{"id":108785,"date":"2018-03-11T10:33:48","date_gmt":"2018-03-11T10:33:48","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/disfuncion-renal-aguda-en-la-sepsis-grave-y-el-shock-septico-contribucion-de-la-cistatina-c-al-diagnostico-precoz\/"},"modified":"2018-03-11T10:33:48","modified_gmt":"2018-03-11T10:33:48","slug":"disfuncion-renal-aguda-en-la-sepsis-grave-y-el-shock-septico-contribucion-de-la-cistatina-c-al-diagnostico-precoz","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/disfuncion-renal-aguda-en-la-sepsis-grave-y-el-shock-septico-contribucion-de-la-cistatina-c-al-diagnostico-precoz\/","title":{"rendered":"Disfunci\u00f3n renal aguda en la sepsis grave y el shock s\u00e9ptico contribuci\u00f3n de la cistatina c al diagn\u00f3stico precoz."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Francisco Ortu\u00f1o Anderiz <\/strong><\/h2>\n<p>T\u00edtulo: disfunci\u00f3n renal aguda en la sepsis grave y el shock s\u00e9ptico; contribuci\u00f3n de la cistatina c al diagn\u00f3stico precoz.  introducci\u00f3n: la sepsis es la causa m\u00e1s frecuente de disfunci\u00f3n renal aguda (dra) en las unidades de cuidados intensivos (uci ), pero el marcador usado para su diagn\u00f3stico y monitorizaci\u00f3n, la creatinina (cr), es tard\u00edo: cuando se eleva en plasma, la funci\u00f3n renal est\u00e1 ya muy deteriorada. Un marcador precoz permitir\u00eda instaurar antes las medidas terap\u00e9uticas en un intento d e limitar el da\u00f1o renal.  hip\u00f3tesis: la cistatina c es mejor que la cr como marcador de dra en enfermos con sepsis grave\/shock s\u00e9ptico.   objetivos: establecer la aportaci\u00f3n de la cistatina c plasm\u00e1tica al diagn\u00f3stico precoz del dra en enfermos con s epsis grave\/shock s\u00e9ptico y a su pron\u00f3stico. Depurar si la cistatina c puede ser \u00fatil como marcador de da\u00f1o tubular en estos pacientes.  m\u00e9todos: serie de casos prospectiva de pacientes ingresados en uci con sepsis grave\/shock s\u00e9ptico con una cifra d e cr menor de 2 mg\/dl. Grupo control de pacientes ingresados en uci sin sepsis grave\/shock s\u00e9ptico. Seguimiento cl\u00ednico y anal\u00edtico diario del paciente durante su estancia en uci.  resultados: en los pacientes con sepsis grave\/shock s\u00e9ptico la cistat ina c se eleva antes y m\u00e1s intensamente que la cr en caso de dra. Adem\u00e1s es un predictor de disfunci\u00f3n renal grave (rifle-f), necesidad de depuraci\u00f3n extracorp\u00f3rea y \u00e9xitus. Su excreci\u00f3n urinaria aumentada en los pacientes con sepsis grave\/shock s\u00e9pt ico, independientemente de la funci\u00f3n renal o del desarrollo posterior de dra, es probablemente debida a  tubulopat\u00eda no detectable por los par\u00e1metros anal\u00edticos habituales.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Disfunci\u00f3n renal aguda en la sepsis grave y el shock s\u00e9ptico contribuci\u00f3n de la cistatina c al diagn\u00f3stico precoz.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Disfunci\u00f3n renal aguda en la sepsis grave y el shock s\u00e9ptico contribuci\u00f3n de la cistatina c al diagn\u00f3stico precoz. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Francisco Ortu\u00f1o Anderiz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 31\/05\/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>Alberto Barrientos Guzm\u00e1n<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Alvarez sala walther <\/li>\n<li>Jos\u00e9 Luis Teruel briones (vocal)<\/li>\n<li>abelardo Garc\u00eda de lorenzo (vocal)<\/li>\n<li>Carlos Quereda rodriguez-navarro (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Francisco Ortu\u00f1o Anderiz T\u00edtulo: disfunci\u00f3n renal aguda en la sepsis grave y el shock s\u00e9ptico; contribuci\u00f3n 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":[9,986],"tags":[30025,78089,15546,217900,6075,14929],"class_list":["post-108785","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-complutense-de-madrid","tag-abelardo-garcia-de-lorenzo","tag-alberto-barrientos-guzman","tag-carlos-quereda-rodriguez-navarro","tag-francisco-ortuno-anderiz","tag-jose-luis-alvarez-sala-walther","tag-jose-luis-teruel-briones"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/108785","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=108785"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/108785\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=108785"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=108785"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=108785"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}