{"id":106975,"date":"2018-03-11T10:31:10","date_gmt":"2018-03-11T10:31:10","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/supervivencia-y-factores-pronosticos-a-largo-plazo-tras-un-primer-episodio-de-ictus-isquemico\/"},"modified":"2018-03-11T10:31:10","modified_gmt":"2018-03-11T10:31:10","slug":"supervivencia-y-factores-pronosticos-a-largo-plazo-tras-un-primer-episodio-de-ictus-isquemico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/patologia-cardiovascular\/supervivencia-y-factores-pronosticos-a-largo-plazo-tras-un-primer-episodio-de-ictus-isquemico\/","title":{"rendered":"Supervivencia y factores pron\u00f3sticos a largo plazo tras un primer episodio de ictus isqu\u00e9mico"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Luis Merida Rodrigo <\/strong><\/h2>\n<p>El objetivo del estudio ha sido evaluar la mortalidad la mortalidad a largo plazo y los factores pron\u00f3sticos relacionados tras un primer episodio de ictus agudo de origen isqu\u00e9mico. Material y m\u00e9todos: estudio de cohortes retrospectivo sobre pacientes con un primer ingreso por ictus isqu\u00e9mico durante el per\u00edodo de tiempo comprendido entre 1\/01\/1998 y 31\/12\/2002, clasificados en aterotromb\u00f3tico (at) y cardioemb\u00f3lico (ce) y seguidos hasta 31\/12\/2007. Resultados: de un total de 415 casos, 305 fueron at (73,5%) y 100 ce (26,5%). La media de seguimiento fue de 66 meses (ic95% 24-108). La mortalidad global a los 10 a\u00f1os fue significativamente mayor en el ce. (At 42,5% vs ce 50,7%, p= 0,002). En el an\u00e1lisis multivariante las variables relacionadas con la mortalidad en el ictus isqu\u00e9mico fueron la edad, la insuficiencia renal cr\u00f3nica, la dislipemia, los antecedentes de insuficiencia cardiaca, la fibrilaci\u00f3n auricular (fa), la presentaci\u00f3n como hemiplej\u00eda, ios signos de isquemia aguda y de edema perilesional en el tac craneal del ingreso y el origen ce. Se asociaron a un mejor pron\u00f3stico la afectaci\u00f3n del territorio de la arteria cerebral media derecha, y el tratamiento con estatinas. La diabetes fue un predictor de mal pron\u00f3stico en el ictus at. Conclusiones: la mortalidad de los pacientes tras un ictus isqu\u00e9mico es elevada, y mayor en el ictus ce, al cabo de 10 a\u00f1os de seguimiento. Esta es la primera cohorte que describe la supervivencia a largo plazo de los pacientes con ictus en nuestro pa\u00eds.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Supervivencia y factores pron\u00f3sticos a largo plazo tras un primer episodio de ictus isqu\u00e9mico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Supervivencia y factores pron\u00f3sticos a largo plazo tras un primer episodio de ictus isqu\u00e9mico <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Luis Merida Rodrigo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/02\/2011<\/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>Francisco Poveda Gomez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: fernando Rodr\u00edguez artalejo <\/li>\n<li>pedro Armario garcia (vocal)<\/li>\n<li>Jos\u00e9 Luis Escolar castell\u00f3n (vocal)<\/li>\n<li>Juan Garcia puig (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Luis Merida Rodrigo El objetivo del estudio ha sido evaluar la mortalidad la mortalidad a largo plazo [&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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