{"id":10256,"date":"1996-01-01T00:00:00","date_gmt":"1996-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1996\/01\/01\/sistemas-de-puntuacion-y-pronosticos-neonatales-estudio-comparativo\/"},"modified":"1996-01-01T00:00:00","modified_gmt":"1996-01-01T00:00:00","slug":"sistemas-de-puntuacion-y-pronosticos-neonatales-estudio-comparativo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/sistemas-de-puntuacion-y-pronosticos-neonatales-estudio-comparativo\/","title":{"rendered":"Sistemas de puntuacion y pronosticos neonatales. estudio comparativo."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Esquivel Mora M. Dolores <\/strong><\/h2>\n<p>Introduccion: la determinacion de la gravedad de la enfermedad es un campo de investigacion de importancia creciente en las unidades de cuidados intensivos neonatales (ucin). Existen escasas referencias bibliograficas en la literatura mundial acerca de los sistemas de valoracion del recien nacido (rn) criticamente enfermo, habiendose evaluado su aplicabilidad principalmente en marcos de asistencia terciaria.  objetivos: analizar la asociacion de los siguientes sistemas de puntuacion de gravedad de enfermedad neonatal: sistema de puntuacion de la fisiolog\u00eda aguda neonatal (snap), sistema de puntuacion de la fisiolog\u00eda aguda neonatal de extension perinatal (snap-pe), indice de estabilidad fisiologica modificado (mpsi), sistema de puntuacion neonatal de intervenciones terapeuticas (ntiss) e indice de riesgo clinico para bebes (crib), con la mortalidad hospitalaria y con las estimaciones clinicas sobre el riesgo de muerte; evaluar la correlacion de los sistemas fisiologicos (snap, snap-pe, mpsi y crib) con el terapeutico (ntiss), determinar la correlacion de todos los sistemas con el peso al nacer y la edad gestacional y conocer en la poblacion de sobrevivientes los mejores determinantes de estancia hospitalaria.  material y metodos: se realizo un estudio retrospectivo en 598 rn (534 sobrevivientes y 64 exitus) ingresados en la ucin de un hospital general de especialidades, entre el 1 de enero de 1990 y el 31 de diciembre de 1993, aplicando durante el primer dia del ingreso el snap, mpsi y ntiss a todos los rn, el snap-pe a aquellos con menos de 8 dias de edad y el crib a los de peso al nacimiento &lt; o igual 1500 g. Se recogieron las estimaciones clinicas sobre el riesgo de muerte (impresion clinica sobre el estado general del paciente al ingreso y estimacion medica del riesgo de mortalidad segun la escala de likert), datos clinicos, perinatales, de morbimortalidad neonatal y duracion de la hospitalizacion. El unico criterio de<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Sistemas de puntuacion y pronosticos neonatales. estudio comparativo.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Sistemas de puntuacion y pronosticos neonatales. estudio comparativo. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Esquivel Mora M. Dolores <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00e1diz<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1996<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Manuel Casanova Bellido<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Armando Romanos Lezcanos <\/li>\n<li>Juan Perez Navero (vocal)<\/li>\n<li>Blas Hervias Sivancos (vocal)<\/li>\n<li>Lu\u00eds Javier Moreno Corral (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Esquivel Mora M. Dolores Introduccion: la determinacion de la gravedad de la enfermedad es un campo de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1506,155,9,161],"tags":[1960,34470,34468,34469,1645,1643],"class_list":["post-10256","post","type-post","status-publish","format-standard","hentry","category-cadiz","category-ciencias-clinicas","category-ciencias-medicas","category-pediatria","tag-armando-romanos-lezcanos","tag-blas-hervias-sivancos","tag-esquivel-mora-m-dolores","tag-juan-perez-navero","tag-luis-javier-moreno-corral","tag-manuel-casanova-bellido"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/10256","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=10256"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/10256\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=10256"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=10256"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=10256"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}