{"id":107583,"date":"2018-03-11T10:32:01","date_gmt":"2018-03-11T10:32:01","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/diferencia-entre-disminucion-del-filtrado-glomerular-e-insuficiencia-renal-en-el-anciano-valor-del-hematocrito-urea-y-genero-como-screening-de-la-insuficiencia-renal-cronica-la-formula-huge\/"},"modified":"2018-03-11T10:32:01","modified_gmt":"2018-03-11T10:32:01","slug":"diferencia-entre-disminucion-del-filtrado-glomerular-e-insuficiencia-renal-en-el-anciano-valor-del-hematocrito-urea-y-genero-como-screening-de-la-insuficiencia-renal-cronica-la-formula-huge","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/medicina-interna\/diferencia-entre-disminucion-del-filtrado-glomerular-e-insuficiencia-renal-en-el-anciano-valor-del-hematocrito-urea-y-genero-como-screening-de-la-insuficiencia-renal-cronica-la-formula-huge\/","title":{"rendered":"Diferencia entre disminuci\u00f3n del filtrado glomerular e insuficiencia renal en el anciano. valor del hematocrito, urea y g\u00e9nero como screening de la insuficiencia renal cr\u00f3nica. la f\u00f3rmula huge."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Joaquin Antonio Alvarez Gregori <\/strong><\/h2>\n<p>Aunque existe la opini\u00f3n cada vez m\u00e1s extendida en la literatura m\u00e9dica de que un fg de 60 ml\/min\/1.73m2 no indican necesariamente la existencia de insuficiencia renal cr\u00f3nica (irc), en la pr\u00e1ctica cl\u00ednica diaria, un filtrado glomerular estimado (efg) < 60 ml\/min\/1.73 m2 es considerada como tal, lo que ha hecho que se produzca un aumento de diagn\u00f3sticos err\u00f3neos de irc especialmente en personas con 70 a\u00f1os o m\u00e1s.   por ello el objetivo de nuestro estudio ha sido encontrar una f\u00f3rmula de screening capaz de diferenciar entre sanos e insuficientes renales cr\u00f3nicos sin basarse en filtrados glomerulares calculados o estimados (efg) por debajo de 60 ml\/min\/1.73 m2.    se obtuvieron datos cl\u00ednicos y anal\u00edticos de consultas de atencion primaria y hospitalaria de 487 pacientes de ambos sexos, sanos e insuficientes renales cr\u00f3nicos de entre 16 y 102 a\u00f1os. Se analizaron los datos con m\u00e9todos de regresi\u00f3n log\u00edstica obteniendo de las variables discriminativas la f\u00f3rmula huge (haematocrit, urea and gender). Posteriormente se compararon los diagn\u00f3sticos de irc obtenidos con la f\u00f3rmula huge con los obtenidos con efg <60 ml\/min con la f\u00f3rmula mdrd en una muestra de m\u00e1s de 125.000 pacientes.  la f\u00f3rmula huge = 2.505458 - (0.264418 x hematocrito) + (0.1181 x urea) [+ 1.383960 si var\u00f3n] diagnostica la irc (si valor >0) con alta sensibilidad y especificidad sin considerar edad, creatinina s\u00e9rica, aclaramiento de creatinina o efg y, seg\u00fan nuestros datos, demuestra mayor seguridad que el mdrd o ckd-epi, especialmente en mayores de 70 a\u00f1os.   nuestra f\u00f3rmula huge ofrece un m\u00e9todo sencillo, econ\u00f3mico y de disponibilidad universal para detectar irc y diferenciarlo de un efg menor de 60 ml\/min\/1.73m2 lo que podr\u00eda prevenir que un n\u00famero considerable de personas mayores sanas (tantas como 1.700.000 personas en espa\u00f1a o 2.600.000 en gran breta\u00f1a) sean excluidas de ensayos cl\u00ednicos o tratamientos contraindicados por padecer insuficiencia renal cr\u00f3nica diagnosticadas como efg menores de 60 ml\/min\/1.73 m2.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Diferencia entre disminuci\u00f3n del filtrado glomerular e insuficiencia renal en el anciano. valor del hematocrito, urea y g\u00e9nero como screening de la insuficiencia renal cr\u00f3nica. la f\u00f3rmula huge.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Diferencia entre disminuci\u00f3n del filtrado glomerular e insuficiencia renal en el anciano. valor del hematocrito, urea y g\u00e9nero como screening de la insuficiencia renal cr\u00f3nica. la f\u00f3rmula huge. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Joaquin Antonio Alvarez Gregori <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Salamanca<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 25\/03\/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>Juan  Florencio Mac\u00edas N\u00fa\u00f1ez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: candido Martin luengo <\/li>\n<li>Jos\u00e9 Manuel Ribera casado (vocal)<\/li>\n<li>nicolas Roberto robles (vocal)<\/li>\n<li>Jes\u00fas Bustamante bustamante (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Joaquin Antonio Alvarez Gregori Aunque existe la opini\u00f3n cada vez m\u00e1s extendida en la literatura m\u00e9dica 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 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