{"id":11700,"date":"2018-03-09T08:57:11","date_gmt":"2018-03-09T08:57:11","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/indicadores-pronostics-per-la-fractura-del-tera%c2%a7-proximal-del-femur-en-pacients-de-mes-de-setanta-anys\/"},"modified":"2018-03-09T08:57:11","modified_gmt":"2018-03-09T08:57:11","slug":"indicadores-pronostics-per-la-fractura-del-tera%c2%a7-proximal-del-femur-en-pacients-de-mes-de-setanta-anys","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/indicadores-pronostics-per-la-fractura-del-tera%c2%a7-proximal-del-femur-en-pacients-de-mes-de-setanta-anys\/","title":{"rendered":"Indicadores pron\u00f3stics per la fractura del ter\u00c1\u00a7 proximal del f\u00e9mur en pacients de m\u00e9s de setanta anys"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Agusti Pi\u00f1ana Garriga <\/strong><\/h2>\n<p>La fractura del tercio proximal del f\u00e9mur en pacientes con m\u00e1s de setenta a\u00f1os en una preocupaci\u00f3n sanitaria y social creciente.  la calidad asistencial en medicina, seg\u00fan el esquema propuesto por avedis donnabedian separa las actuaciones asitenciales en estructura, proceso y resultado, siendo necesarios indicadores precisos para su evaluaci\u00f3n. la joint commission acreditation of heath care organizations realiz\u00f3 una metodolog\u00eda para el dise\u00f1o de indicadores de calidad asistencial.  siguiendo la metodolog\u00eda de la jcahco se han dise\u00f1ado tres indicadores para la fractura del tercio proximal del f\u00e9mur en pacientes con mas de setenta a\u00f1os.  1- alb\u00famina =&lt;3gr.\/Dl  2,- intervenci\u00f3n quir\u00fargica pasadas las 24 h.  3,- inicio de la deambulaci\u00f3n a partir de los siete d\u00edas.  hemos realizado en estudio en 179 pacientes mayores de setenta a\u00f1os con fractura del tercio proximal del f\u00e9mur ingresados en el hospital general de vic (95-96) y que fueron revisados a los 6 meses de la fractura. La valoraci\u00f3n se realiz\u00f3 mediante variables dependientes dise\u00f1adas para obtener una valoraci\u00f3n objetiva del resultado final (6 meses).  &#8211; p\u00e9rdida de barthel. (P\u00e9rdida de 10 \u00f3 m\u00e1s puntos en la valoraci\u00f3n a los 6 meses).  &#8211; p\u00e9rdida de movilidad (p\u00e9rdida de m\u00e1s de un punto en la valoraci\u00f3n a los 6 meses).  &#8211; p\u00e9rdida de barthel o p\u00e9rdida de movilidad (mal resultado).  adem\u00e1s de la valoraci\u00f3n con las variables de resultado tambi\u00e9n se realilz\u00f3 una valoraci\u00f3n previa de las caracter\u00edsticas basales (sitauci\u00f3n previa a la fractura) de la poblaci\u00f3n y de su mortalidad.  se comprob\u00f3 la implicaci\u00f3n real de los indicadores dise\u00f1ados para el proceso de la fractura del tercio proxima del f\u00e9mur, as\u00ed como la asociaci\u00f3n significativa de los indicadores con el resultado final.  en la realizaci\u00f3n de la regresi\u00f3n log\u00edstica para la variables dependiente (mal resultado) se objetiv\u00f3 que eran variables predictivas del mal resulta<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Indicadores pron\u00f3stics per la fractura del ter\u00c1\u00a7 proximal del f\u00e9mur en pacients de m\u00e9s de setanta anys<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Indicadores pron\u00f3stics per la fractura del ter\u00c1\u00a7 proximal del f\u00e9mur en pacients de m\u00e9s de setanta anys <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Agusti Pi\u00f1ana Garriga <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 28\/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>Alfons Fern\u00e1ndez  Sabat\u00e9<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan S\u00e1nchez-lloret tortosa <\/li>\n<li>jaume Roca burniol (vocal)<\/li>\n<li>robert Ramon soler (vocal)<\/li>\n<li>ram\u00f3n Segura cardona (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Agusti Pi\u00f1ana Garriga La fractura del tercio proximal del f\u00e9mur en pacientes con m\u00e1s de setenta a\u00f1os [&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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