;n auricular r&#225;pida&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Crisis hipertensiva&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Anemia&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Trasgresi&#243;n diet&#233;tico-farmacol&#243;gica&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>S&#237;ndrome coronario agudo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Gravedad de la descompensaci&#243;n</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Categor&#237;a de riesgo seg&#250;n la escala MEESSI<a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;379&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo bajo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">515 &#40;39&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;238 &#40;31&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">252 &#40;39&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">255 &#40;40&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo intermedio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">541 &#40;41&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;711 &#40;43&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">284 &#40;44&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">292 &#40;46&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo alto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">124 &#40;9&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">531 &#40;13&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">54 &#40;8&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">55 &#40;8&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo muy alto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">113 &#40;8&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">486 &#40;12&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">44 &#40;6&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">32 &#40;5&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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            0 => array:3 [
              "identificador" => "tblfn0015"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0020">La puntuaci&#243;n de propensi&#243;n de ingreso en UCE se calcul&#243; por regresi&#243;n log&#237;stica m&#250;ltiple utilizando como covariables todas las variables incluidas en la tabla &#40;datos demogr&#225;ficos&#44; comorbilidad&#44; tratamiento cr&#243;nico en domicilio&#44; situaci&#243;n funcional basal&#44; factor precipitante de la descompensaci&#243;n y gravedad de la descompensaci&#243;n&#41;&#46;</p>"
            ]
            1 => array:3 [
              "identificador" => "tblfn0020"
              "etiqueta" => "b"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0025">La escala MEESSI est&#225; integrada por 13 variables obtenidas a la llegada del paciente a urgencias &#40;edad&#59; si el episodio estuvo desencadenado por un s&#237;ndrome coronario agudo&#59; &#237;ndice de Barthel&#44; clase NYHA y presencia de signos de bajo gasto card&#237;aco a la llegada a urgencias&#59; la primera determinaci&#243;n de presi&#243;n arterial sist&#243;lica&#44; frecuencia respiratoria y saturaci&#243;n basal de ox&#237;geno en urgencias&#59; la presencia de hipertrofia ventricular izquierda en el ECG&#59; y los valores de creatinina&#44; potasio&#44; troponina y NT-proBNP&#41; y estratifican el riesgo de fallecer durante los 30 d&#237;as siguientes a la llegada a urgencias&#46;</p> <p class="elsevierStyleNotepara" id="npar0030">Los valores de p en negrita denotan aquellos que alcanzaron significaci&#243;n estad&#237;stica &#40;p &#60; 0&#44;05&#41;&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">Caracter&#237;sticas de los pacientes hospitalizados en unidades de corta estancia y los pacientes que fueron hospitalizados en otros servicios hospitalarios &#40;en hospitales que disponen de unidades de corta estancia&#41;&#44; y comparaci&#243;n entre ambos grupos antes y despu&#233;s del emparejamiento por puntuaci&#243;n de propensi&#243;n</p>"
        ]
      ]
      4 => array:8 [
        "identificador" => "tbl0015"
        "etiqueta" => "Tabla 3"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at3"
            "detalle" => "Tabla "
            "rol" => "short"
          ]
        ]
        "tabla" => array:3 [
          "leyenda" => "<p id="spar0095" class="elsevierStyleSimplePara elsevierViewall">RIC&#58; rango intercuart&#237;lico&#59; UCE&#58; unidad de corta estancia&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:1 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="4" align="center" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Todos los pacientes</th><th class="td" title="\n
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                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Pacientes emparejados por puntuaci&#243;n de propensi&#243;n<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">a</span></a></th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#37; pacientes con valores v&#225;lidos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ingreso UCE N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#46;003n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ingreso No-UCEN<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>5&#46;323n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ingreso UCEN<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>588n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ingreso No-UCEN<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>588n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Datos epidemiol&#243;gicos</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Edad &#91;mediana &#40;RIC&#41;&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">84 &#40;79-89&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">83 &#40;76-88&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">83 &#40;78-87&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">83 &#40;77-88&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;882&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sexo femenino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;237 &#40;61&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;928 &#40;55&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">343 &#40;58&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">351 &#40;59&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;635&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Comorbilidades</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Hipertensi&#243;n arterial&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">99&#44;7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;740 &#40;87&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">4&#46;428 &#40;83&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">517 &#40;87&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">518 &#40;88&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;928&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Episodios previos de insuficiencia card&#237;aca aguda&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">95&#44;7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;338 &#40;69&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&#46;133 &#40;61&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">465 &#40;79&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">477 &#40;81&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;381&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Fibrilaci&#243;n auricular&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">99&#44;7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;140 &#40;57&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#46;599 &#40;49&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">354 &#40;60&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">360 &#40;61&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;720&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Diabetes mellitus&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">99&#44;7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">839 &#40;42&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#46;197 &#40;41&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;667&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">275 &#40;46&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">284 &#40;48&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;599&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Cardiopat&#237;a isqu&#233;mica&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">99&#44;7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">544 &#40;27&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;514 &#40;28&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;253&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">203 &#40;34&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">196 &#40;33&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;666&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad renal cr&#243;nica &#40;creatinina<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>2<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">99&#44;7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">578 &#40;28&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">1&#46;494 &#40;28&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;530&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">201 &#40;34&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">187 &#40;31&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">0&#44;385&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Valvulopat&#237;a card&#237;aca&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">99&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">506 &#40;25&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">1&#46;433 &#40;27&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;145&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">203 &#40;34&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">208 &#40;35&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;760&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad pulmonar obstructiva cr&#243;nica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">99&#44;6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">466 &#40;23&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">1&#46;286 &#40;24&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">0&#44;420&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">161 &#40;27&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">167 &#40;28&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;696&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Demencia&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">91&#44;1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">216 &#40;11&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">657 &#40;13&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">60 &#40;10&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">68 &#40;11&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;454&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Neoplasia&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">617 &#40;12&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">82 &#40;13&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">89 &#40;15&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;563&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad cerebrovascular&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">275 &#40;13&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">649 &#40;12&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">83 &#40;14&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">82 &#40;13&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;933&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad arterial perif&#233;rica&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">185 &#40;9&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">493 &#40;9&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">76 &#40;12&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">73 &#40;12&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;793&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Tratamiento cr&#243;nico en domicilio</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Diur&#233;ticos&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">97&#44;1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;561 &#40;78&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&#46;892 &#40;76&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">0&#44;038</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">496 &#40;84&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">503 &#40;85&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;568&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Inhibidores del sistema renina-angiotensina&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">97&#44;0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;128 &#40;56&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#46;841 &#40;55&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;448&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">341 &#40;58&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">349 &#40;59&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;636&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Betabloqueantes&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">96&#44;9&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">916 &#40;46&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#46;085 &#40;40&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">310 &#40;52&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">282 &#40;48&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;102&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Antagonistas de los receptores mineralocorticoides&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">97&#44;0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">337 &#40;16&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">784 &#40;15&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">0&#44;102&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">109 &#40;18&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">116 &#40;19&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;604&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Situaci&#243;n funcional basal</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Clase funcional NYHA III-IV&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">94&#44;5&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">429 &#40;22&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">148 &#40;25&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">141 &#40;24&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;635&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Fracci&#243;n eyecci&#243;n del ventr&#237;culo izquierdo &#40;&#37;&#41; &#91;mediana &#40;RIC&#41;&#93;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">55 &#40;46-63&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">55 &#40;46-64&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">55 &#40;46-64&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;744&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#205;ndice de Barthel &#91;mediana &#40;RIC&#41;&#93;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">90&#44;9&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">85 &#40;65-100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">90 &#40;60-100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;236&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">85 &#40;70-100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">90 &#40;65-100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="8" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Factor precipitante</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Infecci&#243;n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">699 &#40;39&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">0&#44;009</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">244 &#40;41&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">237 &#40;40&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;678&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Fibrilaci&#243;n auricular r&#225;pida&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">288 &#40;16&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">751 &#40;15&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">77 &#40;13&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">81 &#40;13&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;732&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Crisis hipertensiva&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">119 &#40;6&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">220 &#40;4&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">33 &#40;5&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;622&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Anemia&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">108 &#40;6&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">39 &#40;6&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">36 &#40;6&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;720&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Trasgresi&#243;n diet&#233;tico-farmacol&#243;gica&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">84 &#40;4&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">133 &#40;2&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">20 &#40;3&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">23 &#40;3&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;641&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>S&#237;ndrome coronario agudo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">99&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22 &#40;1&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">153 &#40;2&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5 &#40;0&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5 &#40;0&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;000&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Gravedad de la descompensaci&#243;n</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Categor&#237;a de riesgo seg&#250;n la escala MEESSI<a class="elsevierStyleCrossRef" href="#tblfn0030"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">60&#44;9&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#60;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">0&#44;001</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;457&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo bajo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">515 &#40;39&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;037 &#40;32&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">229 &#40;38&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">215 &#40;36&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo intermedio&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">541 &#40;41&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;310 &#40;41&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">264 &#40;44&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">272 &#40;46&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo alto&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">124 &#40;9&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">425 &#40;13&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">53 &#40;9&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">57 &#40;9&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Riesgo muy alto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">113 &#40;8&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">400 &#40;12&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42 &#40;7&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">44 &#40;7&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0035">La puntuaci&#243;n de propensi&#243;n de ingreso en UCE se calcul&#243; por regresi&#243;n log&#237;stica m&#250;ltiple utilizando como covariables todas las variables incluidas en la tabla &#40;datos demogr&#225;ficos&#44; comorbilidad&#44; tratamiento cr&#243;nico en domicilio&#44; situaci&#243;n funcional basal&#44; factor precipitante de la descompensaci&#243;n y gravedad de la descompensaci&#243;n&#41;&#46;</p>"
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0040">La escala MEESSI est&#225; integrada por 13 variables obtenidas a la llegada del paciente a urgencias &#40;edad&#59; si el episodio estuvo desencadenado por un s&#237;ndrome coronario agudo&#59; &#237;ndice de Barthel&#44; clase NYHA y presencia de signos de bajo gasto card&#237;aco a la llegada a urgencias&#59; la primera determinaci&#243;n de presi&#243;n arterial sist&#243;lica&#44; frecuencia respiratoria y saturaci&#243;n basal de ox&#237;geno en urgencias&#59; la presencia de hipertrofia ventricular izquierda en el ECG&#59; y los valores de creatinina&#44; potasio&#44; troponina y NT-proBNP&#41; y estratifican el riesgo de fallecer durante los 30 d&#237;as siguientes a la llegada a urgencias&#46;</p> <p class="elsevierStyleNotepara" id="npar0045">Los valores de p en negrita denotan aquellos que alcanzaron significaci&#243;n estad&#237;stica &#40;p &#60; 0&#44;05&#41;&#46;</p>"
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          "es" => "<p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">Caracter&#237;sticas de los pacientes hospitalizados en unidades de corta estancia y los pacientes que fueron hospitalizados en otros servicios hospitalarios &#40;en hospitales que no disponen de unidades de corta estancia&#41;&#44; y comparaci&#243;n entre ambos grupos antes y despu&#233;s del emparejamiento por puntuaci&#243;n de propensi&#243;n</p>"
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    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:32 [
            0 => array:3 [
              "identificador" => "bib0165"
              "etiqueta" => "1"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure&#58; The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology &#40;ESC&#41; developed with the special contribution of the Heart Failure Association &#40;HFA&#41; of the ESC"
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                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46; Ponikowski"
                            1 => "A&#46;A&#46; Voors"
                            2 => "S&#46;D&#46; Anker"
                            3 => "H&#46; Bueno"
                            4 => "J&#46;G&#46;F&#46; Cleland"
                            5 => "A&#46;J&#46;S&#46; Coats"
                          ]
                        ]
                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/eurheartj/ehw128"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Heart J"
                        "fecha" => "2016"
                        "volumen" => "37"
                        "paginaInicial" => "2129"
                        "paginaFinal" => "2200"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27206819"
                            "web" => "Medline"
                          ]
                        ]
                      ]
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            1 => array:3 [
              "identificador" => "bib0170"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The global health and economic burden of hospitalizations for heart failure&#58; Lessons learned from hospitalized heart failure registries"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46;P&#46; Ambrosy"
                            1 => "G&#46;C&#46; Fonarow"
                            2 => "J&#46; Butler"
                            3 => "O&#46; Chioncel"
                            4 => "S&#46;J&#46; Greene"
                            5 => "M&#46; Vaduganathan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jacc.2013.11.053"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Coll Cardiol"
                        "fecha" => "2014"
                        "volumen" => "63"
                        "paginaInicial" => "1123"
                        "paginaFinal" => "1133"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24491689"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0175"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Epidemiology of heart failure in Spain over the last 20 years"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "I&#46; Sayago-Silva"
                            1 => "F&#46; Garc&#237;a-L&#243;pez"
                            2 => "J&#46; Segovia-Cubero"
                          ]
                        ]
                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.rec.2013.03.012"
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Esp Cardiol&#46;"
                        "fecha" => "2013"
                        "volumen" => "66"
                        "paginaInicial" => "649"
                        "paginaFinal" => "656"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24776334"
                            "web" => "Medline"
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            3 => array:3 [
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                0 => array:2 [
                  "contribucion" => array:1 [
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Información del artículo
ISSN: 00142565
Idioma original: Español
DOI:10.1016/j.rce.2022.03.011
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