{"id":113844,"date":"2018-03-11T10:41:31","date_gmt":"2018-03-11T10:41:31","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/eficacia-de-la-suplementacion-oral-intradialisis\/"},"modified":"2018-03-11T10:41:31","modified_gmt":"2018-03-11T10:41:31","slug":"eficacia-de-la-suplementacion-oral-intradialisis","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/eficacia-de-la-suplementacion-oral-intradialisis\/","title":{"rendered":"Eficacia de la suplementaci\u00f3n oral intradi\u00e1lisis"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Waeel Ibrahim Alkrekshi <\/strong><\/h2>\n<p>Eficacia de la suplementaci\u00f3n oral intradi\u00e1lisis tesis doctoral elaborada por dr. Waeel ibrahim alkrekshi  introducci\u00f3n: los pacientes  en hemodi\u00e1lisis tienen alta preValencia de malnutrici\u00f3n  entre el 10 y el 70  , debido a m\u00faltiples factores que in cluyen la misma sesi\u00f3n de di\u00e1lisis con  p\u00e9rdidas de ? 200 kcal, amino\u00e1cidos libres y vitaminas hidrosolubles. La malnutrici\u00f3n est\u00e1 relacionada con alta tasa de mortalidad,  morbilidad, baja calidad de vida y capacidad funcional. La suplementaci\u00f3n ora l intradialisis es la administraci\u00f3n de un suplemento durante o al terminar las sesiones de hemodi\u00e1lisis  permitiendo la  observaci\u00f3n  de la tolerancia, vigilar  el cumplimiento,  motivar al paciente y aumentar la adherencia al tratamiento. Existen p ocos estudios sobre la suplementaci\u00f3n oral intradialisis. dise\u00f1o del estudio: estudio aleatorizado comparativo prospectivo de 6 meses de duraci\u00f3n. hip\u00f3tesis conceptual: la suplementaci\u00f3n oral intradialisis  es suficiente para mejorar el estado nutric ional y funcional de los pacientes, su apetito, su calidad de vida e  ingesta energ\u00e9tica diaria. objetivos:  1-\tdeterminar la preValencia de malnutrici\u00f3n en los pacientes. 2-\t valorar la eficacia  de la suplementaci\u00f3n oral intradialisis  sobre: el es tado nutricional,  el apetito, la ingesta alimenticia, la calidad de vida y la capacidad funcional.  material y m\u00e9todos: se incluyeron para la fase preliminar del  estudio todos los pacientes en hemodi\u00e1lisis mantenida en el hospital cl\u00ednico san carlo s y el centro icn moncloa. Se incluyeron los  pacientes > 18 a\u00f1os en hemodi\u00e1lisis mantenida (> 6 meses) y con criterios de malnutrici\u00f3n (vgs grado b o c)  y\/o dos par\u00e1metros anal\u00edticos alterados: alb\u00famina \u00ed\u00a7 3,7 g\/dl, prealb\u00famina \u00ed\u00a7 30 mg\/dl e colester ol total \u00ed\u00a7 200 mg\/dl. Fueron incluidos 75 sujetos de 135 cribados. Los sujetos fueron aleatorizados en grupo de intervenci\u00f3n (con suplemento) n=40 e grupo de control (solo dieta convencional) n= 35. El suplemento utilizado ha sido hipercal\u00f3rico normo proteico de bajo contenido de potasio  y f\u00f3sforo (nepro).Se realiz\u00f3 una valoraci\u00f3n de subgrupo de los pacientes en peor estado nutricional. variables del estudio al 0- 3 y 6 meses:  variables antropom\u00e9tricas, encuesta nutricional, variables anal\u00edtico s, estudio de composici\u00f3n corporal (bia bipolar mono frecuencia) \u00edndice karnofsky, qol sf 36, cuestionario nacional sobre apetito, \u00edndice comorbilidad charlson, mortalidad e ingresos hospitalarios.  resultados:   el grupo de intervenci\u00f3n ha demostrad<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Eficacia de la suplementaci\u00f3n oral intradi\u00e1lisis<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Eficacia de la suplementaci\u00f3n oral intradi\u00e1lisis <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Waeel Ibrahim Alkrekshi <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 20\/02\/2013<\/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>Jos\u00e9 Antonio Herrero Calvo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio  jose Torres Garc\u00eda <\/li>\n<li>julia \u00e1lvarez hern\u00e1ndez (vocal)<\/li>\n<li>Luis felipe Pallardo sanchez (vocal)<\/li>\n<li>alfonso Jos\u00e9 Cruz jentoft (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Waeel Ibrahim Alkrekshi Eficacia de la suplementaci\u00f3n oral intradi\u00e1lisis tesis doctoral elaborada por dr. Waeel ibrahim alkrekshi [&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":[159554,15009,225923,46281,14834,225922],"class_list":["post-113844","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-complutense-de-madrid","tag-alfonso-jose-cruz-jentoft","tag-antonio-jose-torres-garcia","tag-jose-antonio-herrero-calvo","tag-julia-alvarez-hernandez","tag-luis-felipe-pallardo-sanchez","tag-waeel-ibrahim-alkrekshi"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/113844","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=113844"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/113844\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=113844"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=113844"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=113844"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}