{"id":113630,"date":"2018-03-11T10:41:14","date_gmt":"2018-03-11T10:41:14","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/bacteriemia-en-un-hospital-de-segundo-nivel-estudio-epidemiologico-analisis-de-los-factores-pronosticos-asociados-a-la-mortalidad-y-estimacion-del-coste-economico\/"},"modified":"2018-03-11T10:41:14","modified_gmt":"2018-03-11T10:41:14","slug":"bacteriemia-en-un-hospital-de-segundo-nivel-estudio-epidemiologico-analisis-de-los-factores-pronosticos-asociados-a-la-mortalidad-y-estimacion-del-coste-economico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/medicina-interna\/bacteriemia-en-un-hospital-de-segundo-nivel-estudio-epidemiologico-analisis-de-los-factores-pronosticos-asociados-a-la-mortalidad-y-estimacion-del-coste-economico\/","title":{"rendered":"Bacteriemia en un hospital de segundo nivel: estudio epidemiologico, analisis de los factores pronosticos asociados a la mortalidad y estimacion del coste economico"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Joaquin Hernandez Roca <\/strong><\/h2>\n<p>Estudio observacional de una cohorte de pacientes adultos con bacteriemia(b) ingresados en un hospital de segundo nivel. Se analizaron los factores epidemiol\u00f3gicos, cl\u00ednicos y microbiol\u00f3gicos durante el 2010. Los pacientes con (b) se identificaron a partir de los hemocultivos. Se consider\u00f3 la mortalidad a lo largo de toda la estancia hospitalaria. La estimaci\u00f3n del coste del ingreso se calcul\u00f3 en base a una formula matem\u00e1tica. Los factores asociados a mortalidad fueron identificados a trav\u00e9s de un an\u00e1lisis bivariante y multivariante. fueron incluidos 148 pacientes con b. La mortalidad global fu\u00e9 del 24%. Los factores asociados a mortalidad en el an\u00e1lisis bivariante fueron: b nosocomial, mccabe jackson i-ii, pitt?3, apache?20, tratamiento emp\u00edrico inadecuado y necesitar procedimiento invasivo. En el an\u00e1lisis multivariante: mccabe i-ii, necesitar hemodialisis y un tratamiento emp\u00edrico inadecuado. El coste estimado fue de 2.762.428 \u00c2\u00bf.    bacteraemia at a second level hospital: epidemiological study, analysis of factors associated to mortality and economical impact. observational study of a cohort of non-paediatric patients with bacteraemia (b) admitted at a second level hospital. We analysed epidemiological, clinical, microbiological and laboratory data during 2010. Patients with b were identified by review of results of blood cultures. Mortality was assessed all through hospital stay. Total economical cost during admission was calculated with a mathematical model. Factors associated to mortality were identified by bivariate and multivariate analysis.  148 patients with true bacteriaemia were included. Mortality rate was 24% factors associated to mortality in bivariate analysis were: nosocomial bacteraemia, mc cabe jackson i-ii, pitt?3, apache?20, inadequate empirical antibiotic treatment, and previously invasive procedures. In the multivariant analysis, the factors associated to mortality were: mc cabe i-ii, haemodialysis, inadequate empiric antibiotic treatment. Bacteraemia economic impact was 2.762.428 \u00c2\u00bf.  palabras clave. Bacteriemia. Hospital de segundo nivel. Mortalidad. Coste econ\u00f3mico<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Bacteriemia en un hospital de segundo nivel: estudio epidemiologico, analisis de los factores pronosticos asociados a la mortalidad y estimacion del coste economico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Bacteriemia en un hospital de segundo nivel: estudio epidemiologico, analisis de los factores pronosticos asociados a la mortalidad y estimacion del coste economico <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Joaquin Hernandez Roca <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 18\/12\/2012<\/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>Joaquin Gomez Gomez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Canteras jordana <\/li>\n<li>Jos\u00e9 Barber\u00e1n l\u00f3pez (vocal)<\/li>\n<li>\u00ed\u00a0lex Soriano viladomiu (vocal)<\/li>\n<li>Jos\u00e9 Antonio Herrero Martinez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Joaquin Hernandez Roca Estudio observacional de una cohorte de pacientes adultos con bacteriemia(b) ingresados en un [&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":[1418,139,597,11824,8235],"tags":[219248,8322,225573,144000,225572,8239],"class_list":["post-113630","post","type-post","status-publish","format-standard","hentry","category-bacteriologia","category-medicina-interna","category-microbiologia-clinica","category-mortalidad","category-murcia","tag-i-lex-soriano-viladomiu","tag-joaquin-gomez-gomez","tag-jose-antonio-herrero-Martinez","tag-jose-barberan-lopez","tag-jose-joaquin-hernandez-roca","tag-manuel-canteras-jordana"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/113630","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=113630"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/113630\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=113630"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=113630"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=113630"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}