<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1684-1824</journal-id>
<journal-title><![CDATA[Revista Médica Electrónica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev.Med.Electrón.]]></abbrev-journal-title>
<issn>1684-1824</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Matanzas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1684-18242018000501629</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores de riesgo en la enfermedad pulmonar obstructiva crónica y su enfoque con los niveles de intervención de salud]]></article-title>
<article-title xml:lang="en"><![CDATA[Risk factors of the chronic obstructive pulmonary disease and their approach from the health intervention levels]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salabert Tortoló]]></surname>
<given-names><![CDATA[Idalmi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alfonso Guerra]]></surname>
<given-names><![CDATA[Darysdeily]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alfonso Salabert]]></surname>
<given-names><![CDATA[Iria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mestre Cárdenas]]></surname>
<given-names><![CDATA[Vilma Aleida]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés Gazmuri]]></surname>
<given-names><![CDATA[Ivette]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Drake García]]></surname>
<given-names><![CDATA[Odelaisys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Matanzas  ]]></institution>
<addr-line><![CDATA[ Matanzas]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Docente Territorial Julio Miguel Aristegui Villamil  ]]></institution>
<addr-line><![CDATA[ Matanzas]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario Clínico Quirúrgico Provincial Comandante Faustino Pérez Hernández  ]]></institution>
<addr-line><![CDATA[ Matanzas]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Policlínico Universitario José Jacinto Milanés  ]]></institution>
<addr-line><![CDATA[ Matanzas]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<volume>40</volume>
<numero>5</numero>
<fpage>1629</fpage>
<lpage>1646</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1684-18242018000501629&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1684-18242018000501629&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1684-18242018000501629&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la enfermedad pulmonar obstructiva crónica constituye un problema de salud en el Hospital Territorial &#8220;Julio Miguel Aristegui Villamil&#8221; en Cárdenas de la provincia de Matanzas, siendo una de las causas de ingresos frecuentes en sus unidades de atención al grave, las cuales en ocasiones presentan una evolución desfavorable. El tabaquismo, la contaminación ambiental y otros factores son los elementos que hacen crecer esta enfermedad con complicaciones que prolongan la estadía y elevan la mortalidad.  Objetivo:  determinar los factores de riesgo de la enfermedad pulmonar obstructiva crónica en pacientes ingresados en unidades de atención al grave.  Materiales y métodos:  se realizó un estudio descriptivo, longitudinal y retrospectivo para describir esta enfermedad en los pacientes ingresados en las unidades de atención al grave en el hospital de Cárdenas durante el periodo de enero del 2015 a diciembre del 2016. La muestra coincide con el universo. Las variables empleadas fueron sexo, edad, antecedentes patológicos personales y factores de riesgo.  Resultados:  predominó el grupo etáreo de 65-74 años (43.8%), el sexo masculino fue el más representado, los factores de riesgo más significativo el tabaquismo (86%) y las enfermedades cardiovasculares (69.8%).  Conclusiones:  en la última década la enfermedad pulmonar obstructiva crónica ha comenzado a preocupar a la comunidad médica internacional por su relación directa con el tabaquismo, dada la tendencia al aumento de este hábito.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  the chronic obstructive pulmonary disease (COPD) is a problem in the Territorial Hospital &#8220;Julio Miguel Aristegui Villamil&#8221; in Cardenas, province of Matanzas. It is a cause of frequent admission in its units of care to seriously ill patients, having sometimes an unfavorable development. Tobacco smoking, environmental contamination and other factors are the elements making this disease to boost with longest staying and increased mortality.  Objective:  to determine the COPD&#8217;s risk factors in in-patients of units of care to seriously ill patients.  Materials and methods:  a retrospective, longitudinal, descriptive study was carried out to describe this disease in the in-patients in the units of care to seriously ill patients in the hospital of Cardenas during the period from January 2015 to December 2016. The sample coincides with universe. The studied variables were sex, age, personal pathological antecedents. A card for collecting the information was used as database.  Results:  the 65-70-4 years-old age group predominated (43.8 %). the male sex was the most represented one; the most significant risk factors were tobacco smoking (86 %) and cardiovascular diseases (69.8 %).  Conclusions:  the COPD has began to worry the international medical community in the last decade due to its direct relation to smoking and given the tendency of this habit to increase.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[enfermedad pulmonar]]></kwd>
<kwd lng="es"><![CDATA[tabaquismo]]></kwd>
<kwd lng="es"><![CDATA[contaminación ambiental]]></kwd>
<kwd lng="en"><![CDATA[pulmonary disease]]></kwd>
<kwd lng="en"><![CDATA[smoking]]></kwd>
<kwd lng="en"><![CDATA[environmental contamination]]></kwd>
</kwd-group>
</article-meta>
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