array:24 [
  "pii" => "S0873215915300246"
  "issn" => "08732159"
  "doi" => "10.1016/S0873-2159(15)30024-6"
  "estado" => "S350"
  "fechaPublicacion" => "2010-03-01"
  "aid" => "4"
  "copyright" => "Sociedade Portuguesa de Pneumologia/SPP"
  "copyrightAnyo" => "2010"
  "documento" => "simple-article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "fla"
  "cita" => "Rev Port Pneumol. 2010;16:237-52"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2157
    "formatos" => array:3 [
      "EPUB" => 240
      "HTML" => 1266
      "PDF" => 651
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0873215915300258"
    "issn" => "08732159"
    "doi" => "10.1016/S0873-2159(15)30025-8"
    "estado" => "S350"
    "fechaPublicacion" => "2010-03-01"
    "aid" => "5"
    "copyright" => "Sociedade Portuguesa de Pneumologia/SPP"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "fla"
    "cita" => "Rev Port Pneumol. 2010;16:253-72"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2551
      "formatos" => array:3 [
        "EPUB" => 220
        "HTML" => 1711
        "PDF" => 620
      ]
    ]
    "pt" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original&#47;Original Article</span>"
      "titulo" => "Quais os par&#226;metros funcionais que permitem diferenciar asma grave de DPOC&#63;"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "253"
          "paginaFinal" => "272"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Which functional parameters can help differentiate severe asthma from COPD&#63;"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ricardo Marques Dias, Fernando Hauaji Chacur, Sonia Regina da Silva Carvalho, Denise Duprat Neves"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Ricardo Marques"
              "apellidos" => "Dias"
            ]
            1 => array:2 [
              "nombre" => "Fernando Hauaji"
              "apellidos" => "Chacur"
            ]
            2 => array:2 [
              "nombre" => "Sonia Regina"
              "apellidos" => "da Silva Carvalho"
            ]
            3 => array:2 [
              "nombre" => "Denise Duprat"
              "apellidos" => "Neves"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915300258?idApp=UINPBA00004E"
    "url" => "/08732159/0000001600000002/v1_201509151443/S0873215915300258/v1_201509151443/pt/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0873215915300234"
    "issn" => "08732159"
    "doi" => "10.1016/S0873-2159(15)30023-4"
    "estado" => "S350"
    "fechaPublicacion" => "2010-03-01"
    "aid" => "3"
    "copyright" => "Sociedade Portuguesa de Pneumologia&#47;SPP"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "fla"
    "cita" => "Rev Port Pneumol. 2010;16:223-35"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2621
      "formatos" => array:3 [
        "EPUB" => 230
        "HTML" => 1699
        "PDF" => 692
      ]
    ]
    "pt" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original&#47;Original Article</span>"
      "titulo" => "Pneumonia adquirida na comunidade numa unidade de cuidados intensivos"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "223"
          "paginaFinal" => "235"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Community-acquired pneumonia in an intensive care unit"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46; Raquel Marques, Ant&#243;nio Nunes, Cristina Sousa, Fausto Moura, Jo&#227;o Gouveia, Armindo Ramos"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "M&#46; Raquel"
              "apellidos" => "Marques"
            ]
            1 => array:2 [
              "nombre" => "Ant&#243;nio"
              "apellidos" => "Nunes"
            ]
            2 => array:2 [
              "nombre" => "Cristina"
              "apellidos" => "Sousa"
            ]
            3 => array:2 [
              "nombre" => "Fausto"
              "apellidos" => "Moura"
            ]
            4 => array:2 [
              "nombre" => "Jo&#227;o"
              "apellidos" => "Gouveia"
            ]
            5 => array:2 [
              "nombre" => "Armindo"
              "apellidos" => "Ramos"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915300234?idApp=UINPBA00004E"
    "url" => "/08732159/0000001600000002/v1_201509151443/S0873215915300234/v1_201509151443/pt/main.assets"
  ]
  "pt" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original&#47;Original Article</span>"
    "titulo" => "Caracteriza&#231;&#227;o de uma popula&#231;&#227;o com risco acrescido de DPOC"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "237"
        "paginaFinal" => "252"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Sandra Soares, Isabel Costa, Ana Lu&#237;sa Neves, Luciana Couto"
        "autores" => array:4 [
          0 => array:3 [
            "nombre" => "Sandra"
            "apellidos" => "Soares"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">1</span>"
                "identificador" => "af0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Isabel"
            "apellidos" => "Costa"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">1</span>"
                "identificador" => "af0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Ana Lu&#237;sa"
            "apellidos" => "Neves"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">1</span>"
                "identificador" => "af0005"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Luciana"
            "apellidos" => "Couto"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">2</span>"
                "identificador" => "af0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Internato M&#233;dico de Medicina Geral e Familiar&#47;Resident&#44; General Practice"
            "etiqueta" => "1"
            "identificador" => "af0005"
          ]
          1 => array:3 [
            "entidad" => "Assistente Graduada de Medicina Geral e Familiar&#47;Consultantant&#44; Specialist&#44; General Practice"
            "etiqueta" => "2"
            "identificador" => "af0010"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Characterisation of a population at increased risk of COPD"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2009-03-25"
    "fechaAceptado" => "2009-08-06"
    "PalabrasClave" => array:2 [
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec570120"
          "palabras" => array:3 [
            0 => "Doen&#231;a pulmonar obstrutiva cr&#243;nica"
            1 => "tabagismo"
            2 => "cuidados prim&#225;rios"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key-words"
          "identificador" => "xpalclavsec570121"
          "palabras" => array:3 [
            0 => "Chronic obstructive pulmonary disease"
            1 => "smoking"
            2 => "primary care"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introdu&#231;&#227;o&#58;</span> O tabagismo &#233; o principal factor de risco da DPOC&#44; estimando-se que 15-20&#37; dos fumadores a desenvolvam&#46; A caracteriza&#231;&#227;o desta popula&#231;&#227;o de risco &#233; um importante passo na melhoria do diagn&#243;stico de DPOC&#44; que &#233; cada vez mais um desafio nos cuidados prim&#225;rios&#46;</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivos&#58;</span> Determinar a percentagem de fumadores identificados numa USF na popula&#231;&#227;o de utentes entre 45-65 anos e sua caracteriza&#231;&#227;o&#59; determinar poss&#237;veis rela&#231;&#245;es entre a presen&#231;a de sintomatologia respirat&#243;ria e as restantes vari&#225;veis&#59; e entre a presen&#231;a de altera&#231;&#245;es obstrutivas das pequenas vias a&#233;reas e as restantes vari&#225;veis&#46;</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material e m&#233;todos&#58;</span> Estudo observacional&#44; anal&#237;tico&#44; transversal&#44; numa unidade de sa&#250;de familiar &#40;USF&#41; portuguesa&#46; Popula&#231;&#227;o&#58; utentes fumadores entre os 45-65 anos&#44; submetidos &#224; aplica&#231;&#227;o de um question&#225;rio e realiza&#231;&#227;o de espirometria&#46; A an&#225;lise estat&#237;stica foi realizada em SPSS v&#46;13&#46;0 &#40;n&#237;vel de signific&#226;ncia de 0&#44;05&#41;&#46;</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados&#58;</span> A amostra foi constitu&#237;da por 157 indiv&#237;duos &#40;31&#37; &#9792; e 69&#37; &#9794;&#41;&#59; idade m&#233;dia de 53&#44;85 anos&#59; idade m&#233;dia de in&#237;cio de tabagismo de 16&#44;64 anos&#59; carga tab&#225;gica m&#233;dia de 37&#44;78 UMA&#46; Sintomatologia respirat&#243;ria esteve presente em 68&#44;8&#37; dos indiv&#237;duos&#44; sendo mais frequente nos homens&#44; com inicia&#231;&#227;o tab&#225;gica mais precoce e maior carga tab&#225;gica &#40;p&#60;0&#44;05&#41;&#46; Altera&#231;&#245;es obstrutivas das pequenas vias a&#233;reas estavam presentes em 30&#37;&#44; sendo mais frequentes nos mais velhos e com maior carga tab&#225;gica &#40;p&#60;0&#44;05&#41;&#46;</p><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Discuss&#227;o e conclus&#245;es&#58;</span> O subdiagn&#243;stico do tabagismo &#233; alarmante&#44; alertando para a import&#226;ncia da identifica&#231;&#227;o da popula&#231;&#227;o de risco e implementa&#231;&#227;o de medidas preventivas direccionadas &#8211; que associadas &#224; melhor caracteriza&#231;&#227;o desta popula&#231;&#227;o poder&#227;o contribuir para uma melhoria no diagn&#243;stico e abordagem da DPOC&#46;</p><p id="sp0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010&#59; XVI &#40;2&#41;&#58; 237-252</span></p></span>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introduction&#58;</span> Smoking is the main risk factor for COPD&#44; and it is estimated that 15-20&#37; of smokers will develop the pathology&#46; Characterising this risk population is an important step in improved diagnosis of COPD&#44; an increasing primary care challenge&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Aims&#58;</span> To determine the percentage of smokers identified in patients aged 45-65 years old in a health centre&#44; and their characterisation&#59; to determine possible relationships between respiratory symptoms and abnormal obstruction of the small airways and the other variables studied&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material and methods&#58;</span> Observational&#44; analytical&#44; cross-sectional study carried out in a Portuguese health centre&#46; Population&#58; smokers aged 45-65 years old who filled in a questionnaire and underwent spirometry&#46; Statistical analysis was performed with SPSS v&#46;13&#46;0 &#40;level of significance 0&#46;05&#41;&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Results&#58;</span> The sample was composed of 157 participants &#40;31&#37; &#9792; and 69&#37; &#9794;&#41;&#59; average age 53&#46;85<span class="elsevierStyleHsp" style=""></span>years&#59; average age at start of smoking 16&#46;64<span class="elsevierStyleHsp" style=""></span>years&#59; average tobacco consumption 37&#46;78 pack-years&#46; Respiratory symptoms were present in 68&#46;8&#37; of the individuals&#44; and were more frequent in men&#44; those who started smoking earlier and those with higher tobacco consumption &#40;p&#60;0&#46;05&#41;&#46; Thirty percent had abnormal obstruction of the small airways&#44; with this more frequent in older smokers and those with heavier tobacco consumption &#40;p&#60;0&#46;05&#41;&#46;</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Discussion and conclusions&#58;</span> The underdiagnosis of smoking raises awareness of the importance of identifying this risk population and the need to implement preventative measures&#46; These&#44; in tandem with a better characterisation of this population&#44; may contribute to the improved diagnosis and management of COPD&#46;</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010&#59; XVI &#40;2&#41;&#58; 237-252</span></p></span>"
      ]
    ]
    "lecturaRecomendada" => array:1 [
      0 => array:3 [
        "vista" => "all"
        "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia&#47;Bibliography</span>"
        "seccion" => array:1 [
          0 => array:2 [
            "vista" => "all"
            "bibliografiaReferencia" => array:13 [
              0 => array:3 [
                "identificador" => "bb0005"
                "etiqueta" => "1&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Early detection of COPD in primary care&#58; screening by invitation of smokers aged 40 to 55 years"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "G&#46; Stratelis"
                              1 => "P&#46; Jakobsson"
                              2 => "S&#46; Molstad"
                              3 => "O&#46; Zetterstrom"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "British Journal of General Practice"
                          "fecha" => "2004"
                          "volumen" => "54"
                          "paginaInicial" => "201"
                          "paginaFinal" => "206"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15006126"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              1 => array:3 [
                "identificador" => "bb0010"
                "etiqueta" => "2&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Global strategy for the diagnosis&#44; management&#44; and prevention of chronic obstructive pulmonary disease"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "Global Initiative for Chronic Obstructive Lung Disease"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "WWW" => array:2 [
                          "link" => "www&#46;golcopd&#46;com"
                          "fecha" => "2007"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              2 => array:3 [
                "identificador" => "bb0015"
                "etiqueta" => "3&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Tabagismo em Portugal"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => true
                            "autores" => array:3 [
                              0 => "S&#46; Fraga"
                              1 => "S&#46; Sousa"
                              2 => "A&#46;C&#46; Santos"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:7 [
                          "tituloSerie" => "Arquivos de Medicina"
                          "fecha" => "2005"
                          "volumen" => "5&#8211;6"
                          "numero" => "19"
                          "paginaInicial" => "207"
                          "paginaFinal" => "229"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20981277"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              3 => array:3 [
                "identificador" => "bb0020"
                "etiqueta" => "4&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "H&#225;bitos tab&#225;gicos em estudantes universit&#225;rios do Porto"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "A&#46;B&#46; Monteiro"
                              1 => "A&#46;L&#46; Neves"
                              2 => "M&#46;M&#46; Marques"
                              3 => "C&#46; Lopes"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Arquivos de Medicina"
                          "fecha" => "2004"
                          "volumen" => "18"
                          "numero" => "3"
                          "paginaInicial" => "98"
                          "paginaFinal" => "102"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              4 => array:3 [
                "identificador" => "bb0025"
                "etiqueta" => "5&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Programa Nacional de Preven&#231;&#227;o e Controlo da Doen&#231;a Pulmonar Obstrutiva Cr&#243;nica"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "Direc&#231;&#227;o-Geral de Sa&#250;de"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Libro" => array:3 [
                          "fecha" => "2005"
                          "editorial" => "Lisboa"
                          "editorialLocalizacion" => "Direc&#231;&#227;o-Geral de Sa&#250;de"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              5 => array:3 [
                "identificador" => "bb0030"
                "etiqueta" => "6&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Programa-tipo de actua&#231;&#227;o em cessa&#231;&#227;o tab&#225;gica"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "Direc&#231;&#227;o-Geral de Sa&#250;de"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Libro" => array:3 [
                          "fecha" => "2007"
                          "editorial" => "Lisboa"
                          "editorialLocalizacion" => "Direc&#231;&#227;o-Geral de Sa&#250;de"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              6 => array:3 [
                "identificador" => "bb0035"
                "etiqueta" => "7&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Health Strategies in Portugal"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "Minist&#233;rio da Sa&#250;de&#44; Alto Comissariado da Sa&#250;de"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Libro" => array:2 [
                          "titulo" => "The National Health Plan"
                          "fecha" => "2004&#8211;2010"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              7 => array:3 [
                "identificador" => "bb0040"
                "etiqueta" => "8&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "The added value of C-reactive protein to clinical signs and symptoms in patients with obstructive airway disease&#58; results of a diagnostic study in primary care"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:6 [
                              0 => "A&#46; Schneider"
                              1 => "G&#46;J&#46; Dinant"
                              2 => "I&#46; Maag"
                              3 => "L&#46; Gantner"
                              4 => "Meyer J&#46;F&#46;"
                              5 => "Szecsenyi"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:4 [
                          "tituloSerie" => "BMC Family Practice"
                          "fecha" => "2006"
                          "volumen" => "7"
                          "numero" => "28"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              8 => array:3 [
                "identificador" => "bb0045"
                "etiqueta" => "9&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "American Thoracic Society and European Respiratory Society"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "COPD Guidelines"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "WWW" => array:2 [
                          "link" => "http&#58;&#47;&#47;www&#46;thoracic&#46;org&#47;sections&#47;copd&#47;"
                          "fecha" => "2004"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              9 => array:3 [
                "identificador" => "bb0050"
                "etiqueta" => "10&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Vital DPOC"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "R&#46; Booker"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Libro" => array:3 [
                          "fecha" => "2005"
                          "editorial" => "Class Publising Ltd"
                          "editorialLocalizacion" => "Londres"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              10 => array:3 [
                "identificador" => "bb0055"
                "etiqueta" => "11&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Prevalence of undetected persistent airflow obstruction in male smokers 40-65 years old"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:6 [
                              0 => "R&#46;M&#46;M&#46; Geijer"
                              1 => "A&#46;P&#46;E&#46; Sachs"
                              2 => "A&#46;W&#46; Hoes"
                              3 => "P&#46;L&#46; Salom&#233;"
                              4 => "J&#46;J&#46; Lammers"
                              5 => "T&#46;J&#46;M&#46; Verheij"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1093/fampra/cmi049"
                        "Revista" => array:6 [
                          "tituloSerie" => "Fam&#46; Pract"
                          "fecha" => "2005"
                          "volumen" => "22"
                          "paginaInicial" => "485"
                          "paginaFinal" => "489"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15964866"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              11 => array:3 [
                "identificador" => "bb0060"
                "etiqueta" => "12&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Chronic obstructive pulmonary disease &#40;COPD&#41;&#58; Prevalence&#44; incidence&#44; decline in lung function and risk factors"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "A&#46; Lindberg"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Libro" => array:2 [
                          "titulo" => "The Obstructive Lung Disease in Northern Sweden Studies Thesis VI"
                          "fecha" => "2004"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              12 => array:3 [
                "identificador" => "bb0065"
                "etiqueta" => "13&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Obesity and the lung&#58; obesity and COPD"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => true
                            "autores" => array:1 [
                              0 => "Franssen"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1136/thx.2007.086827"
                        "Revista" => array:6 [
                          "tituloSerie" => "Thorax"
                          "fecha" => "2008"
                          "volumen" => "63"
                          "paginaInicial" => "1110"
                          "paginaFinal" => "1117"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19020276"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "pt"
  "url" => "/08732159/0000001600000002/v1_201509151443/S0873215915300246/v1_201509151443/pt/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9575"
    "tipo" => "SECCION"
    "pt" => array:2 [
      "titulo" => "Artigos originais"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "pt"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001600000002/v1_201509151443/S0873215915300246/v1_201509151443/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915300246?idApp=UINPBA00004E"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Artigo Original/Original Article
Caracterização de uma população com risco acrescido de DPOC
Characterisation of a population at increased risk of COPD
Sandra Soares1, Isabel Costa1, Ana Luísa Neves1, Luciana Couto2
1 Internato Médico de Medicina Geral e Familiar/Resident, General Practice
2 Assistente Graduada de Medicina Geral e Familiar/Consultantant, Specialist, General Practice
Read
5128
Times
was read the article
2168
Total PDF
2960
Total HTML
Share statistics
 array:24 [
  "pii" => "S0873215915300246"
  "issn" => "08732159"
  "doi" => "10.1016/S0873-2159(15)30024-6"
  "estado" => "S350"
  "fechaPublicacion" => "2010-03-01"
  "aid" => "4"
  "copyright" => "Sociedade Portuguesa de Pneumologia&#47;SPP"
  "copyrightAnyo" => "2010"
  "documento" => "simple-article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "fla"
  "cita" => "Rev Port Pneumol. 2010;16:237-52"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2157
    "formatos" => array:3 [
      "EPUB" => 240
      "HTML" => 1266
      "PDF" => 651
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0873215915300258"
    "issn" => "08732159"
    "doi" => "10.1016/S0873-2159(15)30025-8"
    "estado" => "S350"
    "fechaPublicacion" => "2010-03-01"
    "aid" => "5"
    "copyright" => "Sociedade Portuguesa de Pneumologia&#47;SPP"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "fla"
    "cita" => "Rev Port Pneumol. 2010;16:253-72"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2551
      "formatos" => array:3 [
        "EPUB" => 220
        "HTML" => 1711
        "PDF" => 620
      ]
    ]
    "pt" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original&#47;Original Article</span>"
      "titulo" => "Quais os par&#226;metros funcionais que permitem diferenciar asma grave de DPOC&#63;"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "253"
          "paginaFinal" => "272"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Which functional parameters can help differentiate severe asthma from COPD&#63;"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ricardo Marques Dias, Fernando Hauaji Chacur, Sonia Regina da Silva Carvalho, Denise Duprat Neves"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Ricardo Marques"
              "apellidos" => "Dias"
            ]
            1 => array:2 [
              "nombre" => "Fernando Hauaji"
              "apellidos" => "Chacur"
            ]
            2 => array:2 [
              "nombre" => "Sonia Regina"
              "apellidos" => "da Silva Carvalho"
            ]
            3 => array:2 [
              "nombre" => "Denise Duprat"
              "apellidos" => "Neves"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915300258?idApp=UINPBA00004E"
    "url" => "/08732159/0000001600000002/v1_201509151443/S0873215915300258/v1_201509151443/pt/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0873215915300234"
    "issn" => "08732159"
    "doi" => "10.1016/S0873-2159(15)30023-4"
    "estado" => "S350"
    "fechaPublicacion" => "2010-03-01"
    "aid" => "3"
    "copyright" => "Sociedade Portuguesa de Pneumologia&#47;SPP"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "fla"
    "cita" => "Rev Port Pneumol. 2010;16:223-35"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2621
      "formatos" => array:3 [
        "EPUB" => 230
        "HTML" => 1699
        "PDF" => 692
      ]
    ]
    "pt" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original&#47;Original Article</span>"
      "titulo" => "Pneumonia adquirida na comunidade numa unidade de cuidados intensivos"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "223"
          "paginaFinal" => "235"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Community-acquired pneumonia in an intensive care unit"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46; Raquel Marques, Ant&#243;nio Nunes, Cristina Sousa, Fausto Moura, Jo&#227;o Gouveia, Armindo Ramos"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "M&#46; Raquel"
              "apellidos" => "Marques"
            ]
            1 => array:2 [
              "nombre" => "Ant&#243;nio"
              "apellidos" => "Nunes"
            ]
            2 => array:2 [
              "nombre" => "Cristina"
              "apellidos" => "Sousa"
            ]
            3 => array:2 [
              "nombre" => "Fausto"
              "apellidos" => "Moura"
            ]
            4 => array:2 [
              "nombre" => "Jo&#227;o"
              "apellidos" => "Gouveia"
            ]
            5 => array:2 [
              "nombre" => "Armindo"
              "apellidos" => "Ramos"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915300234?idApp=UINPBA00004E"
    "url" => "/08732159/0000001600000002/v1_201509151443/S0873215915300234/v1_201509151443/pt/main.assets"
  ]
  "pt" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original&#47;Original Article</span>"
    "titulo" => "Caracteriza&#231;&#227;o de uma popula&#231;&#227;o com risco acrescido de DPOC"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "237"
        "paginaFinal" => "252"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Sandra Soares, Isabel Costa, Ana Lu&#237;sa Neves, Luciana Couto"
        "autores" => array:4 [
          0 => array:3 [
            "nombre" => "Sandra"
            "apellidos" => "Soares"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">1</span>"
                "identificador" => "af0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Isabel"
            "apellidos" => "Costa"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">1</span>"
                "identificador" => "af0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Ana Lu&#237;sa"
            "apellidos" => "Neves"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">1</span>"
                "identificador" => "af0005"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Luciana"
            "apellidos" => "Couto"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">2</span>"
                "identificador" => "af0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Internato M&#233;dico de Medicina Geral e Familiar&#47;Resident&#44; General Practice"
            "etiqueta" => "1"
            "identificador" => "af0005"
          ]
          1 => array:3 [
            "entidad" => "Assistente Graduada de Medicina Geral e Familiar&#47;Consultantant&#44; Specialist&#44; General Practice"
            "etiqueta" => "2"
            "identificador" => "af0010"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Characterisation of a population at increased risk of COPD"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2009-03-25"
    "fechaAceptado" => "2009-08-06"
    "PalabrasClave" => array:2 [
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec570120"
          "palabras" => array:3 [
            0 => "Doen&#231;a pulmonar obstrutiva cr&#243;nica"
            1 => "tabagismo"
            2 => "cuidados prim&#225;rios"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key-words"
          "identificador" => "xpalclavsec570121"
          "palabras" => array:3 [
            0 => "Chronic obstructive pulmonary disease"
            1 => "smoking"
            2 => "primary care"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introdu&#231;&#227;o&#58;</span> O tabagismo &#233; o principal factor de risco da DPOC&#44; estimando-se que 15-20&#37; dos fumadores a desenvolvam&#46; A caracteriza&#231;&#227;o desta popula&#231;&#227;o de risco &#233; um importante passo na melhoria do diagn&#243;stico de DPOC&#44; que &#233; cada vez mais um desafio nos cuidados prim&#225;rios&#46;</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivos&#58;</span> Determinar a percentagem de fumadores identificados numa USF na popula&#231;&#227;o de utentes entre 45-65 anos e sua caracteriza&#231;&#227;o&#59; determinar poss&#237;veis rela&#231;&#245;es entre a presen&#231;a de sintomatologia respirat&#243;ria e as restantes vari&#225;veis&#59; e entre a presen&#231;a de altera&#231;&#245;es obstrutivas das pequenas vias a&#233;reas e as restantes vari&#225;veis&#46;</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material e m&#233;todos&#58;</span> Estudo observacional&#44; anal&#237;tico&#44; transversal&#44; numa unidade de sa&#250;de familiar &#40;USF&#41; portuguesa&#46; Popula&#231;&#227;o&#58; utentes fumadores entre os 45-65 anos&#44; submetidos &#224; aplica&#231;&#227;o de um question&#225;rio e realiza&#231;&#227;o de espirometria&#46; A an&#225;lise estat&#237;stica foi realizada em SPSS v&#46;13&#46;0 &#40;n&#237;vel de signific&#226;ncia de 0&#44;05&#41;&#46;</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados&#58;</span> A amostra foi constitu&#237;da por 157 indiv&#237;duos &#40;31&#37; &#9792; e 69&#37; &#9794;&#41;&#59; idade m&#233;dia de 53&#44;85 anos&#59; idade m&#233;dia de in&#237;cio de tabagismo de 16&#44;64 anos&#59; carga tab&#225;gica m&#233;dia de 37&#44;78 UMA&#46; Sintomatologia respirat&#243;ria esteve presente em 68&#44;8&#37; dos indiv&#237;duos&#44; sendo mais frequente nos homens&#44; com inicia&#231;&#227;o tab&#225;gica mais precoce e maior carga tab&#225;gica &#40;p&#60;0&#44;05&#41;&#46; Altera&#231;&#245;es obstrutivas das pequenas vias a&#233;reas estavam presentes em 30&#37;&#44; sendo mais frequentes nos mais velhos e com maior carga tab&#225;gica &#40;p&#60;0&#44;05&#41;&#46;</p><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Discuss&#227;o e conclus&#245;es&#58;</span> O subdiagn&#243;stico do tabagismo &#233; alarmante&#44; alertando para a import&#226;ncia da identifica&#231;&#227;o da popula&#231;&#227;o de risco e implementa&#231;&#227;o de medidas preventivas direccionadas &#8211; que associadas &#224; melhor caracteriza&#231;&#227;o desta popula&#231;&#227;o poder&#227;o contribuir para uma melhoria no diagn&#243;stico e abordagem da DPOC&#46;</p><p id="sp0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010&#59; XVI &#40;2&#41;&#58; 237-252</span></p></span>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introduction&#58;</span> Smoking is the main risk factor for COPD&#44; and it is estimated that 15-20&#37; of smokers will develop the pathology&#46; Characterising this risk population is an important step in improved diagnosis of COPD&#44; an increasing primary care challenge&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Aims&#58;</span> To determine the percentage of smokers identified in patients aged 45-65 years old in a health centre&#44; and their characterisation&#59; to determine possible relationships between respiratory symptoms and abnormal obstruction of the small airways and the other variables studied&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material and methods&#58;</span> Observational&#44; analytical&#44; cross-sectional study carried out in a Portuguese health centre&#46; Population&#58; smokers aged 45-65 years old who filled in a questionnaire and underwent spirometry&#46; Statistical analysis was performed with SPSS v&#46;13&#46;0 &#40;level of significance 0&#46;05&#41;&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Results&#58;</span> The sample was composed of 157 participants &#40;31&#37; &#9792; and 69&#37; &#9794;&#41;&#59; average age 53&#46;85<span class="elsevierStyleHsp" style=""></span>years&#59; average age at start of smoking 16&#46;64<span class="elsevierStyleHsp" style=""></span>years&#59; average tobacco consumption 37&#46;78 pack-years&#46; Respiratory symptoms were present in 68&#46;8&#37; of the individuals&#44; and were more frequent in men&#44; those who started smoking earlier and those with higher tobacco consumption &#40;p&#60;0&#46;05&#41;&#46; Thirty percent had abnormal obstruction of the small airways&#44; with this more frequent in older smokers and those with heavier tobacco consumption &#40;p&#60;0&#46;05&#41;&#46;</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Discussion and conclusions&#58;</span> The underdiagnosis of smoking raises awareness of the importance of identifying this risk population and the need to implement preventative measures&#46; These&#44; in tandem with a better characterisation of this population&#44; may contribute to the improved diagnosis and management of COPD&#46;</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010&#59; XVI &#40;2&#41;&#58; 237-252</span></p></span>"
      ]
    ]
    "lecturaRecomendada" => array:1 [
      0 => array:3 [
        "vista" => "all"
        "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia&#47;Bibliography</span>"
        "seccion" => array:1 [
          0 => array:2 [
            "vista" => "all"
            "bibliografiaReferencia" => array:13 [
              0 => array:3 [
                "identificador" => "bb0005"
                "etiqueta" => "1&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Early detection of COPD in primary care&#58; screening by invitation of smokers aged 40 to 55 years"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "G&#46; Stratelis"
                              1 => "P&#46; Jakobsson"
                              2 => "S&#46; Molstad"
                              3 => "O&#46; Zetterstrom"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "British Journal of General Practice"
                          "fecha" => "2004"
                          "volumen" => "54"
                          "paginaInicial" => "201"
                          "paginaFinal" => "206"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15006126"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              1 => array:3 [
                "identificador" => "bb0010"
                "etiqueta" => "2&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Global strategy for the diagnosis&#44; management&#44; and prevention of chronic obstructive pulmonary disease"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "Global Initiative for Chronic Obstructive Lung Disease"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "WWW" => array:2 [
                          "link" => "www&#46;golcopd&#46;com"
                          "fecha" => "2007"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              2 => array:3 [
                "identificador" => "bb0015"
                "etiqueta" => "3&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Tabagismo em Portugal"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => true
                            "autores" => array:3 [
                              0 => "S&#46; Fraga"
                              1 => "S&#46; Sousa"
                              2 => "A&#46;C&#46; Santos"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:7 [
                          "tituloSerie" => "Arquivos de Medicina"
                          "fecha" => "2005"
                          "volumen" => "5&#8211;6"
                          "numero" => "19"
                          "paginaInicial" => "207"
                          "paginaFinal" => "229"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20981277"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              3 => array:3 [
                "identificador" => "bb0020"
                "etiqueta" => "4&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "H&#225;bitos tab&#225;gicos em estudantes universit&#225;rios do Porto"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "A&#46;B&#46; Monteiro"
                              1 => "A&#46;L&#46; Neves"
                              2 => "M&#46;M&#46; Marques"
                              3 => "C&#46; Lopes"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Arquivos de Medicina"
                          "fecha" => "2004"
                          "volumen" => "18"
                          "numero" => "3"
                          "paginaInicial" => "98"
                          "paginaFinal" => "102"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              4 => array:3 [
                "identificador" => "bb0025"
                "etiqueta" => "5&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Programa Nacional de Preven&#231;&#227;o e Controlo da Doen&#231;a Pulmonar Obstrutiva Cr&#243;nica"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "Direc&#231;&#227;o-Geral de Sa&#250;de"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Libro" => array:3 [
                          "fecha" => "2005"
                          "editorial" => "Lisboa"
                          "editorialLocalizacion" => "Direc&#231;&#227;o-Geral de Sa&#250;de"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              5 => array:3 [
                "identificador" => "bb0030"
                "etiqueta" => "6&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Programa-tipo de actua&#231;&#227;o em cessa&#231;&#227;o tab&#225;gica"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "Direc&#231;&#227;o-Geral de Sa&#250;de"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Libro" => array:3 [
                          "fecha" => "2007"
                          "editorial" => "Lisboa"
                          "editorialLocalizacion" => "Direc&#231;&#227;o-Geral de Sa&#250;de"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              6 => array:3 [
                "identificador" => "bb0035"
                "etiqueta" => "7&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Health Strategies in Portugal"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "Minist&#233;rio da Sa&#250;de&#44; Alto Comissariado da Sa&#250;de"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Libro" => array:2 [
                          "titulo" => "The National Health Plan"
                          "fecha" => "2004&#8211;2010"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              7 => array:3 [
                "identificador" => "bb0040"
                "etiqueta" => "8&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "The added value of C-reactive protein to clinical signs and symptoms in patients with obstructive airway disease&#58; results of a diagnostic study in primary care"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:6 [
                              0 => "A&#46; Schneider"
                              1 => "G&#46;J&#46; Dinant"
                              2 => "I&#46; Maag"
                              3 => "L&#46; Gantner"
                              4 => "Meyer J&#46;F&#46;"
                              5 => "Szecsenyi"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:4 [
                          "tituloSerie" => "BMC Family Practice"
                          "fecha" => "2006"
                          "volumen" => "7"
                          "numero" => "28"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              8 => array:3 [
                "identificador" => "bb0045"
                "etiqueta" => "9&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "American Thoracic Society and European Respiratory Society"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "COPD Guidelines"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "WWW" => array:2 [
                          "link" => "http&#58;&#47;&#47;www&#46;thoracic&#46;org&#47;sections&#47;copd&#47;"
                          "fecha" => "2004"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              9 => array:3 [
                "identificador" => "bb0050"
                "etiqueta" => "10&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Vital DPOC"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "R&#46; Booker"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Libro" => array:3 [
                          "fecha" => "2005"
                          "editorial" => "Class Publising Ltd"
                          "editorialLocalizacion" => "Londres"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              10 => array:3 [
                "identificador" => "bb0055"
                "etiqueta" => "11&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Prevalence of undetected persistent airflow obstruction in male smokers 40-65 years old"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:6 [
                              0 => "R&#46;M&#46;M&#46; Geijer"
                              1 => "A&#46;P&#46;E&#46; Sachs"
                              2 => "A&#46;W&#46; Hoes"
                              3 => "P&#46;L&#46; Salom&#233;"
                              4 => "J&#46;J&#46; Lammers"
                              5 => "T&#46;J&#46;M&#46; Verheij"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1093/fampra/cmi049"
                        "Revista" => array:6 [
                          "tituloSerie" => "Fam&#46; Pract"
                          "fecha" => "2005"
                          "volumen" => "22"
                          "paginaInicial" => "485"
                          "paginaFinal" => "489"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15964866"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              11 => array:3 [
                "identificador" => "bb0060"
                "etiqueta" => "12&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Chronic obstructive pulmonary disease &#40;COPD&#41;&#58; Prevalence&#44; incidence&#44; decline in lung function and risk factors"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "A&#46; Lindberg"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Libro" => array:2 [
                          "titulo" => "The Obstructive Lung Disease in Northern Sweden Studies Thesis VI"
                          "fecha" => "2004"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              12 => array:3 [
                "identificador" => "bb0065"
                "etiqueta" => "13&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Obesity and the lung&#58; obesity and COPD"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => true
                            "autores" => array:1 [
                              0 => "Franssen"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1136/thx.2007.086827"
                        "Revista" => array:6 [
                          "tituloSerie" => "Thorax"
                          "fecha" => "2008"
                          "volumen" => "63"
                          "paginaInicial" => "1110"
                          "paginaFinal" => "1117"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19020276"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "pt"
  "url" => "/08732159/0000001600000002/v1_201509151443/S0873215915300246/v1_201509151443/pt/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9575"
    "tipo" => "SECCION"
    "pt" => array:2 [
      "titulo" => "Artigos originais"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "pt"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001600000002/v1_201509151443/S0873215915300246/v1_201509151443/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915300246?idApp=UINPBA00004E"
]
Article information
ISSN: 08732159
Original language: Portuguese
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 0 1 1
2024 October 31 38 69
2024 September 34 34 68
2024 August 40 47 87
2024 July 27 34 61
2024 June 31 21 52
2024 May 26 31 57
2024 April 24 31 55
2024 March 44 37 81
2024 February 19 23 42
2024 January 31 32 63
2023 December 22 23 45
2023 November 19 20 39
2023 October 22 27 49
2023 September 16 21 37
2023 August 20 30 50
2023 July 29 34 63
2023 June 18 12 30
2023 May 33 26 59
2023 April 14 20 34
2023 March 17 22 39
2023 February 31 23 54
2023 January 17 19 36
2022 December 17 28 45
2022 November 44 44 88
2022 October 24 32 56
2022 September 25 37 62
2022 August 31 46 77
2022 July 20 39 59
2022 June 22 39 61
2022 May 31 34 65
2022 April 30 34 64
2022 March 19 32 51
2022 February 26 29 55
2022 January 27 35 62
2021 December 19 35 54
2021 November 29 31 60
2021 October 29 41 70
2021 September 27 32 59
2021 August 27 24 51
2021 July 27 22 49
2021 June 26 16 42
2021 May 34 27 61
2021 April 33 48 81
2021 March 37 8 45
2021 February 57 12 69
2021 January 28 25 53
2020 December 30 5 35
2020 November 44 17 61
2020 October 32 18 50
2020 September 66 14 80
2020 August 37 21 58
2020 July 56 16 72
2020 June 33 16 49
2020 May 39 21 60
2020 April 50 15 65
2020 March 41 10 51
2020 February 31 26 57
2020 January 53 21 74
2019 December 33 19 52
2019 November 48 21 69
2019 October 31 10 41
2019 September 37 17 54
2019 August 49 23 72
2019 July 27 12 39
2019 June 44 6 50
2019 May 38 22 60
2019 April 38 21 59
2019 March 49 12 61
2019 February 37 10 47
2019 January 35 21 56
2018 December 52 9 61
2018 November 12 0 12
2018 October 7 6 13
2018 September 18 7 25
2018 August 50 24 74
2018 July 30 23 53
2018 June 45 21 66
2018 May 46 15 61
2018 April 46 35 81
2018 March 50 30 80
2018 February 24 14 38
2018 January 36 13 49
2017 December 26 20 46
2017 November 41 24 65
2017 October 26 16 42
2017 September 24 16 40
2017 August 15 15 30
2017 July 7 7 14
2017 June 20 11 31
2017 May 31 11 42
2017 April 10 17 27
2017 March 13 2 15
2017 February 9 4 13
2017 January 14 2 16
2016 December 12 5 17
2016 November 9 5 14
2016 October 10 14 24
2016 September 2 1 3
2016 August 4 3 7
2016 July 3 5 8
2016 May 0 2 2
2016 April 2 1 3
2016 March 4 7 11
2016 February 3 12 15
2016 January 10 9 19
2015 December 10 5 15
2015 November 5 5 10
2015 October 2 2 4
Show all

Follow this link to access the full text of the article

Pulmonology

Are you a health professional able to prescribe or dispense drugs?