{"id":102667,"date":"2010-09-07T00:00:00","date_gmt":"2010-09-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/mortalidad-en-pacientes-quirurgicos-analisis-de-los-factores-de-riesgo\/"},"modified":"2010-09-07T00:00:00","modified_gmt":"2010-09-07T00:00:00","slug":"mortalidad-en-pacientes-quirurgicos-analisis-de-los-factores-de-riesgo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/causas-de-mortalidad\/mortalidad-en-pacientes-quirurgicos-analisis-de-los-factores-de-riesgo\/","title":{"rendered":"Mortalidad en pacientes quir\u00fargicos: an\u00e1lisis de los factores de riesgo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jes\u00fas Gil Bona <\/strong><\/h2>\n<p>Objetivo: determinar los factores de riesgo de mortalidad de los pacientes quir\u00fargicos. material y m\u00e9todos: se incluyeron todos los pacientes operados que fallecieron en el curso del procedimiento peroperatorio en el periodo 2004-2006. se realiz\u00f3 un estudio de corte transversal. Se analizaron variables pre, intra y postoperatorias. Se han analizado los factores de riesgo de muerte en los pacientes intervenidos de urgencia y en los intervenidos electivamente. Se ha realizado un an\u00e1lisis multivariado correlacionando las diferentes variables utilizando la chi cuadrado de pearson con un int\u00e9rvalo de confianza (ic) del 95%.   resultados: durante el periodo de tiempo que abarca el estudio fueron intervenidos 38815 pacientes con ingreso hospitalario: 6326 de urgencia y 32489 de forma electiva.  Durante el ingreso hospitalario murieron un total de 479 pacientes; 36 intraoperatoriamente y 443 tras la intervenci\u00f3n quir\u00fargica. La presencia de hipertensi\u00f3n arterial, diabetes mellitus y el diagnostico de neoplasia tuvieron  significaci\u00f3n estad\u00edstica con la muerte. Las complicaciones quir\u00fargicas resultaron significativas para los pacientes que fallecieron en el intra-operatorio. La cirug\u00eda de urgencia es un factor de riesgo independiente de mortalidad ( 5.5% de mortalidad  en relaci\u00f3n al 0.4% para la cirugia electiva). Las complicaciones post-operatorias fueron los principales factores de riesgo de mortalidad  en especial la sepsis, la muerte por problemas cardiacos, y la muerte por problemas respiratorios.  conclusiones: la prevenci\u00f3n y el correcto tratamiento de todos los factores de riesgo pre, intra y postoperatorios se presume disminuir\u00edan de forma significativa los \u00edndices de mortalidad y morbilidad de los pacientes intervenidos quir\u00fargicamente, en especial en aquellos pacientes intervenidos urgentemente<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Mortalidad en pacientes quir\u00fargicos: an\u00e1lisis de los factores de riesgo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Mortalidad en pacientes quir\u00fargicos: an\u00e1lisis de los factores de riesgo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jes\u00fas Gil Bona <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 09\/07\/2010<\/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>Jos\u00e9 Mar\u00eda Miguelena Bobadilla<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: ricardo Lozano mantecon <\/li>\n<li>Antonio Montero matamala (vocal)<\/li>\n<li>Antonio Rafecas renau (vocal)<\/li>\n<li>eduard Jaurrieta mas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jes\u00fas Gil Bona Objetivo: determinar los factores de riesgo de mortalidad de los pacientes quir\u00fargicos. material y [&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 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