{"id":11125,"date":"2001-05-06T00:00:00","date_gmt":"2001-05-06T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/impacto-asistencial-y-perfil-clinico-del-paciente-con-enfermedad-pulmonar-obstruida-cronica-de-alto-consumo-sanitario\/"},"modified":"2001-05-06T00:00:00","modified_gmt":"2001-05-06T00:00:00","slug":"impacto-asistencial-y-perfil-clinico-del-paciente-con-enfermedad-pulmonar-obstruida-cronica-de-alto-consumo-sanitario","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/impacto-asistencial-y-perfil-clinico-del-paciente-con-enfermedad-pulmonar-obstruida-cronica-de-alto-consumo-sanitario\/","title":{"rendered":"Impacto asistencial y perfil clinico del paciente con enfermedad pulmonar obstruida cronica de alto consumo sanitario."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Lourdes Sanchez Sanchez <\/strong><\/h2>\n<p>Objetivos: principal: identificar los factores asociados a la utilizacion frecuente de servicios hospitalarios (urgencias e ingresos) en una poblacion diana de pacientes con enfermedad pulmonar obstructiva cronica de alto consumo sanitario (epoc-ac). Secundarios: evaluar el impacto asintencial que produce la epoc en nuestro hospital, identificar a los pacientes con epoc-ac y conocer su carga asistencial, su perfil general y la supervivencia tras dos a\u00f1os de seguimiento.  metodo: el estudio consta de 2 fases. 1\u00aa fase: se han revisado de forma retrospectiva todos los pacientes con epoc controlados en nuestro centro durante 1998, evaluando la edad, genero, tabaquismo, espirometria, gasometria arterial, numero de hospitalizaciones y de visitas a urgencias. Los pacientes fueron seguidos durante 2 a\u00f1os. 2\u00aa fase, se ha realizado un estudio prospectivo sobre 64 pacientes, 32 casos con epoc-ac y 32 controles. Se defini\u00f3 epoc-ac como aquel paciente que hubiese precisado durante un a\u00f1o: 1) dos o mas hospitalizacones; 2) tres o mas asistencias en urgencias \u00f3 3) un ingreso y 2 urgencias. Como controles se eligio a pacientes con epoc de similar edad, fev1 y pao2,que no hubiesen precisado atencion hospitalaria. Se recogieron diversos datos clinicos, nivel socioeconomico, ansiedad (evaluada con el cuestionario stai-e\/r), calidad de vida relacionada con la salud [medida con el st\u00c2\u00bfgeorge respiratory questionnaire (sgrq)], parametros nutricionales y diversos aspectos terapeuticos. Asimismo, en todos los casos se realizo espirometria, gasometria arterial, presiones estaticas maximas y prueba de marcha durante 6 minutos.  resultados: se incluyen 320 casos con una edad media de 71+-9 a\u00f1os. Ciento veintieis casos (39,4%) generaron 263 visitas a urgencias durante 1998, lo que supone el 1,1% del total de urgencias atendidas en nuestro centro (n=23750). Noventa y dos casos (28,7%) ingresaron por exacerbacion de su epoc, generando el 9,6% del total de adm<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Impacto asistencial y perfil clinico del paciente con enfermedad pulmonar obstruida cronica de alto consumo sanitario.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Impacto asistencial y perfil clinico del paciente con enfermedad pulmonar obstruida cronica de alto consumo sanitario. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Lourdes Sanchez Sanchez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 05\/06\/2001<\/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>Miguel Perpi\u00f1a Tordera<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: julio Mar\u00edn pardo <\/li>\n<li>victor Sobradillo pe\u00f1a (vocal)<\/li>\n<li>eduardo Benlloch garcia (vocal)<\/li>\n<li>Jos\u00e9 Luis Alvarez sala walther (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Lourdes Sanchez Sanchez Objetivos: principal: identificar los factores asociados a la utilizacion frecuente de servicios hospitalarios (urgencias [&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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