{"id":116290,"date":"2014-11-09T00:00:00","date_gmt":"2014-11-09T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-pronosticos-relacionados-con-la-ciruga%c2%ada-de-la-oclusion-intestinal\/"},"modified":"2014-11-09T00:00:00","modified_gmt":"2014-11-09T00:00:00","slug":"factores-pronosticos-relacionados-con-la-ciruga%c2%ada-de-la-oclusion-intestinal","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/medicina-interna\/factores-pronosticos-relacionados-con-la-ciruga%c2%ada-de-la-oclusion-intestinal\/","title":{"rendered":"Factores pron\u00f3sticos relacionados con la cirugia de la oclusi\u00f3n intestinal."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda  Jos\u00e9 Luque Garc\u00eda <\/strong><\/h2>\n<p>La obstrucci\u00f3n intestinal mec\u00e1nica aguda supone una urgencia quir\u00fargica frecuente. Su elevada incidencia y morbilidad constituyen una parte importante del gasto financiero mundial y representa una elevada carga en el sistema de salud. Representa una tasa significativa de admisi\u00f3n en los servicios quir\u00fargicos. Implica una condici\u00f3n grave que requiere de un diagn\u00f3stico precoz as\u00ed como de un tratamiento racional y efectivo. Se asocia a una relativa elevada morbimortalidad, por lo que es esencial considerar y elegir la opci\u00f3n de tratamiento m\u00e1s apropiada en funci\u00f3n de los factores pre-operatorios de riesgo, como la edad, la comorbilidad, la duraci\u00f3n de los s\u00edntomas y el cuadro cl\u00ednico del paciente, as\u00ed como los hallazgos intra-operatorios. La eficaz valoraci\u00f3n pre-operatoria de estos factores de riesgo debe permitir predecir la evoluci\u00f3n cl\u00ednica y proporcionar un apoyo confiable para las decisiones quir\u00fargicas. el objetivo de este trabajo fue identificar y analizar las caracter\u00edsticas epidemiol\u00f3gicas de los pacientes con obstrucci\u00f3n intestinal aguda en un servicio de cirug\u00eda general y digestiva de un hospital de referencia, evaluar los factores pron\u00f3sticos relacionados con su morbimortalidad as\u00ed como identificar los factores predictivos de supervivencia derivados del tratamiento quir\u00fargico. los factores de riesgo independientes de mortalidad perioperatoria fueron el \u00edndice de comorbilidad de charlson, la clasificaci\u00f3n de la american society of anesthesiologist, el tiempo de evoluci\u00f3n de los s\u00edntomas y la transfusi\u00f3n sangu\u00ednea perioperatoria. Los factores pron\u00f3sticos independientes de supervivencia fueron la edad, el \u00edndice de comorbilidad de charlson, la clasificaci\u00f3n de la american society of anesthesiologist, la obstrucci\u00f3n intestinal maligna y la transfusi\u00f3n sangu\u00ednea perioperatoria. es dif\u00edcil mejorar la tasa de mortalidad en la obstrucci\u00f3n intestinal aguda, pero una eficaz valoraci\u00f3n pre-operatoria de los factores pron\u00f3sticos de riesgo debe permitir la clasificaci\u00f3n de los pacientes en t\u00e9rminos de riesgo de mortalidad y ayudar a establecer decisiones en cuanto a la modalidad de tratamiento. Al mismo tiempo, el estudio comparativo entre trabajos de diferentes autores debe ser mejorado.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores pron\u00f3sticos relacionados con la cirugia de la oclusi\u00f3n intestinal.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores pron\u00f3sticos relacionados con la cirugia de la oclusi\u00f3n intestinal. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda  Jos\u00e9 Luque Garc\u00eda <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 11\/09\/2014<\/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 Marchena G\u00f3mez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jaime Arias p\u00e9rez <\/li>\n<li>Jes\u00fas Antonio \u00e1lvarez s\u00e1nchez (vocal)<\/li>\n<li>Jos\u00e9 Antonio Rodr\u00edguez montes (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Teijon rivera (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Jos\u00e9 Luque Garc\u00eda La obstrucci\u00f3n intestinal mec\u00e1nica aguda supone una urgencia quir\u00fargica frecuente. Su elevada incidencia [&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":[986,139],"tags":[22643,229641,10123,3775,13528,229640],"class_list":["post-116290","post","type-post","status-publish","format-standard","hentry","category-complutense-de-madrid","category-medicina-interna","tag-jaime-arias-perez","tag-jesus-antonio-alvarez-sanchez","tag-joaquin-marchena-gomez","tag-jose-antonio-rodriguez-montes","tag-jose-maria-teijon-rivera","tag-maria-jose-luque-garcia"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/116290","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=116290"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/116290\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=116290"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=116290"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=116290"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}